Gaussianity revisited: exploring the Kibble-Zurek mechanism with superconducting rings.

In this paper we use spontaneous flux production in annular superconductors to shed light on the Kibble-Zurek (KZ) scenario. In particular, we examine the effects of finite size and external fields, neither of which is directly amenable to the KZ analysis. Supported by 1D and 3D simulations, the properties of a superconducting ring are seen to be well represented by analytic Gaussian approximations which encode the KZ scales indirectly. Experimental results for annuli in the presence of external fields corroborate these findings.

The long-term outcome of hip replacement in adults with juvenile idiopathic arthritis: the influence of steroids and methotrexate.

Juvenile idiopathic arthritis (JIA) is a chronic disease of childhood; it causes joint damage which may require surgical intervention, often in the young adult. The aim of this study was to describe the long-term outcome and survival of hip replacement in a group of adult patients with JIA and to determine predictors of survival for the prosthesis. In this retrospective comparative study patients were identified from the database of a regional specialist adult JIA clinic. This documented a series of 47 hip replacements performed in 25 adult patients with JIA. Surgery was performed at a mean age of 27 years (11 to 47), with a mean follow-up of 19 years (2 to 36). The mean Western Ontario and McMaster Universities osteoarthritis index questionnaire (WOMAC) score at the last follow-up was 53 (19 to 96) and the mean Health Assessment Questionnaire score was 2.25 (0 to 3). The mean pain component of the WOMAC score (60 (20 to 100)) was significantly higher than the mean functional component score (46 (0 to 97)) (p = 0.02). Kaplan-Meier survival analysis revealed a survival probability of 46.6% (95% confidence interval 37.5 to 55.7) at 19 years, with a trend towards enhanced survival with the use of a cemented acetabular component and a cementless femoral component. This was not, however, statistically significant (acetabular component, p = 0.76, femoral component, p = 0.45). Cox's proportional hazards regression analysis showed an implant survival rate of 54.9% at 19 years at the mean of covariates. Survival of the prosthesis was significantly poorer (p = 0.001) in patients who had been taking long-term corticosteroids and significantly better (p = 0.02) in patients on methotrexate.

Predicting range of movement after knee replacement: the importance of posterior condylar offset and tibial slope.

We have attempted to quantify the influence of clinical, radiological and prosthetic design factors upon flexion following knee replacement. Our study examined the outcome following 101 knee replacements performed in two prospective randomized trials using similar cruciate retaining implants. Multivariate analyses, after adjusting for age, sex, diagnosis and the type of prosthesis revealed that the only significant correlates for range of movement at 12 months were the difference in posterior condylar offset ratio (p < 0.001), tibial slope (p < 0.001) and preoperative range of movement (p = 0.025). We found a moderate correlation between 12-month range of movement and posterior tibial slope (R = 0.58) and the difference of post femoral condylar offset (i.e, post-operative minus preoperative posterior condylar offset, R = 0.65). Posterior condylar offset had the greatest impact upon final range of movement highlighting this as an important consideration for the operating surgeon at pre-operative templating when choosing both the design and size of the femoral component.

Postphlebitic syndrome after total knee arthroplasty: 405 patients examined 2-10 years after surgery.

We assessed the prevalence and relevance of putative risk factors for significant postphlebitic syndrome (PPS) in a cohort of 405 patients who underwent single limb cemented total knee arthroplasty. All patients were studied by means of a questionnaire and clinical examination to detect the presence of lower limb venous insufficiency. We found 52 (13%) new cases of postphlebitic syndrome. Comparison of those patients with and without PPS revealed no significant differences in the median age, sex ratio, preoperative mass, primary joint pathology or relevance of primary or revision surgery. A confirmed history of pre- or post-operative deep vein thrombosis was associated with the development of disease. Most cases seemed to develop within 5 years of surgery.

Kinematic condylar total knee arthroplasty. 14-year survivorship analysis of 208 consecutive cases.

We performed an independent survivorship analysis on 208 Kinematic Condylar knee replacements with a minimum follow-up of ten years and a mean of 12 years. Seven patients had been lost to follow-up. At ten years the estimated survival was 92% (95% confidence limits 95% and 87%) and when stratified for diagnosis and thickness of polyethylene there was no statistical difference (p > 0.05) in survivorship of knees with osteoarthritis or rheumatoid arthritis. We conclude that the original design of the Kinematic Condylar knee replacement has a good record and that adequate evaluation of new designs of implant should be undertaken before they are widely introduced.

Is the cerebellum a smith predictor?

The motor system may use internal predictive models of the motor apparatus to achieve better control than would be possible by negative feedback. Several theories have proposed that the cerebellum may form these predictive representations. In this article, we review these theories and try to unify them by reference to an engineering control model known as a Smith Predictor. We suggest that the cerebellum forms two types of internal model. One model is a forward predictive model of the motor apparatus (e.g., limb and muscle), providing a rapid prediction of the sensory consequences of each movement. The second model is of the time delays in the control loop (due to receptor and effector delays, axonal conductances, and cognitive processing delays). This model delays a copy of the rapid prediction so that it can be compared in temporal register with actual sensory feedback from the movement. The result of this comparison is used both to correct for errors in performance and as a training signal to learn the first model. We discuss evidence that the cerebellum could form both of these models and suggest that the cerebellum may hold at least two separate Smith Predictors. One, in the lateral cerebellum, would predict the movement outcome in visual, egocentric, or peripersonal coordinates. Another, in the intermediate cerebellum, would predict the consequences in motor coordinates. Generalization of the Smith Predictor theory is discussed in light of cerebellar involvement in nonmotor control systems, including autonomic functions and cognition.

Intermittency in human manual tracking tasks.

We confirm Craik's (1947) observation that the human manual1y tracking a visual target behaves like an intermittent servo-control1er. Such tracking responses are indicative of "sampled" negative-feedback control but could be the result of other, continuous, mechanisms. Tracking performance therefore was recorded in a task in which visual feedback of the position of the hand-held joystick could be eliminated. Depriving the subjects of visual feedback led to smoother tracking and greatly reduced the signal power of their responses between 0.5-1.8 Hz. Their responses remained intermittent when they used feedback of their own position but not of the target to track a remembered (virtual) target. Hence, intermittency in tracking behavior is not exclusively a signature of visual feedback control but also may be a sign of feedback to memorized waveforms. Craik's (1947) suggestion that the intermittency is due to a refractory period following each movement was also tested. The errors measured at the start of each intermittent response, during tracking of slow waveforms, showed evidence of a small error deadzone (measuring 0.7 cm on the VDU screen or 0.80 degrees at the eye). At higher target speeds, however, the mean size of starting errors increased, and the upper boundary of the distribution of starting error was close to that expected of a refractory delay of approximately 170 ms between responses. We consider a model of the control system that can fit these results by incorporating an error deadzone within a feedback control loop. We therefore propose that the initiation of intermittent tracking responses may be limited by a positional error deadzone and that evidence for a refractory period between successive corrective movements can be satisfied without evoking an explicit timing or sampling mechanism.

Surface analysis of an original Brånemark implant and three related clones.

Selected surface characteristics of screw-type titanium dental implants from four different manufacturers were evaluated. Considerable differences in surface and near-surface contaminants were demonstrated. The fixture treated with radiofrequency glow discharge (plasma) demonstrated the thinnest titanium oxide layer and the cleanest surface.

Cues and control strategies in visually guided tracking.

Detailed quantitative models are required to investigate the neurological basis of motor behavior. Previous studies of visually guided manual tracking have either identified a variety of control signals (cues) for planning tracking movements or analyzed how a single cue is used (i.e., one-tracking strategy). A systematic, quantitative analysis of the effects and interactions of cues in terms of human manual-tracking performance is presented here together with measurements of concomitant eye movements. These measurements help define the routes by which information reaches the CNS, and the analysis elucidates how the control signals are processed and combined. The results quantify not only the large improvement in performance observed when the target waveform being tracked is predictable but also the extent to which this improvement depends on the availability of current information about target movements and positional error. Target information is shown to provide short-term prediction independent of the error signals used in on-line negative feedback control.

Planning of movement parameters in a visuo-motor tracking task.

Monkeys trained to track a continuously moving visual target with a joystick do so by making a series of intermittent positional corrections rather than in a single smooth movement. The amplitude of each correction is highly correlated both with the error between the target and joystick positions, and with the velocity of the target, measured at movement onset. This velocity estimate is used to predict where the target will be by the end of each movement, and thus helps to set its amplitude correctly. To do this successfully, the monkey must know in advance how long his next movement will take. But, confusingly, the eventual duration of each movement is also highly correlated with its amplitude. So it appears that the monkeys need to simultaneously know the amplitude and duration of a movement, but cannot determine one without prior knowledge of the other. We have examined two possible solutions to this problem; only one agrees with our data. The monkeys seem to select the amplitude of their movements by scaling target velocity by a standard time constant which gives the additional distance the target will move. They then add this to the positional error estimated at or near to the start of each movement, to get the final movement amplitude. The velocity scaling value that gives the best fit to the observed amplitudes is very close to the average duration of all the monkeys movements. We therefore propose that the monkeys use a standard time constant for the purpose of calculating how far the target will move during each of their positional corrections.(ABSTRACT TRUNCATED AT 250 WORDS)

Visuo-motor tracking during reversible inactivation of the cerebellum.

Two monkeys were trained to track a continuously moving target using a joystick. One then had a cooling probe implanted in nucleus interpositus of the cerebellum ipsilateral to his tracking arm. The other had a cannula implanted in the ipsilateral cortex of the lateral cerebellum through which local anaesthetic could be infused. Both monkeys showed similar tracking deficits during temporary inactivation of the cerebellum. The main effects seen were an increase in the peak velocity of their intermittent corrective tracking movements, and a decrease in the accuracy of these movements. Linear regression analyses were undertaken of the peak velocity and amplitude of each corrective movement against a number of possible control signals (target velocity, target position, error, error velocity etc.). The initially strong correlation of the amplitude of each movement made with target velocity was severely reduced during cerebellar inactivation, and movement amplitude became better predicted by the error between target and joystick positions. The peak velocity of movements became more strongly correlated with movement amplitude and less correlated with target velocity than in the intact animal. These results are consistent with the hypothesis that intermittent tracking is achieved by the production of 'primitive' movements, that are then adjusted to the correct amplitude and velocity required to catch up with the moving target. Our findings suggest that the cerebellum may normally be responsible for these adjustments, using visual and memorised cues about the target. The velocity of each movement may be reduced, and its amplitude adjusted, by combining measures of the current error with estimates of target speed and direction. We conclude that the cerebellum has an inhibitory role in tuning movements during visuo-motor tasks and that optimal tuning using feedforward measurements of target motion cannot be made without it.

Manual tracking of visual targets by trained monkeys.

Monkeys were trained to track moving visual targets using a hand-held joystick. The overall frequency response of their visuomotor system was determined using sinusoidal target waveforms. Their responses could be approximately represented by a linear feedforward model consisting of a 0.9 Hz low-pass filter with an additional 150 ms time delay. However, the monkeys normally tracked the target by making intermittent movements of the joystick. Thus, their responses were more realistically modelled as a non-linear sampled feedback model with a loop delay of 250-280 ms. Intermittency allows the monkeys to achieve a good frequency response and maintain tracking stability despite an irreducible visuomotor loop delay of 250-300 ms. When tracking pseudorandom waveforms the monkeys' movements were mainly controlled by positional error. But when tracking predictable sinusoids the amplitude and velocity of each movement was not solely determined by positional error. Instead the monkeys made use of target feedforward, and also internal models of the target waveform, in order to improve their tracking performance. Feedforward control dominated feedback control at high target frequencies, suggesting that the monkeys cannot model targets with long cycle periods.

Visuomotor tracking with delayed visual feedback.

A rhesus monkey and five human subjects used a hand-held joystick to track unpredictable continuously moving targets. Both monkey and human respond by making discrete ("step-and-hold") corrections of positional error, at an average frequency of 1.33 and 2.26 movements/second, respectively. By delaying visual feedback of joystick position, we could reduce these frequencies in a predictable manner. These results imply that the primate visuomotor system probably does not operate as a "sampled-data mechanism" governed by an asynchronous clock, but that inevitable delays in visuomotor feedback control determine the frequency of corrective movements.

Clinical effectiveness of mechanical-chemical tissue displacement methods.

The following conclusions were made after statistical analysis. There was no significant difference between racemic epinephrine cord and aluminum sulfate cord. Both racemic epinephrine cord and aluminum sulfate cord were more effective than nonmedicated cord. There was no difference between dry cord and water-saturated cord. Hemorrhage control with a cord saturated in Hemodent was more effective than water-saturated or dry cords. The racemic epinephrine cord was not superior to the aluminum sulfate cord, so the dentist could eliminate a cord with potential systemic effects and substitute the more innocuous cord. Hemodent approximately doubled the hemostasis success of any cord used in this study.