| 11. |
- Pettersen, Emily, 1996, et al.
(författare)
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Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
- 2024
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Ingår i: Journal of Visualized Experiments. - 1940-087X. ; 2024:205
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Tidskriftsartikel (refereegranskat)abstract
- Over the past decade, the field of prosthetics has witnessed significant progress, particularly in the development of surgical techniques to enhance the functionality of prosthetic limbs. Notably, novel surgical interventions have had an additional positive outcome, as individuals with amputations have reported neuropathic pain relief after undergoing such procedures. Subsequently, surgical techniques have gained increased prominence in the treatment of postamputation pain, including one such surgical advancement-targeted muscle reinnervation (TMR). TMR involves a surgical approach that reroutes severed nerves as a type of nerve transfer to "target" motor nerves and their accompanying motor end plates within nearby muscles. This technique originally aimed to create new myoelectric sites for amplified electromyography (EMG) signals to enhance prosthetic intuitive control. Subsequent work showed that TMR also could prevent the formation of painful neuromas as well as reduce postamputation neuropathic pain (e.g., Residual and Phantom Limb Pain). Indeed, multiple studies have demonstrated TMR's effectiveness in mitigating postamputation pain as well as improving prosthetic functional outcomes. However, technical variations in the procedure have been identified as it is adopted by clinics worldwide. The purpose of this article is to provide a detailed step-by-step description of the TMR procedure, serving as the foundation for an international, randomized controlled trial (ClinicalTrials.gov, NCT05009394), including nine clinics in seven countries. In this trial, TMR and two other surgical techniques for managing postamputation pain will be evaluated.
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| 12. |
- Sheikh, U., et al.
(författare)
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Benign termination of runaway electron beams on ASDEX Upgrade and TCV
- 2024
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Ingår i: Plasma Physics and Controlled Fusion. - : IOP Publishing. - 0741-3335 .- 1361-6587. ; 66:3
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Tidskriftsartikel (refereegranskat)abstract
- This paper discusses the development of a benign termination scenario for runaway electron (RE) beams on ASDEX Upgrade and TCV. A systematic study revealed that a low electron density (n e) companion plasma was required to achieve a large MHD instability, which expelled the confined REs over a large wetted area and allowed for the conversion of magnetic energy to radiation. Control of the companion plasma ne was achieved via neutral pressure regulation and was agnostic to material injection method. The neutral pressure required for recombination was found to be dependent on impurity species, quantity and RE current. On TCV, n e increased at neutral pressures above 1 Pa, indicating that higher collisionality between the REs and neutrals may lead to an upper pressure limit. The conversion of magnetic energy to radiated energy was measured on both machines and a decrease in efficiency was observed at high neutral pressure on TCV. The benign termination technique was able to prevent any significant increase in maximum heat flux on AUG from 200 to 600 kA of RE current, highlighting the ability of this approach to handle fully formed RE beams.
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| 13. |
- Villanueva-Perez, P., et al.
(författare)
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Hard x-ray multi-projection imaging for single-shot approaches
- 2018
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Ingår i: Optica. - 2334-2536. ; 5:12, s. 1521-1524
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Tidskriftsartikel (refereegranskat)abstract
- High-brilliance x-ray sources (x-ray free-electron lasers or diffraction-limited storage rings) allow the visualization of ultrafast processes in a 2D manner using single exposures. Current 3D approaches scan the sample using multiple exposures, and hence they are not compatible with single-shot acquisitions. Here we propose and verify experimentally an x-ray multi-projection imaging approach, which uses a crystal to simultaneously acquire nine angularly resolved projections with a single x-ray exposure. When implemented at high-brilliance sources, this approach can provide volumetric information of natural processes and non-reproducible samples in the micrometer to nanometer resolution range, and resolve timescales from microseconds down to femto-seconds.
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