Asymmetric Gap Research Articles

Classes of holographic Mott gaps

The fermion gaps are classified into order gap or Mott gap depending on the presence/absence of the order parameter. We construct the holographic model of the Mott gap using the field that is supported by the density only without introducing any order parameter. We then classify the Mott gap, depending on the shape of the gap in the density of states and whether the Fermi surface is touching the valence bond or not, into three classes: i) Symmetric gap, ii) Asymmetric gap with isolated Fermi sea. iii) Asymmetric gap with Fermi sea touching the valence band. Finally, we identify possible non-minimal gauge interactions that produce a flatband without symmetry breaking.

Medial center of rotation and 90-degree lateral laxity improve patient-reported outcomes in posterior cruciate retaining total knee arthroplasty

ObjectivesPhysiologic knee kinematics are crucial for successful total knee arthroplasty (TKA) but are often not replicated. Using a medial stabilizing technique (MST) minimizes bone resection but results in lateral laxity. This study aimed to investigate the effects of lateral laxity on knee kinematics and symptoms after TKA. MethodsMobile-bearing cruciate-retaining MST-TKA was performed on 40 knees using a navigation system. In the kinematic analysis, the anteroposterior (AP) translations of the medial femoral condyle (MFC) and lateral femoral condyle (LFC), femoral rotation angles, and medial and lateral component gaps were recorded every 0.1 s. These data were extracted from the software from 0° to 120° flexion in 10° increments. Kinematics were classified as the medial center of rotation (MCR) or non-MCR between 0° to 90° of flexion. Lateral laxity was calculated by subtracting the medial component gap from the lateral component gap. The final follow-up Knee Injury and Osteoarthritis Outcome Scores (KOOS) were evaluated. The relationships between the pre and postoperative kinematics and between postoperative lateral laxity and kinematics were assessed using Spearman’s correlation coefficients. Finally, the correlation between postoperative lateral laxity and KOOS symptoms was evaluated using linear regression analysis. ResultsPreoperative kinematics, including AP translation of the MFC and LFC and femoral rotation, correlated with postoperative kinematics (all P < 0.001). Additionally, postoperative lateral laxity correlated with postoperative AP translation of the MFC, LFC, and femoral rotation (all P < 0.001). Furthermore, the receiver operating characteristic analysis indicated a cutoff value of 0.9 mm on postoperative lateral laxity at 90° flexion for postoperative MCR (P < 0.001). Postoperative lateral laxity at 90° flexion was significantly correlated with KOOS symptoms (β = 0.465, P = 0.025). ConclusionPreoperative kinematics and postoperative lateral laxity correlated with postoperative kinematics after MST-TKA. Postoperative lateral laxity greater than 0.9mm at 90° flexion was associated with physiological kinematic motion, leading to fewer knee symptoms in the PROMs. The key to successful TKA was considered to be keeping the asymmetric gap balance with physiological lateral laxity, rather than the conventional symmetrical gap balance. Level of Evidence Level IIIRetrospective study.

Flow over two inline rough cylinders in the postcritical regime

This study investigates the flow behavior over roughened inline cylinders for postcritical flow, a parameter space with relatively little prior scrutiny. Two cylinders of the same relative surface roughness, ks/D=1.9×10−3, separated by a pitch (i.e., L, distance between the centers of two cylinders) between 1.175≤L/D≤10 are studied at Reynolds numbers from 3×105 to 6×105 using unsteady surface pressure measurements. As pitch ratio is increased from L/D=1.175, CD of the downstream cylinder increases sharply at (L/D)c=3.25. This critical pitch ratio (L/D)c is toward the lower end of the reported range for subcritical smooth cylinders. Asymmetric mean gap flow along with alternating reattachment is found for 1.5≤L/D&amp;lt;2.25 (i.e., two asymmetric modes in the gap, mode 1 and mode 2, that are the reflections of each other), and symmetric gap flow with a continuous reattachment is found for 2.25&amp;lt;L/D≤3. The gap flow is also symmetric for the closest pitch ratio tested of L/D=1.175. While the change in upstream cylinder drag coefficient with Reynolds number broadly follows that of an isolated cylinder, for the downstream cylinder, it is approximately independent. The critical separation is also insensitive to Reynolds number within 3×105≤Re≤6×105. Transitions between the reattachment and the co-shedding flow are predominantly continuous over the spanwise planes tested. On the other hand, alternating reattachment occurs in spanwise cells, where one sectional measurement exhibits the asymmetric mode 1 while a spanwise-adjacent section exhibits the asymmetric mode 2 or even symmetric flow. Previously reported maxima in the fluctuating lift and drag coefficients of the downstream cylinder at L/D≈2.4 at subcritical Reynolds numbers are absent in the current investigation.

A relevância do envolvimento do Estado diante de uma estratégia econômica sustentável e socialmente inclusiva no México, o caso de sua região sul-sudeste como provável polo de desenvolvimento regional socialmente inclusivo e sustentável no país

Mexico’s South-southeastern region (here on ‘Macrosouth’) has traditionally been lagged and impoverished vis-á-vis Mexico’s northern and center region, which comprise, altogether, the so-called ‘Macronorth’ (encompassing northern, northwestern, western, and center regions). With the sole exception of highly private investment concentration on the Mayan Riviera of touristic nature, the rest of the ‘Macrosouth’ region (encompassing the Gulf of Mexico, South-pacific and Southeastern region) and its states down to the Gulf of Mexico and South Pacific region have remained isolated and disconnected from the Riviera bonanza zone, featuring better living standards, high economic growth, and better employment opportunities. Under this framework and the emergence of a new democratic leftwing government in Mexico with strong social support and commitment to promoting a balanced regional development throughout the country, under a socially inclusive strategy it results explainable its emphasis granted on fostering a balanced regional development, under a socially inclusive strategy, its decision to earmark mammoth public productive investments toward the referred region, such as the Mayan Train and the Mexican Corridor (Dos Bocas Refinery in Tabasco state) all of them immersed in the same Macroregion aiming to paralleling foster economic growth and well-being within this region and diminishing the prevailing asymmetric gap between North and South. Although the unprecedented public investments channelized so far into the Macrosouth are expected to promote an economic bonanza in this region, there is no guarantee whatsoever that such growth will render seamlessly and simultaneously a socially inclusive and sustainable development in such a region for the coming years as conceived by Mexico´s ongoing economic strategy. Under this context, the article aims to highlight some remarks and challenges ahead to overcome to implement a socially inclusive and sustainable regional strategy in this Macroregion in the coming years and the role of the State as an unavoidable key agent in attaining a balanced, socially inclusive and a sustainable approach in such region.

Dirac Theory in Noncommutative Phase Spaces

Based on the position and momentum of noncommutative relations with a noncanonical map, we study the Dirac equation and analyze its parity and time reversal symmetries in a noncommutative phase space. Noncommutative parameters can be endowed with the Planck length and cosmological constant such that the noncommutative effect can be interpreted as an effective gauge potential or a (0,2)-type curvature associated with the Plank constant and cosmological constant. This provides a natural coupling between dynamics and spacetime geometry. We find that a free Dirac particle carries an intrinsic velocity and force induced by the noncommutative algebra. These properties provide a novel insight into the Zitterbewegung oscillation and the physical scenario of dark energy. Using perturbation theory, we derive the perturbed and nonrelativistic solutions of the Dirac equation. The asymmetric vacuum gaps of particles and antiparticles reveal the particle–antiparticle symmetry breaking in the noncommutative phase space, which provides a clue to understanding the physical mechanisms of particle–antiparticle asymmetry and quantum decoherence through quantum spacetime fluctuation.

Maintaining the Physiological Lateral Flexion Gap in the Kinematically Aligned TKA Does Not Compromise Clinical Outcomes at One-Year Follow-Up.

Background: Instability is a common cause of (total knee arthroplasty) TKA failure, which can be prevented by achieving proper gap balance during surgery. There is no consensus on the ideal gap balance in TKA, and different alignment philosophies result in varying soft-tissue tightness. Traditional TKA aims for symmetric compartment balance, while kinematic alignment (KA) restores anatomy and accepts asymmetric flexion gaps. This study evaluated the impact of these philosophies on the flexion gap balance and clinical outcomes. Methods: A retrospective review of 167 patients who received true or restricted KA robotic-assisted TKA with at least one year of follow-up was conducted. The groups were based on intraoperative flexion gap differences: symmetric (0-1 mm) (n = 94) and asymmetric (2-5 mm) (n = 73). Results: Preoperative demographics and postoperative clinical and functional scores were compared. Both groups were similar in demographics and preoperative scores. True KA alignment was more likely to result in an asymmetric flexion gap, while restricted KA produced symmetric gaps. Conclusions: The study found no adverse effects from the physiological asymmetric flexion gap, with clinical and functional outcomes comparable to symmetric gaps. A 5 mm difference between the medial and lateral gap width did not negatively impact the outcomes. True KA more frequently results in a physiological asymmetric flexion gap.

Simulation of Conducted Responses in Microvascular Networks: Role of Current Rectification by Endothelial Cell Gap Junctions

Neuronal activity in the brain stimulates local increases in blood flow. Such flow increases require dilation of feeding arterioles, which can be initiated by upstream conducted responses in the form of electrical currents transmitted along the endothelial lining of the vessels. One potential trigger for this response is hyperpolarization of capillary endothelial cells in active regions resulting from local elevation of extracellular K+ concentration. The conducted hyperpolarization causes arteriolar dilation. For this mechanism to be effective in delivering increased flow to a specific location, the conducted response must travel in the upstream direction only, without reentry into adjacent parallel flow pathways. Such specificity in the response to activation has been observed in skeletal muscle, and may result from partial rectification of current in gap junctions connecting adjacent endothelial cells. The goal of this work is to simulate the spread of hyperpolarizing currents along vessel walls in microvascular networks of the cerebral circulation, including the effects of rectification in gap junctions. A theoretical model was developed for the spread of electrical current in the endothelial cells of a network of microvessels in response to local K+- induced hyperpolarization. Transmembrane currents are represented in the model by a KIR-channel conductance, a non-voltage-dependent K+ conductance, and a background conductance. Currents along vessel walls are represented assuming asymmetric gap junction conductance between adjacent endothelial cells, with higher conductance for downstream currents (causing upstream hyperpolarization) than for upstream currents. The model was applied to a synthetic network of 45 segments, assuming 20 nS conductance for upstream propagation, while a range of values was used for downstream propagation. The model shows effective upstream propagation of conducted responses when the gap junction conductance for downstream propagation is 1 nS or less. This result was confirmed in a simulation of a reconstructed murine cerebral cortex network with 4881 segments. In conclusion, partial current rectification by endothelial gap junctions can result in preferential upstream propagation of conducted responses, consistent with experimental observations of local flow regulation. Supported by NIH grant U01 HL133362. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Asymmetric gap balancing improves knee kinematic following primary total knee arthroplasty

PurposeThe purpose of this study was to demonstrate closer-to-normal knee kinematics following primary total knee arthroplasty (TKA) performed establishing asymmetric gap balancing intraoperatively.Material and methodTwo age-, sex-, BMI-matched groups of patients underwent medially stabilized TKA because of isolated knee disease. Group A (12 patients) underwent “unrestricted” kinematic alignment (uKA) according to Howell while group B (15 patients) received robot-assisted “simplified” KA (sKA) with an alignment goal (Hip-Knee-Ankle axis-HKA) ± 5° respect to the mechanical axis. Intraoperatively, in group B, the flexion gap at 90° was first set at an average of 1.5 mm (0–5 mm; SD 4.4 mm) tighter in the medial compartment with respect to the lateral; in the same way, the extension gap was then set at an average of 2.0 mm (0–4.5 mm; SD 3.1 mm) tighter in the medial compartment with respect to the lateral. All patients, including a non-arthritic cohort (group C: 5 controls) underwent gait analysis using an instrumented treadmill (WalkerView–WV) equipped with an instrumented belt armed with a 3D video camera. The WV software evaluated multiple spatiotemporal and kinematic parameters, including: (1) contact time (s); (2) knee ROM during gait cycle; (3) step length percentage with respect to total gait (%) and pure step length (cm). Statistical analyses included t-Test and ANOVA and were conducted by using SPSS.ResultsAt the final FU, significant differences were noted during gait between the two TKA groups (uKA-sKA) and the controls. Both TKA groups showed superior mean contact time on the surgical knee (uKA 1 s; sKA 0.97 s) as compared to the controls (0.72 s) (P = 0.002) while no differences were found between them (P = 0.11). TKA groups showed a lower, maximum ROM in the surgical knee (mean uKA 36º; mean sKA 49º) relative to the controls (mean 57º) (P < 0.05) but a statistical difference was found between them (P = 0.003). Both TKA groups showed a higher step length percentage with respect to the total gait and a shorter step length on the surgical side (uKA: mean 8.28% and mean step length 35.5 cm; sKA: mean 8.38% and mean step length 34.6 cm) in comparison to the controls (mean 3.38%; mean step length 71.4 cm) (P < 0.05) while no statistical differences were found between them.ConclusionTo our knowledge, this was the first study to exhibit the kinematic advantages of a slightly asymmetric gap balancing during KA TKA. Combining a medially-stabilized implant design and a surgical technique aiming to obtain a tighter medial compartment represents a promising approach to improve outcomes after TKA.Graphical

Isotropic gap formation, localization, and waveguiding in mesoscale Yukawa-potential amorphous structures

Amorphous photonic structures are mesoscopic optical structures described by electrical permittivity distributions with underlying spatial randomness. They offer a unique platform for studying a broad set of electromagnetic phenomena, including transverse Anderson localization, enhanced wave transport, and suppressed diffusion in random media. Despite this, at a more practical level, there is insufficient work on both understanding the nature of optical transport and the conditions conducive to vector-wave localization in these planar structures, as well as their potential applications to photonic nanodevices. In this study, we fill this gap by investigating experimentally and theoretically the characteristics of optical transport in a class of amorphous photonic structures and by demonstrating their use to some basic waveguiding nanostructures. We demonstrate that these 2-D structures have unique isotropic and asymmetric band gaps for in-plane propagation, controlled from first principles by varying the scattering strength and whose properties are elucidated by establishing an analogy between photon and carrier transport in amorphous semiconductors. We further observe Urbach band tails in these random structures and uncover their relation to frequency- and disorder-dependent Anderson-like localized modes through the modified Ioffe-Regel criterion and their mean free path - localization length character. Finally, we illustrate that our amorphous structures can serve as a versatile platform in which photonic devices such as disorder-localized waveguides can be readily implemented.

Nonlinear analysis and vibro-impact characteristics of a shaft-bearing assembly

This study investigates the nonlinear frequency response of a shaft-bearing assembly with vibro-impacts occurring at the bearing clearances. The formation of nonlinear behavior as system parameters change is examined, along with the effects of asymmetries in the nominal, inherently symmetric system. The primary effect of increasing the forcing magnitude or decreasing the contact gap sizes is the formation of grazing-induced chaotic solution branches occurring over a wide frequency range near each system resonance. The system's nominal setup has very hard contact stiffness and shows no evidence of isolas or superharmonic resonances over the frequency ranges of interest. Moderate contact stiffnesses cause symmetry breaking and introduce superharmonic resonance branches of primary resonances. Even if some primary resonances are not present due to the system's inherent symmetry, their superharmonic resonances still manifest. Branches of quasiperiodic isolas (isolated resonance branches) are also discovered, along with a cloud of isolas near a high-frequency resonance. Parameter asymmetries are found to produce a few significant changes in behavior: asymmetric linear stiffness, contact stiffness, and gap size could affect the behavior of primary resonant frequencies and isolas.

The miscibility gap between the rock salt and wurtzite phases in the MgO–ZnO binary system to 3.5 GPa

Abstract. At ambient pressure, MgO crystallizes in the rock salt (B1) structure, whereas ZnO crystallizes in the wurtzite structure (B4). The asymmetric miscibility gap between these two structures in the MgO–ZnO binary system narrows with increasing pressure, terminating at the wurtzite-to-rock-salt phase transition in pure ZnO, which occurs at approximately 5 GPa at 1000 ∘C. Despite their essential simplicity, the pressure–temperature–composition (P–T–X) relations in the MgO–ZnO binary system have been sparsely studied experimentally, with disparate results that are inconsistent with available thermodynamic data. Here we report the experimental determination of the P–T–X relations of the miscibility gap from 940 to 1500 ∘C and 0 to 3.5 GPa, which we combine with calorimetric and equation-of-state data from the literature and on the transition in endmember ZnO, to build a thermodynamic model that resolves many of the inconsistencies. The model treats the rock salt phase as an ideal solution (no excess Gibbs free energy of mixing), while in the wurtzite phase the MgO component follows Henry's law and the ZnO component Raoult's law in the range of compositions accessed experimentally. However, there is an inconsistency between the partial molar volume of wurtzite-structured MgO deduced from this model and that inferred from lattice parameter measurements by X-ray diffraction in the quenched samples. This discrepancy may be caused by unquenchable disordering of some significant fraction of the substituting Mg2+ into normally vacant octahedral interstices of the wurtzite structure.

Asymmetric air gap fault detection in linear permanent magnet Vernier machines

PurposeThe aim of this paper is to introduce an accurate asymmetric fault index for the diagnosis of the faulty linear permanent magnet Vernier machine (LPMVM).Design/methodology/approachThree-dimensional finite element method is applied to model the LPMVM. The geometrical and physical properties of the machine, the effect of stator and translator teeth, magnetic saturation of core and nonuniform air gap due to asymmetric fault are taken into account in the simulation. The air gap asymmetric fault is proposed. This analytical method estimates the air gap flux density of an LPMVM.FindingsThis paper presents an analytical method to predict the performance of a healthy and faulty LPMVM. The introduced index is based on the frequency patterns of the stator current. Besides, the robustness of the index in different loads and fault severity is addressed.Originality/valueIntroducing index for air gap asymmetry fault diagnosis of LPMVM.

Large Osteophytes over 10 mm at Posterior Medial Femoral Condyle Can Lead to Asymmetric Extension Gap Following Bony Resection in Robotic Arm-Assisted Total Knee Arthroplasty with Pre-Resection Gap Balancing.

Robotic arm-assisted total knee arthroplasty (TKA) involves a pre-resection gap balancing technique to obtain the desired gap. However, the expected gap may change owing to the soft-tissue release effect of unreachable osteophytes. This study evaluated the effect of unreachable osteophytes of the posterior medial femoral condyle on gap changes following bony resection. We retrospectively analysed 129 robotic arm-assisted TKAs performed for varus knee osteoarthritis. Knees were classified according to the size of osteophytes on the posterior medial femoral condyle using preoperative computed tomography measurement. After the removal of reachable osteophytes, the robotic system measured pre- and post-resection medial extension (ME), lateral extension (LE), medial flexion (MF), and lateral flexion (LF) gaps. No extension gap changes were observed for 25 (19.4%), and no flexion gap changes were observed 41 (31.8%) knees, following bone cuts. ME, LE, MF, and LF gaps increased with the osteophyte size (p < 0.05). For osteophytes <10 mm, all the gaps increased symmetrically. However, for osteophytes >10 mm, the ME gap increased asymmetrically more than LE, MF, and LF gaps (p < 0.05). The gap changes due to bony resection were correlated to the osteophyte sizes of the posterior medial femoral condyle. Surgeons should plan a slightly tight medial extension gap to attain the desired gaps for >10 mm osteophytes.

Exploring the surface-enhanced Raman scattering (SERS) activity of gold nanostructures embedded around nanogaps at wafer scale: Simulations and experiments

A unique way of converting free space light into a local electromagnetic field in small spaces is via metallic nanostructuring. In this work fabrication, experimental characterization and simulation of surface-enhanced Raman scattering (SERS) active specimens based on Au nanostructures are discussed. We used displacement Talbot lithography (DTL) to fabricate silicon nano-wedge substrates with Au nanostructures embedded around their apices. After the ion beam etching process, a nanogap is introduced between two Au nanostructures templated over nano-wedges, yielding specimens with SERS characteristics. The Au nanostructures and the nanogaps have symmetric and asymmetric configurations with respect to the wedges. With this nanofabrication method, various wafer-scale specimens were fabricated with highly controllable nanogaps with a size in the order of 6 nm for symmetric gaps and 8 nm for asymmetric gaps. SERS characteristics of these specimens were analyzed experimentally by calculating their analytical enhancement factor (AEF). According to finite-difference time-domain (FDTD) simulations, the Raman enhancement arises at the narrow gap due to plasmonic resonances, yielding a maximum AEF of 6.9 × 106. The results highlight the SERS activity of the nanostructures and ultimately comply with reliable substrates for practical applications.

Controlling the Influence of an Asymmetric Air Gap in a Synchronous Electrical Machine on the Unidirectional Attractive Force

Controlling the Influence of an Asymmetric Air Gap in a Synchronous Electrical Machine on the Unidirectional Attractive Force

Microstructural engineering by heat treatments of multi-principal element alloys via spinodal mediated phase transformation pathways

Nanoscale multi-phase microstructures observed in multi-principal element alloys (MPEAs) such as AlMo0.5NbTa0.5TiZr, Al0.5NbTa0.8Ti1.5V0.2Zr, TiZrNbTa, AlCoCrFeNi and Fe15Co15Ni20Mn20Cu30 that exhibit promising mechanical or functional properties may have evolved through spinodal-mediated phase transformation pathways (PTPs). The microstructures in such MPEA systems could be further engineered for targeted applications by appropriately designing the alloy composition and heat-treatment schedule. In this study, we investigate systematically how different heat treatment schedules such as single-step isothermal aging, two-step isothermal aging and continuous cooling alter the interplay among the various factors associated with alloy composition, such as volume fraction of individual phases, lattice misfit and modulus mismatch between the co-existing phases. We have determined the degree to which these factors influence significantly the spinodal-mediated PTPs and the corresponding microstructures by use of high-throughput phase-field simulations. In particular, we demonstrate that the microstructural topology (i.e., which phase forms the continuous matrix and which phase forms discrete precipitates) in the same MPEA having an asymmetric miscibility gap could be inverted simply by a continuous cooling heat treatment. Further, we reveal a rich variety of novel hierarchical microstructures that could be designed using two-step isothermal aging heat treatments in MPEA systems with symmetric or asymmetric miscibility gaps. These simulation results may shed light on novel microstructure design and engineering for the above-mentioned MPEA systems.

On Wave Interference in Planet Migration: Dead Zone Torques Modified by Active Zone Forcing

We investigate planetary migration in the dead zone of a protoplanetary disk where there is a set of spiral waves propagating inward due to the turbulence in the active zone and the Rossby wave instability, which occurs at the transition between the dead and active zones. We perform global 3D unstratified magnetohydrodynamical simulations of a gaseous disk with the FARGO3D code, using weak gradients in the static resistivity profiles that trigger the formation of a vortex at the outer edge of the dead zone. We find that once the Rossby vortex develops, spiral waves in the dead zone emerge and interact with embedded, migrating planets by wave interference, which notably changes their migration. The inward migration becomes faster depending on the mass of the planet, due mostly to the constructive (destructive) interference between the outer (inner) spiral arm of the planet and the destruction of the dynamics of the horseshoe region by means of the set of background spiral waves propagating inward. The constructive wave interference produces a more negative Lindblad differential torque, which inevitably leads to an inward migration. Lastly, for massive planets embedded in the dead zone, we find that the spiral waves can create an asymmetric, wider, and deeper gap than in the case of α-disks and can prevent the formation of vortices at the outer edge of the gap. The latter could generate a faster or slower migration compared to the standard type-II migration.

Optimizing Asymmetric Native Knee Flexion Gap Balance Promotes Superior Outcomes in Primary Total Knee Arthroplasty.

Replicating native knee kinematics remains the ultimate goal of total knee arthroplasty (TKA). Technology, such as robotics, provides robust intraoperative data; however, no evidence-based targets currently exist for improved clinical outcomes. Furthermore, some surgeons target a rectangular flexion space in TKA unlike the native knee. This study evaluated the effect of in vivo flexion gap asymmetry on patient-reported outcome measures (PROMs) in contemporary TKA. In vivo tibiofemoral joint space dimensions were measured during 129 TKAs using a calibrated tension device before and after complete posterior cruciate ligament resection. PROMs were compared based on the final dimensions and the change in flexion gap dimensions at 90° of flexion: (1) equal laxity, (2) lateral laxity, and (3) medial laxity. Groups did not differ by demographics ( P ≥ 0.347), clinical follow-up ( P = 0.134), tibiofemoral alignment ( P = 0.498), or preoperative PROMs ( P ≥ 0.093). Mean follow-up for the cohort was 1.5 years (range, 1-3). Pain with climbing stairs, pain while standing upright, and knees "always feeling normal" scores were superior for patients with equal or lateral laxity compared with medial laxity ( P ≤ 0.064). Pain with level walking, University of California Los Angeles activity level, KOOS JR, and satisfaction scores also tended to be superior for patients with equal or lateral laxity, although it lacked statistical significance ( P ≥ 0.111). Results of this study suggest that patients with either an equally tensioned rectangular flexion space or with later-flexion lateral laxity after posterior cruciate ligament resection may achieve superior PROMs. Findings support the clinical benefit of facilitating posterolateral femoral roll back in flexion, which mimics native knee kinematics and further helps define targets for advanced technology.

Bipolar thermoelectricity in S/I/NS and S/I/SN superconducting tunnel junctions

Recent studies have shown the potential for bipolar thermoelectricity in superconducting tunnel junctions with asymmetric energy gaps. The thermoelectric performance of these systems is significantly impacted by the inverse proximity effects present in the normal-superconducting bilayer, which is utilized to adjust the gap asymmetry in the junction. Here, we identify the most effective bilayer configurations, and we find that directly tunnel-coupling the normal metal side of the cold bilayer with the hot superconductor is more advantageous compared to the scheme used in experiments. By utilizing quasiclassical equations, we examined the nonlinear thermoelectric junction performance as a function of the normal metal film thickness and the quality of the normal-superconducting interface within the bilayer, thereby determining the optimal design to observe and maximize this nonequilibrium effect. Our results offer a roadmap to achieve improved thermoelectric performance in superconducting tunnel junctions, with promising implications for a number of applications.

Taylor Spatial Frame Behavior in High Tibial Osteotomies: A Clinical–Mechanical Study

The introduction of Taylor Spatial Frame (TSF) in clinical practice allows for unique capabilities in long bone deformity corrections; however, a comprehensive understanding of its mechanical characteristics and their impact on callus formation at the osteotomy site is still unclear. The current study is concerned with the clinical application of TSF in high tibial osteotomy (HTO) and the mechanical testing of this device. Fifty-five (55) patients with symptomatic medial compartment knee osteoarthritis and varus deformity underwent open-wedge HTO with the use of TSF and were prospectively monitored with regard to callus formation pattern at the site of osteotomy. Clinical evaluation revealed that the callus formation pattern was eccentric in all patients. In addition, the experimental results from mechanical testing of a clinically relevant TSF configuration indicate, that vertical deflection of the upper bone part during weight-bearing is accompanied by a rotation of the bone axis, which acts in the same direction to the rotation applied during the clinical correction process. The complementary contributions of the deformity correction process and the mechanical response of the TSF under compressive loads, lead to asymmetric gap closure, which promotes the eccentric callus formation in the osteotomy site. The study provides useful information for clinical decision-making regarding callus formation process when TSF external fixator is applied in HTOs.