Oblique saccades in internuclear ophthalmoplegia.

PURPOSE: Oblique saccades often display component stretching, in which the shorter vector in one cardinal direction is slowed so that its duration matches that of the longer vector in the orthogonal direction, resulting in a straighter trajectory. In internuclear ophthalmoplegia, adducting saccades are typically slowed while vertical saccades are unaffected. It is not known whether these slowed adducting movements are accompanied by adaptive component stretching of the vertical vector during oblique saccades. This was a cross-sectional study. We recorded the saccadic eye movement in 5 patients with right or bilateral internuclear ophthalmoplegia from multiple sclerosis and 17 healthy controls, using an EyeLink 1000 machine. The target stimulus was located at varying angles (0-360) and amplitudes (4, 8, 12 degrees). For each saccade we have calculated the curvature index as the main outcome measure, which is the area between the actual and ideal straight trajectory for oblique saccadic eye movements, divided by the square of the length of the straight trajectory, to give a unit-less metric for curvature. In the 17 control subjects, curvature showed a strong positive correlation between adducting saccades and the yoked abducting saccades of the other eye. In internuclear ophthalmoplegia, adducting saccades showed a strong curvature concave to the horizontal meridian, indicating inadequate component stretching, while abducting saccades did not differ from controls. This new sign of oblique saccadic curvature in internuclear ophthalmoplegia indicates a limitation of the range of central adaptive changes in response to distal lesions affecting transmission of the saccadic command.

STM-Induced Desorption and Lithographic Patterning of Cl-Si(100)-(2 × 1).

A scanning tunneling microscope (STM) was used to investigate tip-induced chlorine desorption and lithographic patterning of Cl-terminated Si(100)-(2 × 1) surfaces from 4 to 600 K in ultrahigh vacuum. Until now, STM lithography has exclusively focused on hydrogen-based chemistry for donor device fabrication. As the initial step in developing halogen-based chemistries for STM fabrication of acceptor-based devices, we substituted the hydrogen resist with chlorine. We found that chlorine can be selectively desorbed by the STM tip using both electron and hole injection. Observations show that targeted chlorine was not driven into the surface but desorbed completely as both individual and pairs of atoms. Chlorine depassivation lithography is demonstrated using both field-emission patterning to desorb chlorine from large areas with high efficiency (0.83(1)) and atomic-precision patterning to desorb one to two dimer rows at a time, resulting in 1.5 nm wide lines. Further, varying the experimental parameters for lithography revealed a positive correlation between pattern line widths and both positive sample bias voltage (1.7(2) nm/V) and total electron dose (0.15(2) nm/(mC/cm)), demonstrating that the energy and total number of electrons play a role in desorption from multiple sites.

Hypothalamic demyelination causing panhypopituitarism.

Hypothalamic involvement in multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) is rare and endocrinopathies involving the hypothalamic-pituitary axis in patients with demyelinating conditions have rarely been reported. We present two cases of MS/NMOSD with associated hypothalamic-pituitary involvement and subsequent hypopituitarism, including the first report of a patient with hypothalamic demyelination causing panhypopituitarism. Differential diagnoses, including alemtuzumab-related and primary pituitary pathology are discussed.

The influence of implant design and limb alignment on in vivo wear rates of fixed-bearing and rotating-platform knee implant retrievals.

Analysis of polyethylene (PE) wear in knee implants is crucial for understanding the factors leading to revision in total knee arthroplasty. Importantly, current experimental and computational methods for predicting insert wear can only be validated against true in vivo measurements from retrievals. This study quantitatively investigated in vivo PE wear rates in fixed-bearing (FB) (n = 21) and rotating-platform (n = 53) implant retrievals. 3D surface geometry of the retrievals was measured using a structured light scanner. Then, a reference surface that included the deformation, but not the wear that the retrievals had experienced in vivo, was constructed using a fully automatic surface reconstruction algorithm. Finally, wear volume was calculated from the deviation between the worn and reconstructed surfaces. The measurement and analysis techniques were validated and the algorithm was found to produce errors of only 0.2% relative to the component volumes. In addition to quantifying cohort-level wear rates, the effect of mechanical axis limb alignment on mediolateral wear distribution was examined for a subset of the retrievals (n = 14 + 26). Our results show that FB implants produce significantly (p = 0.04) higher topside wear rates (24.6 ± 10.1 mm3/year) than rotating-platform implants (15.3 ± 8.0 mm3/year). This effect was larger than that of limb alignment, which had a smaller and nonsignificant influence on overall wear rates (+4.5 ± 11.6 mm3/year, p = 0.43). However, increased varus alignment was associated significantly with greater medial compartment wear in both the FB and rotating-platform designs (+1.7 ± 1.3%/° and +1.8 ± 1.6%/°). Our findings emphasize the importance of implant design and limb alignment on wear outcomes, providing reference data for improving implant performance and longevity.

Cryogenic propellant management in space: open challenges and perspectives.

This paper presents open challenges and perspectives of propellant management for crewed deep space exploration. The most promising propellants are liquid hydrogen and liquid methane, together with liquid oxygen as an oxidizer. These fluids remain liquid only at cryogenic conditions, that is, at temperatures lower than 120 K. To extend the duration of space exploration missions, or even to enable them, the storage and refueling from a cryogenic on-orbit depot is necessary. We review reference missions, architectures, and technology demonstrators and explain the main operations that are considered as enablers for cryogenic storage and transfer. We summarize the state of the art for each of them, showing that many gaps in physical knowledge still need to be filled. This paper is based on recommendations originally proposed in a White Paper for ESA's SciSpacE strategy.

A novel method to accurately recreate in vivo loads and kinematics in computational models of the knee.

Despite availability of in vivo knee loads and kinematics data, conventional load- and displacement-controlled configurations still can't accurately predict tibiofemoral loads from kinematics or vice versa. We propose a combined load- and displacement-control method for joint-level simulations of the knee to reliably reproduce in vivo contact mechanics. Prediction errors of the new approach were compared to those of conventional purely load- or displacement-controlled models using in vivo implant loads and kinematics for multiple subjects and activities (CAMS-Knee dataset). Our method reproduced both loads and kinematics more closely than conventional models and thus demonstrates clear advantages for investigating tibiofemoral contact or wear.

SiOC Screens with Aligned and Adjustable Pore Structure for Screen Channel Liquid Acquisition Device.

The development of porous ceramic screens with high chemical stability, low density, and thermal conductivity can lead to promising screen channel liquid acquisition devices (SC-LADs) for propellant management under microgravity conditions in the future. Therefore, SiOC screens with aligned pores were fabricated via freeze-casting and applied as a SC-LAD. The pore window sizes and open porosity varied from 6 µm to 43 µm and 65% or 79%, depending on the freezing temperature or the solid loading, respectively. The pore window size distributions and bubble point tests indicate crack-free screens. On the one hand, SC-LADs with an open porosity of 79% removed gas-free liquid up to a volumetric flow rate of 4 mL s-1. On the other hand, SC-LADs with an open porosity of 65% were limited to 2 mL s-1 as the pressure drop across these screens was relatively higher. SC-LADs with the same open porosity but smaller pore window sizes showed a higher pressure drop across the screen and bubble ingestion at higher values of effective screen area when increasing the applied removal volumetric flow rate. The removed liquid from the SC-LADs was particle-free, thus representing a potential for applications in a harsh chemical environment or broad-range temperatures.

Knee kinematics are primarily determined by implant alignment but knee kinetics are mainly influenced by muscle coordination strategy.

Implant malalignment has been reported to be a primary reason for revision total knee arthroplasty (TKA). In addition, altered muscle coordination patterns are commonly observed in TKA patients, which is thought to alter knee contact loads. A comprehensive understanding of the influence of surgical implantation and muscle recruitment strategies on joint contact mechanics is crucial to improve surgical techniques, increase implant longevity, and inform rehabilitation protocols. In this study, a detailed musculoskeletal model with a 12 degrees of freedom knee was developed to represent a TKA subject from the CAMS-Knee datasets. Using motion capture and ground reaction force data, a level walking cycle was simulated and the joint movement and loading patterns were estimated using a novel technique for concurrent optimization of muscle activations and joint kinematics. In addition, over 12'000 Monte Carlo simulations were performed to predict knee contact mechanics during walking, considering numerous combinations of implant alignment and muscle activation scenarios. Validation of our baseline simulation showed good agreement between the model kinematics and loading patterns against the in vivo data. Our analyses reveal a considerable impact of implant alignment on the joint kinematics, while variation in muscle activation strategies mainly affects knee contact loading. Moreover, our results indicate that high knee compressive forces do not necessarily originate from extreme kinematics and vice versa. This study provides an improved understanding of the complex inter-relationships between loading and movement patterns resulting from different surgical implantation and muscle coordination strategies and presents a validated framework towards population-based modelling in TKA.

Strain-tunable Berry curvature in quasi-two-dimensional chromium telluride.

Magnetic transition metal chalcogenides form an emerging platform for exploring spin-orbit driven Berry phase phenomena owing to the nontrivial interplay between topology and magnetism. Here we show that the anomalous Hall effect in pristine Cr2Te3 thin films manifests a unique temperature-dependent sign reversal at nonzero magnetization, resulting from the momentum-space Berry curvature as established by first-principles simulations. The sign change is strain tunable, enabled by the sharp and well-defined substrate/film interface in the quasi-two-dimensional Cr2Te3 epitaxial films, revealed by scanning transmission electron microscopy and depth-sensitive polarized neutron reflectometry. This Berry phase effect further introduces hump-shaped Hall peaks in pristine Cr2Te3 near the coercive field during the magnetization switching process, owing to the presence of strain-modulated magnetic layers/domains. The versatile interface tunability of Berry curvature in Cr2Te3 thin films offers new opportunities for topological electronics.

European Society of Biomechanics S.M. Perren Award 2022: Standardized tibio-femoral implant loads and kinematics.

Knowledge of both tibio-femoral kinematics and kinetics is necessary for fully understanding knee joint biomechanics, guiding implant design and testing, and driving and validating computational models. In 2017, the CAMS-Knee datasets were presented, containing synchronized in vivo implant kinematics measured using a moving fluoroscope and tibio-femoral contact loads measured using instrumented implants from six subjects. However, to date, no representative summary of kinematics and kinetics obtained from measurements at the joint level of the same cohort of subjects exists. In this study, we present the CAMS-Knee standardized subject "Stan", whose reference data include tibio-femoral kinematics and loading scenarios from all six subjects for level and downhill walking, stair descent, squat and sit-to-stand-to-sit. Using the peak-preserving averaging method by Bergmann and co-workers, we derived scenarios for generally high (CAMS-HIGH100), peak, and extreme loading. The CAMS-HIGH100 axial forces reached peaks between 3022 and 3856 N (3.08-3.93 body weight) for the five investigated activities. Anterior-posterior forces were about a factor of ten lower. The axial moment around the tibia was highest for level walking and squatting with peaks of 9.4 Nm and 10.5 Nm acting externally. Internal tibial rotations of up to 8.4° were observed during squat and sitting, while the walking activities showed approximately half the internal rotation. The CAMS-HIGH100 loads were comparable to Bergmann and co-workers', but have the additional benefit of synchronized kinematics. Stan's loads are +11 to +56% higher than the ISO 14243 wear testing standard loads, while the kinematics exhibit markedly different curve shapes. Along with the original CAMS-Knee datasets, Stan's data can be requested at cams-knee.orthoload.com.

Two case reports of acquired haemophilia A as complications of alemtuzumab treatment for multiple sclerosis.

OBJECTIVE: To describe the case histories of two patients who developed acquired haemophilia A following treatment with alemtuzumab for multiple sclerosis. RESULTS: Two patients, a 48-year-old woman and a 31-year-old woman, developed acquired haemophilia A 21 months after their second doses of alemtuzumab. Both presented with spontaneous bruising, and the second case reported menorrhagia. One patient required treatment to control bleeding. Both patients responded to treatment with prednisolone and cyclophosphamide to eliminate the inhibitor. CONCLUSIONS: Acquired haemophilia A is a rare complication following treatment with alemtuzumab. Activated partial thromboplastin time and prothrombin time should be performed in cases of abnormal bleeding in which the platelet count is normal, to facilitate timely diagnosis and prevention of major bleeding complications.

B-Doped δ-Layers and Nanowires from Area-Selective Deposition of BCl3 on Si(100).

Atomically precise, δ-doped structures forming electronic devices in Si have been routinely fabricated in recent years by using depassivation lithography in a scanning tunneling microscope (STM). While H-based precursor/monatomic resist chemistries for incorporation of donor atoms have dominated these efforts, the use of halogen-based chemistries offers a promising path toward atomic-scale manufacturing of acceptor-based devices. Here, B-doped δ-layers were fabricated in Si(100) by using BCl3 as an acceptor dopant precursor in ultrahigh vacuum. Additionally, we demonstrate compatibility of BCl3 with both H and Cl monatomic resists to achieve area-selective deposition on Si. In comparison to bare Si, BCl3 adsorption selectivity ratios for H- and Cl-passivated Si were determined by secondary ion mass spectrometry depth profiling (SIMS) to be 310(10):1 and 1529(5):1, respectively. STM imaging revealed that BCl3 adsorbed readily on bare Si at room temperature, with SIMS measurements indicating a peak B concentration greater than 1.2(1) × 1021 cm-3 with a total areal dose of 1.85(1) × 1014 cm-2 resulting from a 30 langmuir BCl3 dose at 150 °C. In addition, SIMS showed a δ-layer thickness of ∼0.5 nm. Hall bar measurements of a similar sample were performed at 3.0 K, revealing a sheet resistance of ρ□ = 1.9099(4) kΩ â–¡-1, a hole carrier concentration of p = 1.90(2) × 1014 cm-2, and a hole mobility of µ = 38.0(4) cm2 V-1 s-1 without performing an incorporation anneal. Finally, 15 nm wide B δ-doped nanowires were fabricated from BCl3 and were found to exhibit ohmic conduction. This validates the use of BCl3 as a dopant precursor for atomic-precision fabrication of acceptor-doped devices in Si and enables development of simultaneous n- and p-type doped bipolar devices.

A scanning tunneling microscopy study of a new superstructure around defects created by tip-sample interaction on 2H- NbSe(2).

A low temperature scanning tunneling microscope (LT-STM) was used to investigate a new superstructure on the cleaved surface of a 2H- NbSe(2) single crystal after introduction of structural defects through bias voltage pulses during tunneling at 4.2 K. A charge density wave (CDW) with a [Formula: see text] reconstruction was observed in the vicinity of the defects and the well-known 3 × 3 CDW was observed far from these defects. Multiple layers inside the defects were also exposed and showed the new modulation of the CDW on all of the Se layers. This indicates a local 2H to 1T phase transition for the NbSe(2) crystal structure. Two other interesting observations are also included: a disordered CDW-like phase of the [Formula: see text] structure near the atomic steps and an anomalous distortion in the underlying atomic lattice revealed by STM images. A local heating mechanism is proposed to explain the creation of these novel structures.

Optic nerve head drusen and idiopathic intracranial hypertension in a 14-year-old girl.

A 14-year-old girl had a 3-month history of headache and blurred vision. Funduscopy showed bilateral optic disc edema. Findings on brain imaging were normal, and a diagnosis of idiopathic intracranial hypertension was confirmed after lumbar puncture showed an elevated opening pressure of 32 cm H(2)O. Optic nerve head drusen were noted on computed tomography scan and confirmed with B-scan ultrasound. After 2 years, resolution of symptoms coincided with variable compliance to treatment with acetazolamide and concomitant papilledema. In general, optic disc edema poses a clinical conundrum due to the more common occurrence of optic nerve head drusen, potentially resulting in delayed diagnosis and treatment of idiopathic intracranial hypertension.

Six naphthylisoquinoline alkaloids and a related benzopyranone from a Congolese Ancistrocladus species related to Ancistrocladus congolensis.

From the roots of a recently discovered Ancistrocladus taxon, with close affinities to Ancistrocladus congolensis regarding molecular ITS sequence data, six naphthylisoquinoline alkaloids, 5'-O-demethylhamatine (2), 5'-O-demethylhamatinine (3), 6-O-demethylancistroealaine A (4), 6,5'-O,O-didemethylancistroealaine A (5), 5-epi-6-O-methylancistrobertsonine A (6), and 5-epi-4'-O-demethylancistrobertsonine C (7), have been isolated, along with a likewise benzopyranone carboxylic acid, 8. The structural elucidation succeeded by chemical, spectroscopic, and chiroptical methods. Their bioactivities were tested against protozoan parasites causing severe tropical diseases. Furthermore, eight known related alkaloids were identified.

Axisymmetric surface oscillations in a cylindrical container with compensated gravity.

In this study the first mode of axisymmetric surface oscillations of a free liquid interface in a partly filled right circular cylinder under compensated gravity is investigated numerically. The situation is similar to a spacecraft that enters a ballistic flight at the end of thrust. A reorientation of the liquid of the free liquid surface toward the new equilibrium position takes place. The characteristics of this flow, such as the frequency and the damping, are governed by the behavior of the contact line. The investigations focus on the dependence on the contact line boundary condition, including contact angle variation, and on viscous effects. The effect on the natural frequency and the damping is considered. An analytical approximation for the frequency behavior for a frictionless liquid for a free and a fixed contact line condition is given. Further analytical approximations for the damping behavior in dependence on the contact angle and the Ohnesorge number are determined. The numerical results show very good agreement with experimental data.

Flow rate limitation in open capillary channel flows.

This paper reports the experimental and theoretical investigations of forced liquid flows through open capillary channels under reduced gravity conditions. An open capillary channel is a structure that establishes a liquid flow path at low Bond numbers, when the capillary pressure caused by the surface tension force dominates in comparison to the hydrostatic pressure induced by gravitational or residual accelerations. In case of steady flow through the channel, the capillary pressure of the free surface balances the pressure difference between the liquid and the surrounding constant-pressure gas phase. Because of convective and viscous momentum transport, the pressure along the flow path decreases and causes the free surface to bend inward. The maximum flow rate is achieved when the free surface collapses and gas ingestion occurs at the outlet. This critical flow rate depends on the geometry of the channel and the properties of the liquid. In this paper we present a comparison of the theoretical and experimental critical flow rates and surface profiles for convective dominated flows. For the prediction of the critical flow rate a one-dimensional theoretical model taking into account the entrance pressure loss and the frictional pressure loss in the channel is developed.

Experimental investigation of the liquid interface reorientation upon step reduction in gravity.

Experiments have been carried out to investigate the settling behavior of a free liquid/gas interface in a partly filled right circular cylinder upon step reduction in gravity. Microgravity conditions were obtained within milliseconds after the release of a drop capsule in the drop tower facility in Bremen. In the experiments the cylinder radius was varied from 10 mm to 20mm with static contact angles of 2 degrees to 60 degrees. In addition to a series of silicone fluids, two different test liquids with a refractive index matched with the value of the cylinder material were used for experiments. The use of a digital high-speed recording system with a recording frequency of up to 500 fps allowed both an observation of the entire free liquid interface and a detail view on the moving contact line. Digital image processing techniques were applied to detect the contour of the free surface. For the initial condition the system is dominated by hydrostatic forces. In this case the equilibrium of the free liquid surface is characterized by a high Bond number yielding a flat surface and a small liquid ascent at the cylinder wall depending on the static contact angle. After transition to reduced gravity with a very low Bond number, capillary forces govern the flow and a capillary driven reorientation of the liquid to the new equilibrium position is established in a damped oscillation. The particular interest of this study is the investigation of the initial behavior of the free surface reorientation. It was found that the initial rise velocity of the contact point is determined by the Morton number and the static contact angle. Experimental results are presented that show an increasing rise velocity for decreasing Morton numbers. Further results characterize the initial behavior of the free surface at the center point as a function of characteristic time scales.

Ancistroheynine B and two further 7,3'-coupled naphthylisoquinoline alkaloids from Ancistrocladus heyneanus Wall.

A new axially chiral naphthylisoquinoline alkaloid, ancistroheynine B (7), has been isolated from the leaves of the Indian liana Ancistrocladus heyneanus Wall., along with two known related alkaloids, ancistrocladidine (3) and ancistrotanzanine C (6), which are 7,3'-coupled, too. The structural elucidation was achieved by chemical, spectroscopic, and chiroptical methods. Biological activities of ancistroheynine B against the pathogens of malaria, leishmaniasis, Chagas' disease, and African sleeping sickness were evaluated.

Sr adatoms on As bridge positions on SrFe2As2 observed by scanning tunneling microscopy at 4.2 K.

We used a scanning tunneling microscope to image the surface of SrFe(2)As(2) single crystals at 4.2 K. We found, besides the commonly reported row structures and some disordered areas, also maze-like regions. Atomically resolved images of the maze show that the atoms on the surface sit on As bridge positions of the underlying Fe(2)As(2) layer. Examination of the corner positions within the maze-like reconstruction reveals the presence of adatoms rather than As dimers. Hence, the surface atoms on these samples are most likely to be Sr atoms.