Clutch losses were low in comparison with other studies for

The researchers recommend careful scrutiny of patients with mild or no osteoarthritis on X rays who are referred for injections to treat joint pain, especially when the pain is disproportionate to the imaging findings. Prior research has shown that these patients are at risk of developing rapid progressive joint space loss or destructive osteoarthritis after injections. Physicians may also want to reconsider a planned injection when the patient has acute change in pain not explained by X rays as some underlying condition affecting joint health may be ongoing steroids, the researchers said.

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An actuator design steroids, which completely eliminates the parasitic resistance of the cold arm, is presented. When compared to standard U shaped actuators, it improves the thermal efficiency threefold. This enables larger displacements at lower voltages and temperatures.

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