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Sample records for crossing chronic total

  1. Initial clinical experience of CrossBoss catheter for in-stent chronic total occlusion lesions

    Science.gov (United States)

    Zhao, Lei; Li, Long-Bo; Wang, Zhi-Hui; Shi, Yong-Feng; Wu, Jun-Duo; Zhang, Ji-Chang; Liu, Bin

    2016-01-01

    Abstract Background: The CrossBoss coronary chronic total occlusion (CTO) crossing catheter has been demonstrated to have greatly improved the success rate of crossing CTO lesions, but there are no published data on its application for in-stent CTO lesions. Methods: In the current study, we retrospectively reviewed the clinical data of 8 patients with in-stent CTO lesions that were managed with the CrossBoss catheter and herein we report the efficacy and safety of the CrossBoss crossing and re-entry system for this clinically challenging condition. Results: The CrossBoss catheter was used for 8 patients with in-stent CTO lesions, which resulted in success in 6 cases and failure in 2 cases, with a 75% success rate. Of the 6 patients with successful treatment, 5 cases had the occlusive lesions crossed with the CrossBoss catheter through a proximal lumen-to-distal lumen approach, whereas the remaining case had his occlusive lesions penetrated by the CrossBoss catheter and the guidewire. Two cases failed in treatment as the CrossBoss catheter could not cross the occlusive lesions. The 6 cases with successful treatment included 3 cases with occlusive lesions in the left anterior descending artery, 1 case with occlusive lesions in the obtuse marginal branches, and 2 cases with occlusive lesions in the right coronary artery, and the 2 cases with failure in treatment had their occlusive lesions in the right coronary artery. In addition, patients with a higher Japan chronic total occlusion score were found to have a lower success rate of crossing the occlusive lesions. None of the patients developed complications. Conclusion: Our study demonstrates that the CrossBoss catheter has a high success rate and is safe for in-stent CTOs and can be recommended for this rather clinically challenging condition. PMID:27749568

  2. Novel Crossing System for Chronic Total Occlusion Recanalization: First-in-Man Experience With the SoundBite Crossing System.

    Science.gov (United States)

    Benko, Andrew; Bérubé, Simon; Buller, Christopher E; Dion, Steven; Riel, Louis-Philippe; Brouillette, Martin; Généreux, Philippe

    2017-02-01

    Chronic total occlusion (CTO) lesions are frequent in patients with peripheral and coronary artery disease, and are associated with a higher risk of adverse events, including mortality, decreased quality of life, and increased health-care costs. Percutaneous intervention of CTO lesions has been associated with a lower procedural success rate, and current dedicated CTO devices may be of limited use for non-CTO experts, and associated with increased intraprocedural complication rates. The SoundBite Crossing System (SoundBite Medical Solutions, Inc) is a newly-developed device using shockwaves (short-duration, high-amplitude pressure pulses) delivered to the tip of guidewire to facilitate penetration of the proximal cap and crossing of the occlusion. The current report describes the first-in-man use of the SoundBite Crossing System in the recanalization of two occluded lower-limb arteries.

  3. Recanalization of a Heavily Calcified Chronic Total Occlusion in a Femoropopliteal Artery Using a Wingman Crossing Catheter

    Science.gov (United States)

    Inoue, Naoto; Tanaka, Akiko

    2016-01-01

    We present a 77-year-old female with heavily calcified chronic total occlusions (CTO) in a superficial femoral artery treated by endovascular therapy using a Wingman crossing catheter, which is an over-the-wire catheter with a metallic blade, controlled manually. The blade could probe and track the calcified cap of CTO, wherein any hydrophilic guidewires or looped wires could not penetrate. Moreover, the Wingman could proceed through the occlusion and introduce a guidewire into distal intramedial lumen as a support catheter. Finally, wire crossing was achieved using a bi-directional approach. The Wingman can be a simple solution for crossing calcified peripheral CTO. PMID:27375810

  4. Coronary Computed Tomography Angiography Predicts Guidewire Crossing and Success of Percutaneous Intervention for Chronic Total Occlusion: Korean Multicenter CTO CT Registry Score as a Tool for Assessing Difficulty in Chronic Total Occlusion Percutaneous Coronary Intervention.

    Science.gov (United States)

    Yu, Cheol-Woong; Lee, Hyun-Jong; Suh, Jon; Lee, Nae-Hee; Park, Sang-Min; Park, Taek Kyu; Yang, Jeong Hoon; Song, Young Bin; Hahn, Joo-Yong; Choi, Seung Hyuk; Gwon, Hyeon-Cheol; Lee, Sang-Hoon; Choe, Yeon Hyeon; Kim, Sung Mok; Choi, Jin-Ho

    2017-04-01

    We developed a model that predicts difficulty of percutaneous coronary intervention for coronary chronic total occlusion (CTO) using coronary computed tomographic angiography. A total of 684 CTO lesions with preprocedural computed tomographic angiography were enrolled from 4 centers. Data were randomly divided into derivation and validation datasets at 2:1 ratio. The end point was successful guidewire crossing ≤30 minutes, which was met in 50%. The KCCT (Korean Multicenter CTO CT Registry) score was developed based on independent predictors identified by multivariable analysis, which were proximal blunt entry, proximal side branch, bending, occlusion length ≥15 mm, severe calcification, whole luminal calcification, reattempt, and ≥12 months or unknown duration of occlusion. The KCCT score was compared with the other prediction scores, including angiography-based J-CTO, PROGRESS-CTO, CL-score, and CT-based CT-RECTOR. The probability of guidewire crossing ≤30 minutes declined consistently from 100% to 0% according to the KCCT score (PCTO percutaneous coronary intervention. © 2017 American Heart Association, Inc.

  5. The total charm cross section

    Energy Technology Data Exchange (ETDEWEB)

    Vogt, R

    2007-09-14

    We assess the theoretical uncertainties on the total charm cross section. We discuss the importance of the quark mass, the scale choice and the parton densities on the estimate of the uncertainty. We conclude that the uncertainty on the total charm cross section is difficult to quantify.

  6. Crossing Total Occlusions: Navigating Towards Recanalization

    NARCIS (Netherlands)

    A. Sakes (Aimée); E.S. Regar (Eveline); J. Dankelman (Jenny); P. Breedveld (Paul)

    2016-01-01

    textabstractChronic total occlusions (CTOs) represent the “last frontier” of percutaneous interventions. The main technical challenges lies in crossing the guidewire into the distal true lumen, which is primarily due to three problems: device buckling during initial puncture, inadequate visualizatio

  7. Crossing Total Occlusions: Navigating Towards Recanalization

    NARCIS (Netherlands)

    Sakes, A.; Regar, E.; Dankelman, J; Breedveld, P.

    2016-01-01

    Chronic total occlusions (CTOs) represent the “last frontier” of percutaneous interventions. The main technical challenges lies in crossing the guidewire into the distal true lumen, which is primarily due to three problems: device buckling during initial puncture, inadequate visualization, and the i

  8. Crossing Total Occlusions: Navigating Towards Recanalization

    NARCIS (Netherlands)

    Sakes, A.; Regar, E.; Dankelman, J; Breedveld, P.

    2016-01-01

    Chronic total occlusions (CTOs) represent the “last frontier” of percutaneous interventions. The main technical challenges lies in crossing the guidewire into the distal true lumen, which is primarily due to three problems: device buckling during initial puncture, inadequate visualization, and the i

  9. Crossing Total Occlusions: Navigating Towards Recanalization

    NARCIS (Netherlands)

    A. Sakes (Aimée); E.S. Regar (Eveline); J. Dankelman (Jenny); P. Breedveld (Paul)

    2016-01-01

    textabstractChronic total occlusions (CTOs) represent the “last frontier” of percutaneous interventions. The main technical challenges lies in crossing the guidewire into the distal true lumen, which is primarily due to three problems: device buckling during initial puncture, inadequate visualizatio

  10. Photoproduction total cross section and shower development

    CERN Document Server

    Cornet, F; Grau, A; Pancheri, G; Sciutto, S J

    2015-01-01

    The total photoproduction cross section at ultra-high energies is obtained using a model based on QCD minijets and soft-gluon resummation and the ansatz that infrared gluons limit the rise of total cross sections. This cross section is introduced into the Monte Carlo system AIRES to simulate extended air-showers initiated by cosmic ray photons. The impact of the new photoproduction cross section on common shower observables, especially those related to muon production, is compared with previous results.

  11. Total Cross Sections for Neutron Scattering

    OpenAIRE

    Chinn, C. R.; Elster, Ch.; Thaler, R. M.; Weppner, S. P.

    1994-01-01

    Measurements of neutron total cross-sections are both extensive and extremely accurate. Although they place a strong constraint on theoretically constructed models, there are relatively few comparisons of predictions with experiment. The total cross-sections for neutron scattering from $^{16}$O and $^{40}$Ca are calculated as a function of energy from $50-700$~MeV laboratory energy with a microscopic first order optical potential derived within the framework of the Watson expansion. Although ...

  12. Reduction Methods for Total Reaction Cross Sections

    Science.gov (United States)

    Gomes, P. R. S.; Mendes Junior, D. R.; Canto, L. F.; Lubian, J.; de Faria, P. N.

    2016-03-01

    The most frequently used methods to reduce fusion and total reaction excitation functions were investigated in a very recent paper Canto et al. (Phys Rev C 92:014626, 2015). These methods are widely used to eliminate the influence of masses and charges in comparisons of cross sections for weakly bound and tightly bound systems. This study reached two main conclusions. The first is that the fusion function method is the most successful procedure to reduce fusion cross sections. Applying this method to theoretical cross sections of single channel calculations, one obtains a system independent curve (the fusion function), that can be used as a benchmark to fusion data. The second conclusion was that none of the reduction methods available in the literature is able to provide a universal curve for total reaction cross sections. The reduced single channel cross sections keep a strong dependence of the atomic and mass numbers of the collision partners, except for systems in the same mass range. In the present work we pursue this problem further, applying the reduction methods to systems within a limited mass range. We show that, under these circumstances, the reduction of reaction data may be very useful.

  13. Total cross sections for neutron scattering

    Science.gov (United States)

    Chinn, C. R.; Elster, Ch.; Thaler, R. M.; Weppner, S. P.

    1995-02-01

    Measurements of neutron total cross sections are both extensive and extremely accurate. Although they place a strong constraint on theoretically constructed models, there are relatively few comparisons of predictions with experiment. The total cross sections for neutron scattering from 16O and 40Ca are calculated as a function of energy from 50 to 700 MeV laboratory energy with a microscopic first-order optical potential derived within the framework of the Watson expansion. Although these results are aleady in qualitative agreement with the data, the inclusion of medium corrections to the propagator is essential to correctly predict the energy dependence given by the experiment. In the region between 100 and 200 MeV, where off-shell tρ calculations for both 16O and 40Ca overpredict the experiment, the modification due to the nuclear medium reduces the calculated values. Above 300 MeV these corrections are very small and depending on the employed nuclear mean field tend to compensate for the underprediction of the off-shell tρ results.

  14. Total cross sections for neutron scattering

    Energy Technology Data Exchange (ETDEWEB)

    Chinn, C.R.; Elster, C.; Thaler, R.M.; Weppner, S.P. (Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee 37235 (United States) Center for Computationally Intensive Physics, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States) Institute of Nuclear Particle Physics and Department of Physics, Ohio University, Athens, Ohio 45701 (United States) Physics Department, Case Western Reserve University, Cleveland, Ohio 44106 (United States))

    1995-02-01

    Measurements of neutron total cross sections are both extensive and extremely accurate. Although they place a strong constraint on theoretically constructed models, there are relatively few comparisons of predictions with experiment. The total cross sections for neutron scattering from [sup 16]O and [sup 40]Ca are calculated as a function of energy from 50 to 700 MeV laboratory energy with a microscopic first-order optical potential derived within the framework of the Watson expansion. Although these results are aleady in qualitative agreement with the data, the inclusion of medium corrections to the propagator is essential to correctly predict the energy dependence given by the experiment. In the region between 100 and 200 MeV, where off-shell [ital t][rho] calculations for both [sup 16]O and [sup 40]Ca overpredict the experiment, the modification due to the nuclear medium reduces the calculated values. Above 300 MeV these corrections are very small and depending on the employed nuclear mean field tend to compensate for the underprediction of the off-shell [ital t][rho] results.

  15. Pathology of Coronary Chronic Total Occlusion

    Directory of Open Access Journals (Sweden)

    Kenichi Sakakura

    2016-06-01

    Full Text Available There is an increasing need for percutaneous revascularization procedures of coronary Chronic Total Occlusion (CTO, because many patients with severe coronary artery disease have limited options for revascularization. Although the success rate of percutaneous revascularization of CTOs was unsatisfactory from the 1990s to the 2000s, recent technological advances in interventional strategies have improved the success rate to 85%. Detailed histological assessment of human autopsy studies of CTO has contributed significantly to the refinement in Percutaneous Coronary Intervention (PCI techniques and device development. We have recently reported the pathological findings and characteristics of CTOs that occur in different clinical scenarios. In this review, we discuss the pathology of CTOs to facilitate greater understanding of revascularization strategies for CTOs.

  16. Predicting successful guidewire crossing through chronic total occlusion of native coronary lesions within 30 minutes: the J-CTO (Multicenter CTO Registry in Japan) score as a difficulty grading and time assessment tool.

    Science.gov (United States)

    Morino, Yoshihiro; Abe, Mitsuru; Morimoto, Takeshi; Kimura, Takeshi; Hayashi, Yasuhiko; Muramatsu, Toshiya; Ochiai, Masahiko; Noguchi, Yuichi; Kato, Kenichi; Shibata, Yoshisato; Hiasa, Yoshikazu; Doi, Osamu; Yamashita, Takehiro; Hinohara, Tomoaki; Tanaka, Hiroyuki; Mitsudo, Kazuaki

    2011-02-01

    This study sought to establish a model for grading lesion difficulty in interventional chronic total occlusion (CTO) treatment. Owing to uncertainty of success of the procedure and difficulties in selecting suitable cases for treatment, performance of interventional CTO remains infrequent. Data from 494 native CTO lesions were analyzed. To eliminate operator bias, the objective parameter of successful guidewire crossing within 30 min was set as an end point, instead of actual procedural success. All observations were randomly assigned to a derivation set and a validation set at a 2:1 ratio. The J-CTO (Multicenter CTO Registry of Japan) score was determined by assigning 1 point for each independent predictor of this end point and summing all points accrued. This value was then used to develop a model stratifying all lesions into 4 difficulty groups: easy (J-CTO score of 0), intermediate (score of 1), difficult (score of 2), and very difficult (score of ≥ 3). The set end point was achieved in 48.2% of lesions. Independent predictors included calcification, bending, blunt stump, occlusion length >20 mm, and previously failed lesion. Easy, intermediate, difficult, and very difficult groups, stratified by J-CTO score, demonstrated stepwise, proportioned, and highly reproducible differences in probability of successful guidewire crossing within 30 min (87.7%, 67.1%, 42.4%, and 10.0% in the derivation set and 92.3%, 58.3%, 34.8%, and 22.2% in the validation set, respectively). Areas under receiver-operator characteristic curves were comparable (derivation: 0.82 vs. validation: 0.76). This model predicted the probability of successful guidewire crossing within 30 min very well and can be applied for difficulty grading. Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  17. Total and ionization cross sections of electron scattering by fluorocarbons

    Energy Technology Data Exchange (ETDEWEB)

    Antony, B K [Department of Physics, Sardar Patel University, Vallabh Vidyanagar-388 120, Gujarat (India); Joshipura, K N [Department of Physics, Sardar Patel University, Vallabh Vidyanagar-388 120, Gujarat (India); Mason, N J [Department of Physics and Astronomy, Open University, Milton Keynes-MK7 6AA (United Kingdom)

    2005-02-14

    Electron impact total cross sections (50-2000 eV) and total ionization cross sections (threshold to 2000 eV) are calculated for typical plasma etching molecules CF{sub 4}, C{sub 2}F{sub 4}, C{sub 2}F{sub 6}, C{sub 3}F{sub 8} and CF{sub 3}I and the CF{sub x} (x 1-3) radicals. The total elastic and inelastic cross sections are determined in the spherical complex potential formalism. The sum of the two gives the total cross section and the total inelastic cross section is used to calculate the total ionization cross sections. The present total and ionization cross sections are found to be consistent with other theories and experimental measurements, where they exist. Our total cross section results for CF{sub x} (x = 1-3) radicals presented here are first estimates on these species.

  18. Total Cross Sections at High Energies An update

    CERN Document Server

    Fazal-e-Aleem, M; Alam, Saeed; Qadee-Afzal, M

    2002-01-01

    Current and Future measurements for the total cross sections at E-811, PP2PP, CSM, FELIX and TOTEM have been analyzed using various models. In the light of this study an attempt has been made to focus on the behavior of total cross section at very high energies.

  19. Heisenberg's Universal (lns)**2 Increase of Total Cross Sections

    CERN Document Server

    Dosch, H G; Nicolescu, Basarab

    2003-01-01

    The (lns)**2 behaviour of total cross-sections, first obtained by Heisenberg 50 years ago, receives now increased interest both on phenomenological and theoretical levels. In this paper we present a modification of the Heisenberg's model in connection with the presence of glueballs and we show that it leads to a realistic description of all existing hadron total cross-section data.

  20. Chronic pain following total hip arthroplasty: a nationwide questionnaire study

    DEFF Research Database (Denmark)

    Nikolajsen, Lone; Brandsborg, Birgitte; Lucht, Ulf;

    2006-01-01

    BACKGROUND: Chronic post-operative pain is a well-recognized problem after various types of surgery, but little is known about chronic pain after orthopedic surgery. Severe pre-operative pain is the primary indication for total hip arthroplasty (THA). Therefore, we examined the prevalence...... was 93.6%. Two hundred and ninety-four patients (28.1%) had chronic ipsilateral hip pain at the time of completion of the questionnaire, and pain limited daily activities to a moderate, severe or very severe degree in 12.1%. The chronic pain state was related to the recalled intensity of early post...

  1. Comparison of transfemoral vs transbrachial approach for angioplastic reconstruction of chronic total aortoiliac occlusion.

    Science.gov (United States)

    Damera, Sheshagiri Rao; Barik, Ramachandra; Prasad, Akula Siva

    2016-09-01

    The angioplasty of chronic total aortoiliac occlusion using transfemoral is controversial. From March 2014 to December 2015, four consecutive patients (4 males; mean age 58.2±6.8 years; age of range 51-65 years) underwent angioplasty and stenting of TASC-D occlusion. In all the cases, we failed to cross from femoral approach. On switching over to left brachial access, angioplasty was done successfully in all. There was no procedural site complication or clinical evidence cerebral thromboembolism. Self-expandable stents were implanted in all with adequate pre and post dilation. Complete revascularisation was achieved in two cases and in other two cases, the angioplasty to the left aortoiliac carina was staged. Therefore, it is better to avoid femoral approach as initial step to cross chronic TASC 2007 type D (chronic total aortoiliac occlusion or called extensive aortoiliac disease) because of failure to cross retrogradely due to subintimal course of guide wire leading to retrograde aortic dissection.

  2. Total and partial photoneutron cross sections for Pb isotopes

    Science.gov (United States)

    Kondo, T.; Utsunomiya, H.; Goriely, S.; Daoutidis, I.; Iwamoto, C.; Akimune, H.; Okamoto, A.; Yamagata, T.; Kamata, M.; Itoh, O.; Toyokawa, H.; Lui, Y.-W.; Harada, H.; Kitatani, F.; Hilaire, S.; Koning, A. J.

    2012-07-01

    Using quasimonochromatic laser-Compton scattering γ rays, total photoneutron cross sections were measured for 206,207,208Pb near neutron threshold with a high-efficiency 4π neutron detector. Partial E1 and M1 photoneutron cross sections along with total cross sections were determined for 207,208Pb at four energies near threshold by measuring anisotropies in photoneutron emission with linearly polarized γ rays. The E1 strength dominates over the M1 strength in the neutron channel where E1 photoneutron cross sections show extra strength of the pygmy dipole resonance in 207,208Pb near the neutron threshold corresponding to 0.32%-0.42% of the Thomas-Reiche-Kuhn sum rule. Several μN2 units of B(M1)↑ strength were observed in 207,208Pb just above neutron threshold, which correspond to an M1 cross section less than 10% of the total photoneutron cross section.

  3. Electron impact rotationally elastic total cross section for formamide

    Energy Technology Data Exchange (ETDEWEB)

    Vinodkumar, Minaxi, E-mail: minaxivinod@yahoo.co.in [V P and R P T P Science College, Vallabh Vidyanagar 388120 (India); Limbachiya, Chetan, E-mail: chetanlimbachiya2@yahoo.com [Department of Applied Physics, The M.S. University of Baroda, Vadodara 390001 (India); Desai, Hardik, E-mail: hardikdesai.phy@gmail.com; Vinodkumar, P. C., E-mail: p.c.vinodkumar@gmail.com [Department of Physics, Sardar Patel University, Vallabh Vidyanagar 388120 (India)

    2014-09-28

    This paper reports computational results of the total cross sections for electron impact on formamide (HCONH₂) over a wide range of energies from 0.01 eV to 5 keV. Total cross sections over such a wide range are reported for the first time as the earlier reported data is up to maximum of 12 eV. Below ionization threshold of the target, we performed ab initio calculations using UK molecular R-Matrix code within static, exchange plus polarization (SEP), and close coupling approximations. Twenty eight target states are included in close coupling formalism. Total 350 channels and 2410 configuration state functions are included in the calculations. We observe a π* shape resonance at 3.41 eV and a σ* resonance at 15.3 eV as against similar resonances reported at 3.77 eV and 14.9 eV, respectively, by Goumans et al. [J. Chem. Theory Comput. 5, 217 (2009)] using SEP model. The cross sections at higher energies are evaluated using the spherical complex optical potential formalism. The two methods are found to be consistent with a smooth cross over at 18 eV. The vertical excitation energies, electronic excitation cross sections, differential cross sections, momentum transfer, and total cross sections are computed. In absence of experimental data, we compared our computed total cross sections with available other theoretical results.

  4. Photoproduction models for total cross section and shower development

    Science.gov (United States)

    Cornet, Fernando; Garcia Canal, Carlos; Grau, Agnes; Pancheri, Giulia; Sciutto, Sergio

    2015-08-01

    A model for the total photoproduction cross section, based on the ansatz that resummation of infrared gluons limits the rise induced by QCD minijets in all the total cross-sections, is used to simulate extended air showers initiated by cosmic rays with the AIRES simulation program. The impact on common shower observables, especially those related with muon production, is analysed and compared with the corresponding results obtained with previous photoproduction models.

  5. Photoproduction models for total cross section and shower development

    CERN Document Server

    Cornet, Fernando; Grau, Agnes; Pancheri, Giulia; Sciutto, Sergio

    2014-01-01

    A model for the total photoproduction cross section based on the ansatz that resummation of infrared gluons limits the rise induced by QCD minijets in all the total cross-sections, is used to simulate extended air showers initiated by cosmic rays with the AIRES simulation program. The impact on common shower observables, especially those related with muon production, is analysed and compared with the corresponding results obtained with previous photoproduction models.

  6. Photoproduction models for total cross section and shower development

    Directory of Open Access Journals (Sweden)

    Cornet Fernando

    2015-01-01

    Full Text Available A model for the total photoproduction cross section, based on the ansatz that resummation of infrared gluons limits the rise induced by QCD minijets in all the total cross-sections, is used to simulate extended air showers initiated by cosmic rays with the AIRES simulation program. The impact on common shower observables, especially those related with muon production, is analysed and compared with the corresponding results obtained with previous photoproduction models.

  7. Total cross sections for ultracold neutrons scattered from gases

    Science.gov (United States)

    Seestrom, S. J.; Adamek, E. R.; Barlow, D.; Blatnik, M.; Broussard, L. J.; Callahan, N. B.; Clayton, S. M.; Cude-Woods, C.; Currie, S.; Dees, E. B.; Fox, W.; Hoffbauer, M.; Hickerson, K. P.; Holley, A. T.; Liu, C.-Y.; Makela, M.; Medina, J.; Morley, D. J.; Morris, C. L.; Pattie, R. W.; Ramsey, J.; Roberts, A.; Salvat, D. J.; Saunders, A.; Sharapov, E. I.; Sjue, S. K. L.; Slaughter, B. A.; Walstrom, P. L.; Wang, Z.; Wexler, J.; Womack, T. L.; Young, A. R.; Vanderwerp, J.; Zeck, B. A.

    2017-01-01

    We have followed up on our previous measurements of upscattering of ultracold neutrons (UCNs) from a series of gases by making measurements of total cross sections on the following gases hydrogen, ethane, methane, isobutene, n -butane, ethylene, water vapor, propane, neopentane, isopropyl alcohol, and 3He . The values of these cross sections are important for estimating the loss rate of trapped neutrons due to residual gas and are relevant to neutron lifetime measurements using UCNs. The effects of the UCN velocity and path-length distributions were accounted for in the analysis using a Monte Carlo transport code. Results are compared to our previous measurements and with the known absorption cross section for 3He scaled to our UCN energy. We find that the total cross sections for the hydrocarbon gases are reasonably described by a function linear in the number of hydrogen atoms in the molecule.

  8. Total sleep deprivation, chronic sleep restriction and sleep disruption.

    Science.gov (United States)

    Reynolds, Amy C; Banks, Siobhan

    2010-01-01

    Sleep loss may result from total sleep deprivation (such as a shift worker might experience), chronic sleep restriction (due to work, medical conditions or lifestyle) or sleep disruption (which is common in sleep disorders such as sleep apnea or restless legs syndrome). Total sleep deprivation has been widely researched, and its effects have been well described. Chronic sleep restriction and sleep disruption (also known as sleep fragmentation) have received less experimental attention. Recently, there has been increasing interest in sleep restriction and disruption as it has been recognized that they have a similar impact on cognitive functioning as a period of total sleep deprivation. Sleep loss causes impairments in cognitive performance and simulated driving and induces sleepiness, fatigue and mood changes. This review examines recent research on the effects of sleep deprivation, restriction and disruption on cognition and neurophysiologic functioning in healthy adults, and contrasts the similarities and differences between these three modalities of sleep loss.

  9. Approximate formulas for total cross section for moderately small eikonal

    CERN Document Server

    Kisselev, A V

    2016-01-01

    The eikonal representation for the total cross section is considered. The approximate formulas for a moderately small eikonal are derived. In contrast to the standard eikonal integrals, they contain no Bessel functions, and, hence, no rapidly oscillating integrands. The formulas obtained are applied to numerical evaluations of the total cross section for a number of particular expressions for the eikonal. It is shown that for pure imaginary eikonals the relative error of O(10^(-5)) can be achieved. Also two improper triple integrals are analytically calculated.

  10. Progress on FP13 Total Cross Section Measurements Capability

    Energy Technology Data Exchange (ETDEWEB)

    Ullmann, John Leonard [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Couture, Aaron Joseph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Koehler, Paul E. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mocko, Michal [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mosby, Shea Morgan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Wender, Stephen Arthur [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-09-26

    An accurate knowledge of the neutron capture cross section is important for many applications. Experimental measurements are important since theoretical calculations of capture have been notoriously difficult, with the ratio of measured to calculated cross sections often a factor of 2 or more in the 10 keV to 1 MeV region. However, a direct measurement of capture cannot be made on many interesting radioactive nuclides because of their short half-life or backgrounds caused by their nuclear decay. On the other hand, neutron transmission measurements of the total cross section are feasible for a wide range of radioactive nuclides since the detectors are far from the sample, and often are less sensitive to decay radiation. The parameters extracted from a total cross section measurement, which include the average resonance spacing, the neutron strength function, and the average total radiation width, (Γγ), provide tight constraints on the calculation of the capture cross section, and when applied produce much more accurate results. These measurements can be made using the intense epithermal neutron flux at the Lujan Center on relatively small quantities of target material. It was the purpose of this project to investigate and develop the capability to make these measurements. A great deal of progress was made towards establishing this capability during 2016, including setting up the flight path and obtaining preliminary results, but more work remains to be done.

  11. Total Cross Section in $\\gamma\\gamma$ Collisions at LEP

    CERN Document Server

    Acciarri, M; Adriani, O; Aguilar-Benítez, M; Alcaraz, J; Alemanni, G; Allaby, James V; Aloisio, A; Alviggi, M G; Ambrosi, G; Anderhub, H; Andreev, V P; Angelescu, T; Anselmo, F; Arefev, A; Azemoon, T; Aziz, T; Bagnaia, P; Bajo, A; Baksay, L; Balandras, A; Baldew, S V; Todorova-Nová, S; Banerjee, Sw; Barczyk, A; Barillère, R; Bartalini, P; Basile, M; Batalova, N; Battiston, R; Bay, A; Becattini, F; Becker, U; Behner, F; Bellucci, L; Berbeco, R; Berdugo, J; Berges, P; Bertucci, B; Betev, B L; Bhattacharya, S; Biasini, M; Biland, A; Blaising, J J; Blyth, S C; Bobbink, Gerjan J; Böhm, A; Boldizsar, L; Borgia, B; Bourilkov, D; Bourquin, Maurice; Braccini, S; Branson, J G; Brochu, F; Buffini, A; Buijs, A; Burger, J D; Burger, W J; Cai, X D; Capell, M; Cara Romeo, G; Carlino, G; Cartacci, A M; Casaus, J; Castellini, G; Cavallari, F; Cavallo, N; Cecchi, C; Cerrada, M; Cesaroni, F; Chamizo-Llatas, M; Chang, Y H; Chaturvedi, U K; Chemarin, M; Chen, A; Chen, G; Chen, G M; Chen, H F; Chen, H S; Chiefari, G; Cifarelli, Luisa; Cindolo, F; Civinini, C; Clare, I; Clare, R; Coignet, G; Colino, N; Costantini, S; Cotorobai, F; de la Cruz, B; Csilling, Akos; Cucciarelli, S; Dai, T S; van Dalen, J A; D'Alessandro, R; De Asmundis, R; Déglon, P L; Degré, A; Deiters, K; Della Volpe, D; Delmeire, E; Denes, P; De Notaristefani, F; De Salvo, A; Diemoz, M; Dierckxsens, M; Van Dierendonck, D N; Dionisi, C; Dittmar, Michael; Dominguez, A; Doria, A; Dova, M T; Duchesneau, D; Dufournaud, D; Duinker, P; El-Mamouni, H; Engler, A; Eppling, F J; Erné, F C; Ewers, A; Extermann, Pierre; Fabre, M; Falagán, M A; Falciano, S; Favara, A; Fay, J; Fedin, O; Felcini, Marta; Ferguson, T; Fesefeldt, H S; Fiandrini, E; Field, J H; Filthaut, Frank; Fisher, P H; Fisk, I; Forconi, G; Freudenreich, Klaus; Furetta, C; Galaktionov, Yu; Ganguli, S N; García-Abia, P; Gataullin, M; Gau, S S; Gentile, S; Gheordanescu, N; Giagu, S; Gong, Z F; Grenier, G; Grimm, O; Grünewald, M W; Guida, M; van Gulik, R; Gupta, V K; Gurtu, A; Gutay, L J; Haas, D; Hasan, A; Hatzifotiadou, D; Hebbeker, T; Hervé, A; Hidas, P; Hirschfelder, J; Hofer, H; Holzner, G; Hoorani, H; Hou, S R; Hu, Y; Iashvili, I; Jin, B N; Jones, L W; de Jong, P; Josa-Mutuberria, I; Khan, R A; Käfer, D; Kaur, M; Kienzle-Focacci, M N; Kim, D; Kim, J K; Kirkby, Jasper; Kiss, D; Kittel, E W; Klimentov, A; König, A C; Kopal, M; Kopp, A; Koutsenko, V F; Kräber, M H; Krämer, R W; Krenz, W; Krüger, A; Kunin, A; Ladrón de Guevara, P; Laktineh, I; Landi, G; Lebeau, M; Lebedev, A; Lebrun, P; Lecomte, P; Lecoq, P; Le Coultre, P; Lee, H J; Le Goff, J M; Leiste, R; Levchenko, P M; Li Chuan; Likhoded, S A; Lin, C H; Lin, W T; Linde, Frank L; Lista, L; Liu, Z A; Lohmann, W; Longo, E; Lü, Y S; Lübelsmeyer, K; Luci, C; Luckey, D; Lugnier, L; Luminari, L; Lustermann, W; Ma Wen Gan; Maity, M; Malgeri, L; Malinin, A; Maña, C; Mangeol, D J J; Mans, J; Marian, G; Martin, J P; Marzano, F; Mazumdar, K; McNeil, R R; Mele, S; Merola, L; Meschini, M; Metzger, W J; Von der Mey, M; Mihul, A; Milcent, H; Mirabelli, G; Mnich, J; Mohanty, G B; Moulik, T; Muanza, G S; Muijs, A J M; Musicar, B; Musy, M; Napolitano, M; Nessi-Tedaldi, F; Newman, H; Niessen, T; Nisati, A; Nowak, H; Ofierzynski, R A; Organtini, G; Oulianov, A; Palomares, C; Pandoulas, D; Paoletti, S; Paolucci, P; Paramatti, R; Park, H K; Park, I H; Passaleva, G; Patricelli, S; Paul, T; Pauluzzi, M; Paus, C; Pauss, Felicitas; Pedace, M; Pensotti, S; Perret-Gallix, D; Petersen, B; Piccolo, D; Pierella, F; Pieri, M; Piroué, P A; Pistolesi, E; Plyaskin, V; Pohl, M; Pozhidaev, V; Postema, H; Pothier, J; Prokofiev, D O; Prokofev, D; Quartieri, J; Rahal-Callot, G; Rahaman, M A; Raics, P; Raja, N; Ramelli, R; Rancoita, P G; Ranieri, R; Raspereza, A V; Raven, G; Razis, P A; Ren, D; Rescigno, M; Reucroft, S; Riemann, S; Riles, K; Rodin, J; Roe, B P; Romero, L; Rosca, A; Rosier-Lees, S; Roth, S; Rosenbleck, C; Roux, B; Rubio, Juan Antonio; Ruggiero, G; Rykaczewski, H; Saremi, S; Sarkar, S; Salicio, J; Sánchez, E; Sanders, M P; Schäfer, C; Shchegelskii, V; Schmidt-Kärst, S; Schmitz, D; Schopper, Herwig Franz; Schotanus, D J; Schwering, G; Sciacca, C; Seganti, A; Servoli, L; Shevchenko, S; Shivarov, N; Shoutko, V; Shumilov, E; Shvorob, A V; Siedenburg, T; Son, D; Smith, B; Spillantini, P; Steuer, M; Stickland, D P; Stone, A; Stoyanov, B; Strässner, A; Sudhakar, K; Sultanov, G G; Sun, L Z; Sushkov, S V; Suter, H; Swain, J D; Szillási, Z; Sztaricskai, T; Tang, X W; Tauscher, Ludwig; Taylor, L; Tellili, B; Teyssier, D; Timmermans, C; Ting, Samuel C C; Ting, S M; Tonwar, S C; Tóth, J; Tully, C; Tung, K L; Uchida, Y; Ulbricht, J; Valente, E; Vesztergombi, G; Vetlitskii, I; Vicinanza, D; Viertel, Gert M; Villa, S; Vivargent, M; Vlachos, S; Vodopyanov, I; Vogel, H; Vogt, H; Vorobev, I; Vorobyov, A A; Vorvolakos, A; Wadhwa, M

    2001-01-01

    The reaction e+e- -> e+e- gamma* gamma* -> e+e- hadrons for quasi-real photons is studied using data from root(s) = 183 GeV up to 202 GeV. Results on the total cross sections sigma(e+e- -> e+e- hadrons) and sigma(+e- gamma* gamma* -> e+e- hadrons) are given for the two-photon centre-of-mass energies 5 GeV < Wgammagamma < 185 GeV. The total cross section of two real photons is described by a Regge parametrisation. We observe a steeper rise with the two-photon centre-of-mass energy as compared to the hadron-hadron and the photon-proton cross sections. The data are also compared to the expectations of different theoretical models.

  12. Total cross sections for (e sup - -He) ionization

    Energy Technology Data Exchange (ETDEWEB)

    Mukherjee, K.K. (Novodaya Vidyalaya, Manipur, (IN)); Keka Basu Choudhury, (Jadavpur Univ. Calcutta, (IN). Dept. of Physics); Mazumdar, P.S.; Brajamani, S. (Manipur Univ. (IN). Dept. of Physics)

    1991-01-01

    Total cross sections for electron impact ionization have been calculated in the energy range 40-150 eV in a distorted wave model which employs distorted waves for the incident, scattered and ejected electrons. The present results are compared with experimental results and other theoretical predictions.

  13. Endovascular Treatment of Totally Occluded Superior Mesenteric Artery by Retrograde Crossing via the Villemin Arcade

    Energy Technology Data Exchange (ETDEWEB)

    Ferro, Carlo; Rossi, Umberto G., E-mail: urossi76@hotmail.com; Seitun, Sara; Bovio, Giulio [IRCCS San Martino University Hospital-IST-National Institute for Cancer Research, Department of Radiology and Interventional Radiology (Italy); Fornaro, Rosario [IRCCS San Martino University Hospital-IST-National Institute for Cancer Research, Department of Surgery (Italy)

    2013-06-15

    Chronic mesenteric ischemia (CMI) is a rare disorder that is commonly caused by progressive atherosclerotic stenosis or occlusion of one or more mesenteric arteries. Endovascular treatment for symptomatic CMI represents a viable option, especially in high-operative risk patients. We report a case of acute symptomatic CMI with chronic totally occlusion of the superior mesenteric artery (SMA) associated with significant stenosis of celiac trunk (CT) and inferior mesenteric artery (IMA) that underwent endovascular treatment of all the three mesenteric arteries: stenting of CT and IMA stenosis, and recanalization of the SMA occlusion by retrograde crossing via the Villemin arcade.

  14. Total cross-section measurements progress in nuclear physics

    CERN Document Server

    Giacomelli, G; Mulvey, J H

    2013-01-01

    Total Cross-Section Measurements discusses the cross-sectional dimensions of elementary hadron collisions. The main coverage of the book is the resonance and high energy area of the given collision. A section of the book explains in detail the characteristic of a resonance region. Another section is focused on the location of the high energy region of collision. Parts of the book define the meaning of resonance in nuclear physics. Also explained are the measurement of resonance and the identification of the area where the resonance originates. Different experimental methods to measure the tota

  15. Positron interactions with water–total elastic, total inelastic, and elastic differential cross section measurements

    Energy Technology Data Exchange (ETDEWEB)

    Tattersall, Wade [Centre for Antimatter-Matter Studies, Research School of Physics and Engineering, The Australian National University, Canberra, ACT 0200 (Australia); Centre for Antimatter-Matter Studies, School of Engineering and Physical Sciences, James Cook University, Townsville, 4810 Queensland (Australia); Chiari, Luca [Centre for Antimatter-Matter Studies, School of Chemical and Physical Sciences, Flinders University, GPO Box 2100, Adelaide 5001, South Australia (Australia); Machacek, J. R.; Anderson, Emma; Sullivan, James P. [Centre for Antimatter-Matter Studies, Research School of Physics and Engineering, The Australian National University, Canberra, ACT 0200 (Australia); White, Ron D. [Centre for Antimatter-Matter Studies, School of Engineering and Physical Sciences, James Cook University, Townsville, 4810 Queensland (Australia); Brunger, M. J. [Centre for Antimatter-Matter Studies, School of Chemical and Physical Sciences, Flinders University, GPO Box 2100, Adelaide 5001, South Australia (Australia); Institute of Mathematical Sciences, University of Malaya, 50603 Kuala Lumpur (Malaysia); Buckman, Stephen J. [Centre for Antimatter-Matter Studies, Research School of Physics and Engineering, The Australian National University, Canberra, ACT 0200 (Australia); Institute of Mathematical Sciences, University of Malaya, 50603 Kuala Lumpur (Malaysia); Garcia, Gustavo [Instituto de Fısica Fundamental, Consejo Superior de Investigationes Cientıficas (CSIC), Serrano 113-bis, E-28006 Madrid (Spain); Blanco, Francisco [Departamento de Fısica Atomica, Molecular y Nuclear, Universidad Complutense de Madrid, E-28040 Madrid (Spain)

    2014-01-28

    Utilising a high-resolution, trap-based positron beam, we have measured both elastic and inelastic scattering of positrons from water vapour. The measurements comprise differential elastic, total elastic, and total inelastic (not including positronium formation) absolute cross sections. The energy range investigated is from 1 eV to 60 eV. Comparison with theory is made with both R-Matrix and distorted wave calculations, and with our own application of the Independent Atom Model for positron interactions.

  16. Positron interactions with water-total elastic, total inelastic, and elastic differential cross section measurements.

    Science.gov (United States)

    Tattersall, Wade; Chiari, Luca; Machacek, J R; Anderson, Emma; White, Ron D; Brunger, M J; Buckman, Stephen J; Garcia, Gustavo; Blanco, Francisco; Sullivan, James P

    2014-01-28

    Utilising a high-resolution, trap-based positron beam, we have measured both elastic and inelastic scattering of positrons from water vapour. The measurements comprise differential elastic, total elastic, and total inelastic (not including positronium formation) absolute cross sections. The energy range investigated is from 1 eV to 60 eV. Comparison with theory is made with both R-Matrix and distorted wave calculations, and with our own application of the Independent Atom Model for positron interactions.

  17. Parameterized total cross sections for pion production in nuclear collisions

    CERN Document Server

    Norbury, J W; Norbury, John W.; Townsend, Lawrence W.

    2006-01-01

    Total inclusive cross sections for neutral and charged pion production in proton-nucleus and nucleus-nucleus reactions have been calculated and compared to experiment. Nucleon-nucleon theoretical cross sections have been scaled up to nuclear collisions using a scaling factor similar to $(A_PA_T)^{2/3}$, where $A_P$ and $A_T$ are the nucleon numbers of the projectile and target nuclei. Variations in the power of this scaling factor have been studied and a good fit to experiment is obtained with a small modification of the power. Theoretical cross sections are written in a form that is very suitable for immediate input into transport codes.

  18. The total top-pair production cross section at NNLL

    Energy Technology Data Exchange (ETDEWEB)

    Beneke, M. [Physik Department T31, James-Franck-Straße, Technische Universität München, D-85748 Garching (Germany); Institut für Theoretische Teilchenphysik und Kosmologie, RWTH Aachen University, D-52056 Aachen (Germany); Falgari, P., E-mail: p.falgari@uu.nl [Institute for Theoretical Physics and Spinoza Institute, Utrecht University, 3508 TD Utrecht (Netherlands); Klein, S. [Institut für Theoretische Teilchenphysik und Kosmologie, RWTH Aachen University, D-52056 Aachen (Germany); Piclum, J. [Physik Department T31, James-Franck-Straße, Technische Universität München, D-85748 Garching (Germany); Institut für Theoretische Teilchenphysik und Kosmologie, RWTH Aachen University, D-52056 Aachen (Germany); Schwinn, C. [Albert-Ludwigs Universität Freiburg, Physikalisches Institut, D-79104 Freiburg (Germany); Ubiali, M.; Yan, F. [Institut für Theoretische Teilchenphysik und Kosmologie, RWTH Aachen University, D-52056 Aachen (Germany)

    2013-01-15

    We present results for the total top-pair production cross section at the Tevatron and the LHC. Our predictions supplement fixed-order results with resummation of soft logarithms and Coulomb singularities to next-to-next-to-leading (NNLL) logarithmic accuracy and include top-antitop bound-state effects. The effects of resummation, the dependence on the PDF set used, the residual sources of theoretical uncertainty and their implication for measurements of the top-quark mass are discussed.

  19. Total ionisation cross sections in (e/sup +/-Li) scattering

    Energy Technology Data Exchange (ETDEWEB)

    Mukherjee, K.K.; Mazumdar, P.S.

    1988-06-28

    Total ionisation cross sections for the positron impact ionisation of the lithium atom are calculated using a distorted-wave approximation in which both the effect of screening in the final state of the system and the distortion of the outgoing waves are taken into account. The present results are different from those using the first Born approximation and from an earlier distorted-wave calculation by other workers.

  20. Asymptotic Behaviour of Pion--Pion Total Cross--Sections

    CERN Document Server

    Greynat, David; Vulvert, Grégory

    2014-01-01

    We derive a sum rule which shows an inconsistency between the Lukaszuk-Martin coefficient of the Froissart-Martin bound and well known properties of $\\pi\\pi$ amplitudes in QCD. We next compute the total cross sections for $\\pi^+ \\pi^-$, $\\pi^{\\pm} \\pi^0$ and $\\pi^0 \\pi^0$ scattering within the framework of the constituent chiral quark model (C$\\chi$QM) in the limit of a large number of colours $\\mathrm{N_c}$ and discuss their asymptotic behaviours. The same $\\pi\\pi$ cross sections are also discussed within the general framework of Large-$\\mathrm{N_c}$ QCD and we show that it is possible to make an Ansatz for the isospin $I=1$ and $I=0$ spectrum which satisfy the Froissart-Martin bound with coefficients which, contrary to the Lukaszuk-Martin coefficient, are not singular in the chiral limit and have the correct Large-$\\mathrm{N_c}$ counting. We finally propose a simple phenomenological model which matches the low energy behaviours of the $\\sigma_{\\pi^{\\pm}\\pi^0}^{\\rm total}(s)$ cross section predicted by the C...

  1. Effect of total lymphoid irradiation in chronic progressive multiple sclerosis

    Energy Technology Data Exchange (ETDEWEB)

    Cook, S.D.; Devereux, C.; Troiano, R.; Hafstein, M.P.; Zito, G.; Hernandez, E.; Lavenhar, M.; Vidaver, R.; Dowling, P.C.

    1986-06-21

    Total lymphoid irradiation (TLI; 1980 cGy) or sham irradiation was given to 40 patients with chronic progressive multiple sclerosis (MS) in a prospective, randomised, double-blind study. During mean follow-up of 21 months, MS patients treated with TLI has less functional decline than sham-irradiated MS patients (p<0.01). A significant relation was noted between absolute blood lymphocyte counts in the first year after TLI and subsequent course, patients with higher lymphocyte counts generally having a worse prognosis (p<0.01). TLI was well tolerated and associated with only mild short-term, and to date, long-term side-effects.

  2. Chronic total occlusion:To treat or not to treat

    Institute of Scientific and Technical Information of China (English)

    Alfredo; Bardají; Judit; Rodriguez-López; Mauricio; Torres-Sánchez

    2014-01-01

    Over the last two decades,there has been increasing interest in new techniques for the percutaneous treatment of coronary chronic total occlusions(CTO),which have a success rate that is much higher than that of a few years ago.The rise in percutaneous treatment for these lesions is due to its ability to improve the symptoms and prognosis of patients in the chronic and stable phase of coronary disease.Current data suggest that successful percutaneous coronary intervention for CTO is associated with improvement in patient symptoms,quality of life,left ventricular function,and survival,compared with those with unsuccessful CTO PCI.However,all the scientific evidence supporting this treatment comes from observational studies,and no randomized study comparing percutaneous treatment with medical treatment has yet been published.A major limitation of these studies is their observational design,with limited information with regard to potential baseline differences between the successful vs unsuccessful cohorts.Pending randomized studies,patients should be selected very carefully,especially if they are asymptomatic or very few symptoms,and the benefits obtained in terms of complications during the procedure,the quality of life obtained and further ischemic events avoided should be evaluated systematically.In this review,we will consider the available information supporting percutaneous treatment for chronic occlusions,as well as the areas of uncertainty where more research projects are required.

  3. Infrared Gluon Resummation and pp total cross-sections

    CERN Document Server

    Pancheri, Giulia; Grau, A; Shekhovtsova, O; Srivastava, Yogendra N

    2014-01-01

    We address here the problem of describing both the total and the elastic proton-proton cross-section, through the four outstanding features of hadron scattering: (i) the optical point; (ii) the forward peak, (iii) the dip and (iv) the subsequent descent at larger momentum transfers. These issues are discussed through an eikonal model for the elastic amplitude where the matter distribution in impact parameter space is given by resummed soft gluons down into the infrared (IR) region. The asymptotic growth of the total cross-section is obtained in a mini-jet model and the taming (saturation) at high energies is related to confinement realized here through an IR singular strong coupling constant alpha_s(Q^2). We present an ansatz that links the IR singularity of alpha_s(Q^2) to that of asymptotic freedom (AF) (at lowest order). Through this model, we illustrate the problems that arise in a generic one-channel eikonal model employed for a description of the measured differential elastic cross-section at LHC7.

  4. Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty.

    Science.gov (United States)

    Surace, Michele F; Monestier, Luca; Vulcano, Ettore; Harwin, Steven F; Cherubino, Paolo

    2015-09-01

    The clinical and radiographic outcomes of 88 patients who underwent primary total hip arthroplasty with either conventional polyethylene or cross-linked polyethylene (XLPE) from the same manufacturer were compared. There were no significant differences between the 2 subpopulations regarding average age, gender, side affected, or prosthetic stem and cup size. The average follow-up was 104 months (range, 55 to 131 months). To the authors' knowledge, this is the longest follow-up for this particular insert. Clinical and radiographic evaluations were performed at 1, 3, 6, and 12 months and then annually. Results showed that XLPE has a significantly greater wear reduction than that of standard polyethylene in primary total hip arthroplasty. At the longest available follow-up for these specific inserts, XLPE proved to be effective in reducing wear.

  5. Total cross sections for pion charge exchange on the proton

    Energy Technology Data Exchange (ETDEWEB)

    Breitschopf, J.

    2006-04-28

    This work describes the measurement of total SCX cross sections employing a new 4{pi} scintillation counter to perform transmission measurements in the incident pion energy range from about 38 to 250 MeV. A small 4{pi} detector box consisting of thin plastic scintillators has been constructed. The transmission technique, which was used, relates the number of transmitted charged pions to that of incident beam pions and this way effectively counts events with neutral products. The incoming negative pions were counted by three beam defining counters before they hit a target of very well known size and chemical composition. The target was placed in the box detector which was not sensitive to the neutral particles resulting from the SCX. The total cross section for emerging neutral particles was derived from the comparison of the numbers of the incoming and transmitted charged particles. The total SCX cross section on hydrogen was derived from the transmissions of a CH{sub 2} target, a carbon target and an empty target. For a detailed offline analysis all TDC, QDC and FADC information was recorded in an event by event mode for each triggered beam event. Various corrections had to be applied to the data, such as random correction, the detection of neutrals in the detector, Dalitz decay, pion decay and the radiative pion capture. This measurement covers, as the only experiment, the whole {delta}-resonance and the sp-interference region in one single experimental setup and improves the available data base for the SCX reaction. It is shown that the description of the SCX cross sections is improved if the s-wave amplitudes, that have been fixed essentially by elastic pion-nucleon scattering data, is reduced by (4{+-}1.5)%. The exact value depends on the SCX literature data included and on the parameters of the {delta}{sup 0} Breit-Wigner resonance describing the p{sub 33}-waves. This shows that p-wave as well as s-wave effects should be considered in studies of isospin

  6. Comments on high-energy total cross sections in QCD

    Directory of Open Access Journals (Sweden)

    Matteo Giordano

    2015-05-01

    Full Text Available We discuss how hadronic total cross sections at high energy depend on the details of QCD, namely on the number of colours Nc and the quark masses. We find that while a “Froissart”-type behaviour σtot∼Blog2⁡s is rather general, relying only on the presence of higher-spin stable particles in the spectrum, the value of B depends quite strongly on the quark masses. Moreover, we argue that B is of order O(Nc0 at large Nc, and we discuss a bound for B which does not become singular in the Nf=2 chiral limit, unlike the Froissart–Łukaszuk–Martin bound.

  7. Total cross sections for electron scattering from sulfur compounds

    Institute of Scientific and Technical Information of China (English)

    Tan Xiao-Ming; Wang Yan-Wen

    2013-01-01

    The original additivity rule method cannot give good results for electron scattering from SO,SO2,SO2C12,SO2C1F,and SO2F2 molecules at low energy,because the electron-molecule scattering is simply reduced to electron-atom scattering.Considering the difference between the bound atom in a molecule and the corresponding free atom,the original additivity rule is revised.With the revised additivity rule,the total cross sections for electron scattering from these molecules are calculated over a wide energy range below 3000 eV and compared with the available experimental and theoretical data.A better agreement between them is obtained.

  8. Total and free thyroid hormone levels in chronic renal failure.

    Directory of Open Access Journals (Sweden)

    Mehta H

    1991-04-01

    Full Text Available The levels of serum total thyroxine (TT4, triiodothyronine (TT3, free T3, (FT3 free T4 (FT4 and thyrotropin (TSH were measured in 127 clinically euthyroid patients with varying grades of chronic renal failure (CRF; and 97 healthy individuals. They were grouped as: Group I containing 93 patients on conservative management; Group II containing 34 patients on regular dialysis therapy; and Group III (normals. Group I patients showed significant decrease in TT3, TT4 and FT3 levels (p less than 0.001 as compared to Group III, whereas FT4 and TSH values in group I were not significantly altered. TT3, TT4 and FT3 levels reduced as the severity of renal damage increased. Variations in TT3, TT4, FT3, FT4 and TSH levels in Group II patients were similar to those in Group I, except for a decrease in TSH levels (p less than 0.05 as compared to normals. Several thyroid function tests are abnormal in CRF patients, however, finding of normal FT4 and TSH levels would indicate functional euthyroid status.

  9. Chronic total occlusions — Current techniques and future directions

    Directory of Open Access Journals (Sweden)

    George Touma

    2015-06-01

    Full Text Available Chronic total occlusions (CTOs of coronary arteries represent a common and significant challenge to interventional cardiology. Medical therapy is often regarded as an adequate long term strategy in the management of these lesions with surgical intervention for refractory symptoms. Extensive collateralisation is used as a marker of distal coronary perfusion, further reinforcing non-invasive strategies. This together with relatively low percutaneous success rates outside of specialised centres has meant that rates of percutaneous intervention have remained low. Increasing evidence suggests that CTOs are not a benign entity. Further, symptom control and quality of life improve significantly with successful percutaneous revascularisation. Both factors have reignited interest in percutaneous modalities. The Japanese have been pioneers in the field of CTO intervention although their success rates have been difficult to replicate. New techniques and equipment developed in North America offer an alternative to the Japanese approach. These techniques focus on time, radiation and contrast minimisation. This review will assess the histopathology of CTO and shifting paradigms in CTO treatment strategies.

  10. Intravascular Ultrasound in Percutaneous Coronary Intervention for Chronic Total Occlusion

    Directory of Open Access Journals (Sweden)

    M Mohandes

    2010-09-01

    Full Text Available Background: Percutaneous coronary intervention (PCI of chronic total occlusion (CTO is one of the most challenging procedures in interventional cardiology. New techniques and devices have made possible to face these complex procedures. Intravascular ultrasound (IVUS reveals special features and contributes greatly to procedural success.Method: We analysed retrospectively IVUS contribution and findings in 23 cases of a total 46 CTOs PCI from February 2009 to August 2010 in our cath lab. Both true and functional CTO were included in this study. The procedure was considered successful when a TIMI III flow was reached in the occluded vessel after stent implantation with a residual stenosis less than 30%. IVUS features and contribution in CTO-PCI were analysed. All data were introduced in SPSS version 15 (SPSS Inc. Chicago, Illinois, USA. Continuous variables were described by mean ± SD and categorical variables were expressed as percentage. A P<0.05 was considered statistically significant.Results: 46 PCIs in 34 patients were performed during 19 months in our centre. The procedure was successful in 28 cases (60.9%.. IVUS was performed in 23 (82.1% of successful procedures. IVUS revealed calcium somewhere in 17 (73.9%. Despite wire angiographic verification in true lumen distally IVUS showed subintimal wire position in part of CTO segment in 6(26.1%. In 22(95.7% of cases IVUS allowed both the wire position verification in true lumen and the vessel measurement before stent implantation. In 1(4.3% case a second wire was introduced into true lumen guided by IVUS after realising that the first wire was in false lumen. We could not find significant relation between calcium presence and subintimal wire penetration in CTO segment (p: 0.14 Conclusions: IVUS showed calcium in CTO segment in a high percentage of cases. It is not unusual to find wire penetration in subintimal space in part of CTO segment. IVUS has a key contribution in the step by step

  11. Theoretical calculations of the total and ionization cross sections for electron impact on some simple biomolecules

    Science.gov (United States)

    Vinodkumar, Minaxi; Joshipura, K. N.; Limbachiya, Chetan; Mason, Nigel

    2006-08-01

    In this paper we report total cross sections (TCS), QT , total elastic cross sections, Qel , and total ionization cross section, Qion for electron impact on water, formaldehyde, formic acid, and the formyl radical from circa 15eVto2KeV . The results are compared where possible, with previous theoretical and experimental results and, in general, are found to be in good agreement. The total and elastic cross sections for HCHO, HCOOH, and CHO radical are reported.

  12. Theoretical calculations of the total and ionization cross sections for electron impacton some simple biomolecules

    OpenAIRE

    Vinodkumar, M.; Joshipura, K. N.; Limbachiya, C.; Mason, Nigel

    2006-01-01

    In this paper we report total cross sections TCS, QT, total elastic cross sections, Qel, and total ionization cross section, Qion for electron impact on water, formaldehyde, formic acid, and the formyl radical from circa 15 eV to 2 KeV. The results are compared where possible, with previous theoretical and experimental results and, in general, are found to be in good agreement. The total and elastic cross sections for HCHO, HCOOH, and CHO radical are reported.

  13. Chronic intestinal ischaemia: measurement of the total splanchnic blood flow.

    Science.gov (United States)

    Zacho, Helle D

    2013-04-01

    A redundant collateral network between the intestinal arteries is present at all times. In case of ischaemia in the gastrointestinal tract, the collateral blood supply can develop further, thus accommodating the demand for oxygen even in the presence of significant stenosis or occlusion of the intestinal arteries without clinical symptoms of intestinal ischaemia. Symptoms of ischemia develop when the genuine and collateral blood supply no longer can accommodate the need for oxygen. Atherosclerosis is the most common cause of obliteration in the intestinal arteries. In chronic intestinal ischaemia (CII), the fasting splanchnic blood flow (SBF) is sufficient, but the postprandial increase in SBF is inadequate and abdominal pain will therefore develop in relation to food intake causing the patient to eat smaller meals at larger intervals with a resulting weight loss. Traditionally, the CII-diagnosis has exclusively been based upon morphology (angiography) of the intestinal arteries; however, substantial discrepancies between CII-symptoms and the presence of atherosclerosis/stenosis in the intestinal arteries have been described repeatedly in the literature impeding the diagnosis of CII. This PhD thesis explores a method to determine the total SBF and its potential use as a diagnostic tool in patients suspected to suffer from CII. The SBF can be measured using a continuous infusion of a tracer and catheterisation of a hepatic vein and an artery. By measuring the SBF before and after a standard meal it is possible to assess the ability or inability to enhance the SBF and thereby diagnosing CII. In Study I, measurement of SBF was tested against angiography in a group of patients suspected to suffer from CII due to pain and weight loss. A very good agreement between the postprandial increase in SBF and angiography was found. The method was validated against a well-established method independent of the hepatic extraction of tracer using pAH in a porcine model (study II

  14. Stingray balloon used in slender percutaneous coronary intervention for chronic total occlusion.

    Science.gov (United States)

    Wu, Eugene B; Ikari, Yuji

    2013-07-01

    Slender chronic total occlusion (CTO) percutaneous coronary intervention (PCI) using 5 Fr radial Ikari catheter is possible in simple CTO cases. We report a case where we initially thought the LAD CTO was short and easy, but we found that the CTO had a considerable amount of calcium and also some tortuosity, making simple wire crossing impossible. We used a Stingray balloon to perform re-entry by tracking the balloon over an Ultimate Bros 3 gram wire using an extension wire. We successfully punctured into true lumen and completed stenting through a slender 5 Fr system. This case demonstrates the beauty of combining the advances in CTO PCI from the East and the West together and also demonstrates the possibility of using the Stingray system in a 5 Fr guiding catheter.

  15. Measurements of the total, elastic and inelastic pp cross section with ATLAS

    CERN Document Server

    Heinz, Christian; The ATLAS collaboration

    2016-01-01

    The total pp cross section is a fundamental property of the strong interaction which can not be calculated in perturbative QCD but only described based on phenomenological models. The ATLAS collaboration has recently measured the total inelastic protonproton cross section and the diffractive part of the inelastic cross section at 13 TeV in special data sets taken with low beam currents and using forward scintillators. A more precise measurement of the total pp cross section as well as elastic and inelastic contributions has been extracted from a measurement of the differential elastic cross section using the optical theorem. The ATLAS Collaboration has performed this measurement in elastic data collected with high beta* optics at 8 TeV centreofmass energy with the ALFA Roman Pot detector. From the extrapolation of the differential elastic cross section to t=0, using the optical theorem, the total cross section is extracted in a luminositydependent method with unprecedented precision. In addition the nuclear s...

  16. Total and total ionization cross sections for NHx and NFx (x = 1,2 and 3) on electron impact

    Science.gov (United States)

    Limbachiya, C. G.; Vinodkumar, M.; Gangopadhyay, S.; Joshipura, K. N.

    2007-10-01

    Electron-impact induced ionization cross-sections for NH3 and NF3 and their chemically reactive free radicals, NHX & NFX (x = 1,2) are relevant to processes in planetary & cometary atmospheres. In this paper we have reported the total (complete) and total ionization cross sections for molecules NHX and NFX (x = 1,2 and 3) on electron impact from threshold to 5 keV. We used complex optical potential formalism (SCOP) [1] to calculate the total inelastic cross sections Qinel and total (complete) cross sections QT Qinel includes Qion and we have developed a semi-empirical method, Complex Scattering Potential -- ionization contribution (CSP-ic) to extract ionization cross sections Qion from calculated Qinel [2]. References [1] M.Vinodkumar, K.N.Joshipura, C.G.Limbachiya & B.K.Antony, Eur. J. Phys. D. 37 (2006) 67 [2] M.Vinodkumar, K.N.Joshipura, C.G.Limbachiya & B.K.Antony, Phys. Rev A 74 (2006) 022721

  17. Total cross-section at LHC from minijets and soft gluon resummation in the infrared region

    CERN Document Server

    Pancheri, G; Grau, A; Srivastava, Y N

    2007-01-01

    A model for total cross-sections incorporating QCD jet cross-sections and soft gluon resummation is described and compared with present data on $pp$ and ${\\bar p}p$ cross-sections. Predictions for LHC are presented for different parameter sets. It is shown that they differ according to the small x-behaviour of available parton density functions.

  18. Wire trapping technique combined with retrograde approach for recanalization of chronic total occlusion

    Institute of Scientific and Technical Information of China (English)

    GE Jun-bo; ZHANG Feng; GE Lei; QIAN Ju-ying; WANG Hao

    2008-01-01

    @@ Coronary chronic total occlusion (CTO),defined as a total occlusion of duration >3 months,remains a technical challenge for the interventional cardiologists.The major limitation in percutaneous coronary intervention (PCI) of CTO is the inability to penetrate and cross the occlusion with a guidewire.It was reported that the immediate angiographic success rate varied from 50%to 70% using the standard antegrade techniques,1 To improve this suboptimal success rate,the authors firstly introduced retrograde approach through the collateral channels as a novel technique2 and successfully recanalized a left main CTO using this technique when demonstrating the live cases in Transcatheter Cardiovascular Therapeutics (TCT) 2005.Recently,modified techniques based on the retrograde approach have demonstrated that this approach could provide a high success rate with PCI.3-5 In the present report,we described a new method,wire trapping technique combined with retrograde approach,which was applied successfully in three patients with CTO.

  19. Stages of chronicity in fibromyalgia and pain catastrophising: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Roca Miquel

    2010-10-01

    Full Text Available Abstract Background Fibromyalgia (FM is a prevalent and disabling disorder characterised by widespread pain and other symptoms such as insomnia, fatigue and depression. Catastrophisation is considered to be a key clinical symptom in FM; however, few studies have investigated how contextual factors, such as catastrophisation, might contribute to the duration of the pain. The present research examined the relationship among pain, catastrophic thinking and FM impact, as a function of stage of chronicity. Methods In this cross-sectional study, the sample of 328 patients diagnosed with FM was divided into 3 groups based on level of chronicity: Group A (6 months to 2 years, N = 46; Group B (2-4 years, N = 59; and Group C (more than 4 years, N = 223. The three subscales of the Pain Catastrophising Scale (PCS, rumination, magnification, and helplessness, were used as predictors of dysfunction. The Fibromyalgia Impact Questionnaire and the McGill Pain Questionnaire were also administered. A hierarchical regression analysis was performed on the entire sample and, subsequently, for each group to determine the effect of the continuous process variables (castastrophising and pain on the stages of chronicity. Results Total score and PCS subscales were strongly associated with pain and impact in all the stages of chronicity in FM patients (r = 0.27-0.73, p Conclusion These findings provide preliminary evidence that stage of chronicity is an important moderator of psychological vulnerability for FM impact and should be taken into account by tailoring psychological interventions.

  20. Computation of total electron scattering cross sections for molecules of astrophysical relevance

    Energy Technology Data Exchange (ETDEWEB)

    Vinodkumar, M [V. P. and R. P. T. P. Science College, Vallabh Vidyanagar-388 120 (India); Limbachiya, C [P. S. Science College, Kadi- 382 715 (India); Joshipura, K N; Gangopadhyay, S [Department of physics, Sardar Patel University, Vallabh Vidyanagar-388 120 (India); Vaishnav, B [VPMP Polytechnic, Near Government ITI, Sector - 15, Gandhinagar - 382 015 (India)], E-mail: minaxivinod@yahoo.co.in

    2008-05-15

    In this paper we report calculations of various total cross sections namely total elastic (Q{sub el}), total ionization (Q{sub ion}), total (complete) cross sections (Q{sub T}) and grand total cross sections (Q{sub TOT}) for the impact of electrons on methyl compounds namely, methanol, methylamine and total ionization cross sections on reactive diatomic radical SO and SO{sub 2} molecule at energies from circa threshold to 2000 eV. We have employed the 'Spherical Complex Optical Potential' (SCOP) formalism to evaluate Q{sub el}, Q{sub inel}, Q{sub T} and Q{sub TOT} and used our semi-empirical, 'Complex Spherical Potential - ionization contribution' (CSP-ic) method to derive Q{sub ion}. These results are compared with available experimental and other theoretical data and overall good agreement is observed.

  1. Elastic and total cross sections for simple biomolecules in the intermediate energy range

    Directory of Open Access Journals (Sweden)

    Dhanoj Gupta

    2015-09-01

    Full Text Available The elastic and total cross sections for formaldehyde, acetaldehyde, acetone, 2-butanone and formamide are calculated using the spherical complex optical potential formalism in the intermediate energy range from 50 eV to 10 keV. These cross sections find application to various fields like radiation damage and biological sciences. The present results are compared with the available experimental and theoretical data and are found to give excellent agreement. The elastic cross sections reported for most of the targets in the present energy range are done for the first time. The energy dependence of the contribution of ionization and elastic cross section with respect to the total cross section and the correlation of total cross section with polarizability of the molecules are also studied.

  2. Elastic and total cross sections for simple biomolecules in the intermediate energy range

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, Dhanoj; Naghma, Rahla; Antony, Bobby, E-mail: bka.ism@gmail.com [Atomic and Molecular Physics Lab, Department of Applied Physics, Indian School of Mines, Dhanbad 826004, JH (India)

    2015-09-15

    The elastic and total cross sections for formaldehyde, acetaldehyde, acetone, 2-butanone and formamide are calculated using the spherical complex optical potential formalism in the intermediate energy range from 50 eV to 10 keV. These cross sections find application to various fields like radiation damage and biological sciences. The present results are compared with the available experimental and theoretical data and are found to give excellent agreement. The elastic cross sections reported for most of the targets in the present energy range are done for the first time. The energy dependence of the contribution of ionization and elastic cross section with respect to the total cross section and the correlation of total cross section with polarizability of the molecules are also studied.

  3. Total and ionization cross-sections of N2 and CO by positron impact: Theoretical investigations

    Indian Academy of Sciences (India)

    Harshit N Kothari; K N Joshipura

    2011-03-01

    In this paper we report our calculations on several important total cross-sections (TCS) of positron impact on isoelectronic N2 and CO molecules, treated in the complex spherical potential formalism. Basically the total (complete) cross-section T consists of elastic and inelastic contributions. Our total inelastic cross-section (inel) contains ionization and electronic excitations together with positronium formation. Our goal here is to bifurcate inel further to deduce total ionization cross-section, using the `complex scattering potential–ionization contribution’ (CSP-ic) method of electron–atom/molecule scattering. The present range of positron energy is 15–2000 eV. All the resulting cross-sections are in a good general accord with the existing data. This work highlights the importance of various scattering channels in + - 2 and + - CO interactions at intermediate and high energies.

  4. Electron impact total and ionization cross-sections for DNA based compounds

    Science.gov (United States)

    Vinodkumar, Minaxi; Limbachiya, Chetan

    2013-01-01

    This paper reports computational results of the total (complete) and total ionization cross- sections, for electron impact on Uracil (C4H4N2O2) and PO3OH for impact energies from the ionization threshold to 2 keV. The total cross-section is evaluated using quantum mechanical approach using Spherical Complex Optical Potential (SCOP) presented as sum of the elastic and inelastic cross-sections. The ionization cross-sections are extracted from total inelastic cross-section using Complex Optical Potential-ionization contribution (CSP-ic) method. The present results are, in general, found to be in good agreement with previous theoretical results. In absence of any theoretical or experimental data, present results for PO3OH will serve to fill the void in the data base and may also inspire the experimentalists for some measurements as it is very important target.

  5. Total, direct and dissociative electron impact ionization cross sections of the acetylene molecule

    Directory of Open Access Journals (Sweden)

    MILAN KUREPA

    2000-07-01

    Full Text Available The total electron impact ionization cross sections of the acetylene molecule have been measured in the incident electron energy range from threshold to 1000 eV. These results are compared with other existing data, obtained by direct measurements of this molecular property or by indirect ones, via the partial ionization cross sections for the formation of different ions. Using three semiempirical equations, the total ionization cross sections were calculated and compared to available data, too. Direct and dissociative ionization cross sections were also calculated by a semiempirical equation and compared to existing data.

  6. CRosser As First choice for crossing Totally occluded coronary arteries (CRAFT Registry): Focus on conventional angiography and computed tomography angiography predictors of success

    NARCIS (Netherlands)

    H.M. Garcia-Garcia (Hector); S. Brugaletta (Salvatore); C.A.G. van Mieghem (Carlos); N. Gonzalo (Nieves); R. Diletti (Roberto); J. Gomez-Lara (Josep); F. Airoldi (Flavio); M. Carlino (Mauro); D. Tavano (Davide); A. Chieffo (Alaide); M. Montorfano (Matteo); I. Michev (Iassen); A. Colombo (Antonio); M. van der Ent (Martin); P.W.J.C. Serruys (Patrick)

    2011-01-01

    textabstractAims: We investigated the use of the CROSSER catheter, a CTO crossing device based upon high frequency mechanical vibration, as a first resort to treat patients with chronic total occlusions (CTO) while describing angiographic and computed tomography coronary angiography (CTCA) serving a

  7. CRosser As First choice for crossing Totally occluded coronary arteries (CRAFT Registry): Focus on conventional angiography and computed tomography angiography predictors of success

    NARCIS (Netherlands)

    H.M. Garcia-Garcia (Hector); S. Brugaletta (Salvatore); C.A.G. van Mieghem (Carlos); N. Gonzalo (Nieves); R. Diletti (Roberto); J. Gomez-Lara (Josep); F. Airoldi (Flavio); M. Carlino (Mauro); D. Tavano (Davide); A. Chieffo (Alaide); M. Montorfano (Matteo); I. Michev (Iassen); A. Colombo (Antonio); M. van der Ent (Martin); P.W.J.C. Serruys (Patrick)

    2011-01-01

    textabstractAims: We investigated the use of the CROSSER catheter, a CTO crossing device based upon high frequency mechanical vibration, as a first resort to treat patients with chronic total occlusions (CTO) while describing angiographic and computed tomography coronary angiography (CTCA) serving a

  8. Impact of the Intracoronary Rendezvous technique on coronary angioplasty for chronic total occlusion.

    Science.gov (United States)

    Nihei, Taro; Yamamoto, Yoshito; Kudo, Shun; Hanawa, Kenichiro; Hasebe, Yuhi; Takagi, Yusuke; Minatoya, Yutaka; Sugi, Masafumi; Shimokawa, Hiroaki

    2016-08-30

    The Rendezvous technique, which requires bidirectional wiring, is one of the useful methods for improving the success rate of recanalization for chronic total occlusion (CTO) in the field of peripheral intervention. Recently, advanced new devices for percutaneous coronary intervention have enabled us to perform the Rendezvous technique for peripheral as well as for coronary CTO lesions. We used the Intracoronary Rendezvous technique to perform angioplasty for coronary CTO. "Intracoronary Rendezvous" means that Rendezvous was achieved within the CTO lesion. From March 2009 to November 2015, 189 patients underwent CTO angioplasty at our institute, and we treated 10 patients with the Intracoronary Rendezvous technique. This technique involves crossing the Gaia series guidewire to the contralateral Corsair microcatheter located inside the plaque of CTO lesions. The majority of the CTO sites examined were in the proximal RCA (60 %). Lesion length of the occlusion was relatively long (64.4 ± 12.2 mm). Using the biplane imaging system, we were able to control the Gaia guidewires in a specific direction. Furthermore, if the antegrade and retrograde wires can be advanced into contiguous space inside the CTO lesion, we intentionally entered either wire into the contralateral Corsair microcatheter, followed by successful CTO crossing. CTO recanalization was completed for all patients without controlled antegrade retrograde subintimal tracking (CART) or reverse CART. No major complications occurred during hospitalization. These results indicate that the Rendezvous technique, assisted by new devices and a biplane imaging system, represents one of the primary options to achieve successful coronary CTO recanalization. (249/250 words).

  9. Measurement of the total cross section with ALFA Detector at ATLAS

    CERN Document Server

    Trzebinski, M; The ATLAS collaboration

    2017-01-01

    The main goals of the Absolute Luminosity For ATLAS (ALFA) detector is to provide an absolute luminosity and total cross section measurement. The measurement method used, the detector alignment and the quality of the collected data are discussed.

  10. Odderon and Pomeron as Fractal Dimension in $pp$ and $\\bar{p}p$ Total Cross Sections

    CERN Document Server

    Borcsik, F S

    2016-01-01

    In this paper one presents a naive parametrization to $pp$ and $\\bar{p}p$ total cross sections. The main goal of this parametrization is to study the possible fractal structure present in the total cross section. The result of the fitting procedure shows two different fractal dimensions: a negative (low-energies) and a positive (high-energies). The negative fractal dimension represents the emptiness of the total cross section structure and the positive represents the filling up process with the energy increase. Hence, the total cross section presents a multifractal behavior. At low-energies, the odderon exchange may be associated with the negative fractal dimension and at high-energies, the pomeron may be associated with the positive fractal dimension. Therefore, the exchange of odderons and pomerons may be viewed as a transition from a less well-defined to a more well-defined internal structure, depending on the energy.

  11. Total reaction cross sections for {sup 8}Li + {sup 90}Zr at near-barrier energies

    Energy Technology Data Exchange (ETDEWEB)

    Pakou, A.; Aslanoglou, X.; Sgouros, O.; Soukeras, V. [The University of Ioannina, Department of Physics and HINP, Ioannina (Greece); Pierroutsakou, D.; Boiano, A.; Parascandolo, C. [INFN, Sezione di Napoli, Napoli (Italy); Mazzocco, M.; Soramel, F.; Strano, E.; Torresi, D. [Universita di Padova, Dipartimento di Fisica e Astronomia, Padova (Italy); INFN, Sezione di Padova, Padova (Italy); Acosta, L.; Marquinez-Duran, G.; Martel, I. [Universidad de Huelva, Departamento de Fisica Aplicada, Huelva (Spain); Boiano, C. [INFN, Sezione di Milano, Milano (Italy); Carbone, D.; Cavallaro, M. [INFN Laboratori Nazionali del Sud, Catania (Italy); Grebosz, J. [The Henryk Niewodniczanski Institute of Nuclear Physics (IFJ PAN), Krakow (Poland); Keeley, N. [National Center for Nuclear Research, Otwock Warsaw (Poland); La Commara, M. [INFN, Sezione di Napoli, Napoli (Italy); Universita di Napoli ' ' Federico II' ' , Dipartimento di Scienze Fisiche, Napoli (Italy); Manea, C. [INFN, Sezione di Padova, Padova (Italy); Rusek, K.; Trzcinska, A. [University of Warsaw, Heavy Ion Laboratory, Warsaw (Poland); Sanchez-Benitez, A.M. [Centro de Fisica Nuclear da Universidade de Lisboa, Lisboa (Portugal); Signorini, C. [INFN, LNL, Legnaro (Italy); Stiliaris, E. [University of Athens, Institute of Accelerating Systems and Applications and Department of Physics, Athens (Greece); Watanabe, Y.X. [High Energy Accelerator Research Organization (KEK), Institute of Particle and Nuclear Studies (IPNS), Ibaraki (Japan); Yamaguchi, H. [University of Tokyo, Center for Nuclear Study (CNS), Saitama (Japan)

    2015-05-15

    Total reaction cross sections for the radioactive nucleus {sup 8}Li on {sup 90}Zr are reported at the near-barrier energies of 18.5 and 21.5MeV, derived from quasi-elastic scattering measurements. An analysis of the quasi-elastic scattering results is performed within an optical model framework using the BDM3Y1 interaction and total reaction cross sections are deduced. These quantities, appropriately reduced, are compared with previous data obtained in elastic scattering measurements with well and weakly bound projectiles on various targets and a formula for predicting total reaction cross sections with an uncertainty of ∝ 20 % is obtained. Further on, the ratios of direct to total reaction cross sections are estimated for {sup 6,8}Li on various targets and are compared with CDCC or CRC calculations. The energy dependence of the optical potential is also discussed. (orig.)

  12. Total reaction cross sections for 8Li + 90Zr at near-barrier energies

    Science.gov (United States)

    Pakou, A.; Pierroutsakou, D.; Mazzocco, M.; Acosta, L.; Aslanoglou, X.; Boiano, A.; Boiano, C.; Carbone, D.; Cavallaro, M.; Grebosz, J.; Keeley, N.; La Commara, M.; Manea, C.; Marquinez-Duran, G.; Martel, I.; Parascandolo, C.; Rusek, K.; Sánchez-Benítez, A. M.; Sgouros, O.; Signorini, C.; Soramel, F.; Soukeras, V.; Stiliaris, E.; Strano, E.; Torresi, D.; Trzcinska, A.; Watanabe, Y. X.; Yamaguchi, H.

    2015-05-01

    Total reaction cross sections for the radioactive nucleus 8Li on 90Zr are reported at the near-barrier energies of 18.5 and 21.5MeV, derived from quasi-elastic scattering measurements. An analysis of the quasi-elastic scattering results is performed within an optical model framework using the BDM3Y1 interaction and total reaction cross sections are deduced. These quantities, appropriately reduced, are compared with previous data obtained in elastic scattering measurements with well and weakly bound projectiles on various targets and a formula for predicting total reaction cross sections with an uncertainty of % is obtained. Further on, the ratios of direct to total reaction cross sections are estimated for 6,8Li on various targets and are compared with CDCC or CRC calculations. The energy dependence of the optical potential is also discussed.

  13. Comorbidity in patients with chronic obstructive pulmonary disease in family practice: a cross sectional study

    Directory of Open Access Journals (Sweden)

    García-Olmos Luis

    2013-01-01

    Full Text Available Abstract Background Chronic obstructive pulmonary disease (COPD is frequent and often coexists with other diseases. The aim of this study was to quantify the prevalence of COPD and related chronic comorbidity among patients aged over 40 years visiting family practices in an area of Madrid. Methods An observational, descriptive, cross-sectional study was conducted in a health area of the Madrid Autonomous Region (Comunidad Autónoma de Madrid. The practice population totalled 198,670 persons attended by 129 Family Physicians (FPs, and the study population was made up of persons over the age of 40 years drawn from this practice population. Patients were deemed to have COPD if this diagnosis appeared on their clinical histories. Prevalence of COPD; prevalence of a further 25 chronic diseases in patients with COPD; and standardised prevalence ratios, were calculated. Results Prevalence of COPD in family medicine was 3.2% (95% CI 3.0–3.3 overall, 5.3% among men and 1.4% among women; 90% of patients presented with comorbidity, with a mean of 4 ± 2.04 chronic diseases per patient, with the most prevalent related diseases being arterial hypertension (52%, disorders of lipid metabolism (34%, obesity (25%, diabetes (20% and arrhythmia (15%. After controlling for age and sex, the observed prevalence of the following ten chronic diseases was higher than expected: heart failure; chronic liver disease; asthma; generalised artherosclerosis; osteoporosis; ischaemic heart disease; thyroid disease; anxiety/depression; arrhythmia; and obesity. Conclusions Patients with COPD, who are frequent in family practice, have a complex profile and pose a clinical and organisational challenge to FPs.

  14. Total and Compound Formation Cross Sections for Americium Nuclei: Recommendations for Coupled-Channels Calculations

    Energy Technology Data Exchange (ETDEWEB)

    Escher, J. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-04-11

    Calculations for total cross sections and compound-nucleus (CN) formation cross sections for americium isotopes are described, for use in the 2017 NA-22 evaluation effort. The code ECIS 2006 was used in conjunction with Frank Dietrich's wrapper `runtemplate'.

  15. Total Cross Sections at current/Future Colliders, conventional models and QCD

    CERN Document Server

    Fazal-e-Aleem, M

    1999-01-01

    Rise in total cross sections for elastic scattering generated immense interest both for experimental measurements and theoretical investigations. How will total cross section behave at LHC and Cosmic Ray energies is therefore in the limelight of our future measurements. Theoretical studies become even more interesting when we take into consideration the ratio of real and imaginary parts of the scattering amplitudes. We will briefly undertake the current results and future prospects in the light of conventional as well as QCD-based phenomenology.

  16. Analytic Amplitudes for Hadronic Forward Scattering and the Heisenberg ln**2 Behaviour of Total Cross Sections

    CERN Document Server

    Nicolescu, B

    2004-01-01

    The ln**2 behaviour of total cross sections, first obtained by Heisenberg 50 years ago, receives now increased interest both on phenomenological and theoretical levels. We present a modification of the Heisenberg's model in connection with the presence of glueballs and we show that it leads to a realistic description of all existing hadron total cross-section data, in agreement with the COMPETE analysis.

  17. Total Cross Sections and Event Properties from Real to Virtual Photons

    CERN Document Server

    Friberg, C; Friberg, Christer; Sjöstrand, Torbjörn

    2000-01-01

    A model for total cross sections with virtual photons is presented. In particular gamma*-p and gamma*-gamma* cross sections are considered. Our approach extends on a model for photoproduction, where the total cross section is subdivided into three distinct event classes: direct, VMD and anomalous. With increasing photon virtuality, the latter two decrease in importance. Instead Deep Inelastic Scattering dominates, with the direct class being the O(alpha_s) correction thereof. Hence, the model provides a smooth transition between the two regions. By the breakdown into different event classes, one may aim for a complete picture of all event properties.

  18. Total Cross Sections and Event Properties from Real to Virtual Photons

    CERN Document Server

    Friberg, Christer; 10.1088/1126-6708/2000/09/010

    2009-01-01

    A model for total cross sections with virtual photons is presented. In particular gamma*-p and gamma*-gamma* cross sections are considered. Our approach extends on a model for photoproduction, where the total cross section is subdivided into three distinct event classes: direct, VMD and anomalous. With increasing photon virtuality, the latter two decrease in importance. Instead Deep Inelastic Scattering dominates, with the direct class being the O(alpha_s) correction thereof. Hence, the model provides a smooth transition between the two regions. By the breakdown into different event classes, one may aim for a complete picture of all event properties.

  19. Measurements of effective total macroscopic cross sections and effective energy of continuum beam

    Energy Technology Data Exchange (ETDEWEB)

    Kobayashi, Hisao [Rikkyo Univ., Yokosuka, Kanagawa (Japan). Inst. for Atomic Energy

    1998-03-01

    Two practically useful quantities are introduced in this study to characterize a continuum neutron beam and to describe transmission phenomena of the beam in field of quantitative neutron radiography: an effective energy instead of a peak energy or a mean energy of the spectrum and an effective total macroscopic (ETM) cross section instead of a total macroscopic (TM) cross section defined at the monochromatic energy. The effective energy was evaluated by means of energy dependence of ETM cross section. To realize the method a beam quality indicator (BQI) has been proposed recently. Several effective energies were measured for non-filtered, filtered neutron beams, and outputs of neutron guide tubes in world by the BQI. A thermal neutron beam and three beams modulated by Pb filters with different thicknesses are studied to measure ETM cross sections for various materials and summarized in a table. Validity of the effective energy determined by the BQI is discussed relating with ETM cross sections of materials. (author)

  20. Total hadronic cross section and the elastic slope: An almost model-independent connection

    Energy Technology Data Exchange (ETDEWEB)

    Fagundes, D.A., E-mail: fagundes@ifi.unicamp.br [Universidade Estadual de Campinas - UNICAMP, Instituto de Fisica Gleb Wataghin, 13083-859 Campinas, SP (Brazil); Menon, M.J., E-mail: menon@ifi.unicamp.br [Universidade Estadual de Campinas - UNICAMP, Instituto de Fisica Gleb Wataghin, 13083-859 Campinas, SP (Brazil)

    2012-04-15

    An almost model-independent parametrization for the ratio of the total cross section to the elastic slope, as function of the center of mass energy, is introduced. The analytical result is based on the approximate relation of this quantity with the ratio R of the elastic to total cross section and empirical fits to the R data from proton-proton scattering above 10 GeV, under the conditions of asymptotic unitarity and the black-disk limit. This parametrization may be useful in studies of extensive air showers and the determination of the proton-proton total cross section from proton-air production cross section in cosmic-ray experiments.

  1. Universal trend for heavy-ion total reaction cross sections at energies above the Coulomb barrier

    Energy Technology Data Exchange (ETDEWEB)

    Tavares, O.A.P.; Medeiros, E.L., E-mail: emil@cbpf.b [Centro Brasileiro de Pesquisas Fisicas (CBPF), Rio de Janeiro, RJ (Brazil); Morcelle, V. [Universidade de Sao Paulo (IF/USP), SP (Brazil). Inst. de Fisica

    2010-06-15

    Heavy-ion total reaction cross section measurements for more than one thousand one hundred reaction cases covering 61 target nuclei in the range {sup 6}Li-{sup 238}U, and 158 projectile nuclei from {sup 2}H up to {sup 84}Kr (mostly exotic ones) have been analysed in a systematic way by using an empirical, three-parameter formula which is applicable to cases for projectile kinetic energies above the Coulomb barrier. The analysis has shown that the average total nuclear binding energy per nucleon of the interacting nuclei and their radii are the chief quantities which describe the cross section patterns. A great number of cross section data (87%) has been quite satisfactorily reproduced by the proposed formula, therefore total reaction cross section predictions for new, not yet experimentally investigated reaction cases can be obtained within 25 percent (or much less) of uncertainty (author)

  2. Neutron total cross section measurements of gold and tantalum at the nELBE photoneutron source

    CERN Document Server

    Hannaske, Roland; Beyer, Roland; Junghans, Arnd; Bemmerer, Daniel; Birgersson, Evert; Ferrari, Anna; Grosse, Eckart; Kempe, Mathias; Kögler, Toni; Marta, Michele; Massarczyk, Ralph; Matic, Andrija; Schramm, Georg; Schwengner, Ronald; Wagner, Andreas

    2014-01-01

    Neutron total cross sections of 197 Au and nat Ta have been measured at the nELBE photoneutron source in the energy range from 0.1 - 10 MeV with a statistical uncertainty of up to 2 % and a total systematic uncertainty of 1 %. This facility is optimized for the fast neutron energy range and combines an excellent t ime structure of the neutron pulses (electron bunch width 5 ps) with a short flight path of 7 m. Because of the low instantaneous neutron flux transmission measurements of neutron total cross sections are possible, that exhibit very different beam and back ground conditions than found at other neutron sources.

  3. Neutron total cross section measurements of gold and tantalum at the nELBE photoneutron source

    CERN Document Server

    Hannaske, Roland; Beyer, Roland; Junghans, Arnd; Bemmerer, Daniel; Birgersson, Evert; Ferrari, Anna; Grosse, Eckart; Kempe, Mathias; Kögler, Toni; Marta, Michele; Massarczyk, Ralph; Matic, Andrija; Schramm, Georg; Schwengner, Ronald; Wagner, Andreas

    2013-01-01

    Neutron total cross sections of $^{197}$Au and $^\\text{nat}$Ta have been measured at the nELBE photoneutron source in the energy range from 0.1 - 10 MeV with a statistical uncertainty of up to 2 % and a total systematic uncertainty of 1 %. This facility is optimized for the fast neutron energy range and combines an excellent time structure of the neutron pulses (electron bunch width 5 ps) with a short flight path of 7 m. Because of the low instantaneous neutron flux transmission measurements of neutron total cross sections are possible, that exhibit very different beam and background conditions than found at other neutron sources.

  4. Total reaction cross sections in CEM and MCNP6 at intermediate energies

    Science.gov (United States)

    Kerby, Leslie M.; Mashnik, Stepan G.

    2015-08-01

    Accurate total reaction cross section models are important to achieving reliable predictions from spallation and transport codes. The latest version of the Cascade Exciton Model (CEM) as incorporated in the code CEM03.03, and the Monte Carlo N-Particle transport code (MCNP6), both developed at Los Alamos National Laboratory (LANL), each use such cross sections. Having accurate total reaction cross section models in the intermediate energy region (∼ 50 MeV to ∼ 5 GeV) is very important for different applications, including analysis of space environments, use in medical physics, and accelerator design, to name just a few. The current inverse cross sections used in the preequilibrium and evaporation stages of CEM are based on the Dostrovsky et al. model, published in 1959. Better cross section models are available now. Implementing better cross section models in CEM and MCNP6 should yield improved predictions for particle spectra and total production cross sections, among other results. Our current results indicate this is, in fact, the case.

  5. Total Reaction Cross Sections in CEM and MCNP6 at Intermediate Energies

    CERN Document Server

    Kerby, Leslie M

    2015-01-01

    Accurate total reaction cross section models are important to achieving reliable predictions from spallation and transport codes. The latest version of the Cascade Exciton Model (CEM) as incorporated in the code CEM03.03, and the Monte Carlo N-Particle transport code (MCNP6), both developed at Los Alamos National Laboratory (LANL), each use such cross sections. Having accurate total reaction cross section models in the intermediate energy region ($\\sim$50 MeV to $\\sim$5 GeV) is very important for different applications, including analysis of space environments, use in medical physics, and accelerator design, to name just a few. The current inverse cross sections used in the preequilibrium and evaporation stages of CEM are based on the Dostrovsky {\\it et al.} model, published in 1959. Better cross section models are available now. Implementing better cross section models in CEM and MCNP6 should yield improved predictions for particle spectra and total production cross sections, among other results. Our current...

  6. Shape optimization of the total scattering cross section for cylindrical scatterers

    Science.gov (United States)

    Jacobsson, Per; Rylander, Thomas

    2009-08-01

    We propose and test a gradient-based shape optimization algorithm for the total scattering cross section of infinitely long cylinders, by means of changing the shape of the cylinder's cross section. On the basis of the optical theorem, we derive sensitivity expressions for both dielectric and metal cylinders given an incident plane wave, where the wave vector is perpendicular to the cylinder axis. Both the transverse electric (TE) case and the transverse magnetic case are considered. The sensitivity expressions are based on the continuum form of Maxwell's equations, and they provide the sensitivity with respect to an arbitrary number of shape parameters in terms of the field solution of the original scattering problem and an adjoint scattering problem. These results are used to construct a gradient-based optimization algorithm that we exploit for the reduction of the total scattering cross section in the TE case for metal cylinders, e.g., struts used in reflector antennas. We present optimized cross sections that are oblong in the direction of the incident wave vector, and some of these designs feature corrugations that are parallel to the cylinder axis. We show designs with asymmetric cross sections that yield a low monostatic scattering cross section for certain directions in combination with a low total scattering cross section, which can be used to reduce the noise temperature contributions from the upper strut in an inverted Y tripod reflector antenna.

  7. Successful percutaneous coronary intervention for chronic total occlusion of right coronary artery in patient with dextrocardia.

    Science.gov (United States)

    Munawar, Muhammad; Hartono, Beny; Iskandarsyah, Kurniawan; Nguyen, Thach N

    2013-07-01

    Situs inversus with dextrocardia is rare congenital anomaly. Coronary artery disease in such patients is quite rare. We reported a 52-year-old man with dextrocardia and chronic total occlusion at the proximal right coronary artery just after conus branch and severe stenosis at the proximal left anterior descending artery. He underwent successful percutaneous coronary intervention with stenting of total occluded right coronary artery and simultaneously stenting of the proximal left anterior descending artery.

  8. Current trends in patients with chronic total occlusions undergoing coronary CT angiography

    NARCIS (Netherlands)

    M.P. Opolski (Maksymilian P.); B.T. Hartaigh (Bríain ó); D.S. Berman (Daniel S.); M.J. Budoff (Matthew J.); S. Achenbach (Stephan); M. Al-Mallah (Mouaz); D. Andreini (Daniele); F. Cademartiri (Filippo); H.-J. Chang (Hyuk-Jae); K. Chinnaiyan (Kavitha); B.J.W. Chow (Benjamin); M. Hadamitzky (Martin); J. Hausleiter (Jörg); G. Feuchtner (Gudrun); Y.-J. Kim (Yong-Jin); P.A. Kaufmann (Philipp A.); J. Leipsic (Jonathon); E. Maffei (Erica); G. Pontone (Gianluca); G.L. Raff (Gilbert); L.J. Shaw (Leslee); T.C. Villines (Todd); J.K. Min (James)

    2015-01-01

    textabstractObjective: Data describing the prevalence, characteristics and management of coronary chronic total occlusions (CTOs) in patients undergoing coronary CT angiography (CCTA) have not been reported. The purpose of this study was to determine the prevalence, characteristics and treatment str

  9. Percutaneous Intervention for Concurrent Chronic Total Occlusions in Patients With STEMI: The EXPLORE Trial

    NARCIS (Netherlands)

    Henriques, J.P.; Hoebers, L.P.; Ramunddal, T.; Laanmets, P.; Eriksen, E.; Bax, M.; Ioanes, D.; Suttorp, M.J.; Strauss, B.H.; Barbato, E.; Nijveldt, R.; Rossum, A.C. van; Marques, K.M.; Elias, J.; Dongen, I.M. van; Claessen, B.E.; Tijssen, J.G.; Schaaf, R.J. van der; Boer, M.J. de

    2016-01-01

    BACKGROUND: In 10% to 15% of patients with ST-segment elevation myocardial infarction (STEMI), concurrent coronary chronic total occlusion (CTO) in a non-infarct-related artery is present and is associated with increased morbidity and mortality. OBJECTIVES: The EXPLORE (Evaluating Xience and Left Ve

  10. Current trends in patients with chronic total occlusions undergoing coronary CT angiography

    NARCIS (Netherlands)

    M.P. Opolski (Maksymilian P.); B.T. Hartaigh (Bríain ó); D.S. Berman (Daniel); M.J. Budoff (Matthew J.); S. Achenbach (Stephan); M. Al-Mallah (Mouaz); D. Andreini (Daniele); F. Cademartiri (Filippo); H.-J. Chang (Hyuk-Jae); K. Chinnaiyan (Kavitha); B.J.W. Chow (Benjamin); M. Hadamitzky (Martin); J. Hausleiter (Jörg); G.M. Feuchtner (Gudrun); Y.-J. Kim (Yong-Jin); P.A. Kaufmann (Philipp A.); J. Leipsic (Jonathon); E. Maffei (Erica); G. Pontone (Gianluca); G.L. Raff (Gilbert); L.J. Shaw (Leslee J.); T.C. Villines (Todd); J.K. Min (James)

    2015-01-01

    textabstractObjective Data describing the prevalence, characteristics and management of coronary chronic total occlusions (CTOs) in patients undergoing coronary CT angiography (CCTA) have not been reported. The purpose of this study was to determine the prevalence, characteristics and treatment stra

  11. The impact of a chronic total coronary occlusion on clinical outcome

    NARCIS (Netherlands)

    Hoebers, L.P.C.

    2016-01-01

    Ever since it was possible to view the status of the coronary arteries through angiography in 1958, it is known that mortality increases with the severity and extent of coronary artery disease (CAD). Multivessel disease (MVD) is present in more than half of the patients with CAD and a chronic total

  12. The impact of a chronic total coronary occlusion on clinical outcome

    NARCIS (Netherlands)

    Hoebers, L.P.C.

    2016-01-01

    Ever since it was possible to view the status of the coronary arteries through angiography in 1958, it is known that mortality increases with the severity and extent of coronary artery disease (CAD). Multivessel disease (MVD) is present in more than half of the patients with CAD and a chronic total

  13. Long-Term Outcome of Percutaneous Coronary Intervention for Chronic Total Occlusions

    NARCIS (Netherlands)

    R. Mehran; B.E. Claessen; C. Godino; G.D. Dangas; K. Obunai; S. Kanwal; M. Carlino; J.P.S. Henriques; C. di Mario; Y.H. Kim; S.J. Park; G.W. Stone; M.B. Leon; J.W. Moses; A. Colombo

    2011-01-01

    Objectives The aim of this study was to evaluate long-term clinical outcomes after percutaneous coronary intervention (PCI) for chronic total occlusions (CTO). Background Despite technical advancements, there is a paucity of data on long-term outcomes after PCI of CTO. Methods We evaluated long-term

  14. Current trends in patients with chronic total occlusions undergoing coronary CT angiography

    NARCIS (Netherlands)

    M.P. Opolski (Maksymilian P.); B.T. Hartaigh (Bríain ó); D.S. Berman (Daniel); M.J. Budoff (Matthew J.); S. Achenbach (Stephan); M. Al-Mallah (Mouaz); D. Andreini (Daniele); F. Cademartiri (Filippo); H.-J. Chang (Hyuk-Jae); K. Chinnaiyan (Kavitha); B.J.W. Chow (Benjamin); M. Hadamitzky (Martin); J. Hausleiter (Jörg); G.M. Feuchtner (Gudrun); Y.-J. Kim (Yong-Jin); P.A. Kaufmann (Philipp A.); J. Leipsic (Jonathon); E. Maffei (Erica); G. Pontone (Gianluca); G.L. Raff (Gilbert); L.J. Shaw (Leslee J.); T.C. Villines (Todd); J.K. Min (James)

    2015-01-01

    textabstractObjective Data describing the prevalence, characteristics and management of coronary chronic total occlusions (CTOs) in patients undergoing coronary CT angiography (CCTA) have not been reported. The purpose of this study was to determine the prevalence, characteristics and treatment stra

  15. Current trends in patients with chronic total occlusions undergoing coronary CT angiography

    NARCIS (Netherlands)

    M.P. Opolski (Maksymilian P.); B.T. Hartaigh (Bríain ó); D.S. Berman (Daniel S.); M.J. Budoff (Matthew J.); S. Achenbach (Stephan); M. Al-Mallah (Mouaz); D. Andreini (Daniele); F. Cademartiri (Filippo); H.-J. Chang (Hyuk-Jae); K. Chinnaiyan (Kavitha); B.J.W. Chow (Benjamin); M. Hadamitzky (Martin); J. Hausleiter (Jörg); G. Feuchtner (Gudrun); Y.-J. Kim (Yong-Jin); P.A. Kaufmann (Philipp A.); J. Leipsic (Jonathon); E. Maffei (Erica); G. Pontone (Gianluca); G.L. Raff (Gilbert); L.J. Shaw (Leslee); T.C. Villines (Todd); J.K. Min (James)

    2015-01-01

    textabstractObjective: Data describing the prevalence, characteristics and management of coronary chronic total occlusions (CTOs) in patients undergoing coronary CT angiography (CCTA) have not been reported. The purpose of this study was to determine the prevalence, characteristics and treatment str

  16. Transcatheter pulmonary valve perforation using chronic total occlusion wire in pulmonary atresia with intact ventricular septum

    Science.gov (United States)

    Bakhru, Shweta; Marathe, Shilpa; Saxena, Manish; Verma, Sudeep; Saileela, Rajan; Dash, Tapan K; Koneti, Nageswara Rao

    2017-01-01

    Background: Perforation of pulmonary valve using radiofrequency ablation in pulmonary atresia with intact ventricular septum (PA IVS) is a treatment of choice. However, significant cost of the equipment limits its utility, especially in the developing economies. Objective: To assess the feasibility, safety, and efficacy of perforation of pulmonary valve using chronic total occlusion (CTO) wires in patients with PA IVS as an alternative to radiofrequency ablation. Methods: This is a single-center, nonrandomized, retrospective study conducted during June 2008 to September 2015. Twenty-four patients with PA IVS were selected for the procedure during the study period. The median age and weight of the study population were 8. days and 2.65 kg, respectively. Four patients were excluded after right ventricular angiogram as they showed right ventricular-dependent coronary circulation. The pulmonary valve perforation was attempted using various types of CTO wires based on the tip load with variable penetrating characteristics. Results: The procedure was successful in 16 of twenty patients using CTO wires: Shinobi in nine, Miracle in four, CROSS-IT in two, and Conquest Pro in one. Two patients had perforation of right ventricular outflow tract (RVOT). Pericardiocentesis was required in one patient to relieve cardiac tamponade. Later, the same patient underwent successful hybrid pulmonary valvotomy. The other patient underwent ductus arteriosus (DA) stenting. Balloon atrial septostomy was needed in three cases with systemic venous congestion. Desaturation was persistent in five cases necessitating DA or RVOT stenting to augment pulmonary blood flow. There were two early and two late deaths. The mean follow-up was 22.66 ± 16 months. Three patients underwent one and half ventricle repair and one Blalock–Taussig shunt during follow-up. Conclusion: Perforation of the pulmonary valve can be done successfully using CTO wires in selected cases of pulmonary atresia with intact

  17. Average Neutron Total Cross Sections in the Unresolved Energy Range From ORELA High Resolutio Transmission Measurements

    Energy Technology Data Exchange (ETDEWEB)

    Derrien, H

    2004-05-27

    Average values of the neutron total cross sections of {sup 233}U, {sup 235}U, {sup 238}U, and {sup 239}Pu have been obtained in the unresolved resonance energy range from high-resolution transmission measurements performed at ORELA in the past two decades. The cross sections were generated by correcting the effective total cross sections for the self-shielding effects due to the resonance structure of the data. The self-shielding factors were found by calculating the effective and true cross sections with the computer code SAMMY for the same Doppler and resolution conditions as for the transmission measurements, using an appropriate set of resonance parameters. Our results are compared to results of previous measurements and to the current ENDF/B-VI data.

  18. Interpretation of the measurements of total, elastic, and diffractive cross sections at LHC

    Energy Technology Data Exchange (ETDEWEB)

    Lipari, Paolo [INFN sezione Roma ' ' La Sapienza' ' , Rome (Italy); Lusignoli, Maurizio [Universita di Roma ' ' La Sapienza' ' , Dipartimento di Fisica, Rome (Italy); INFN, Rome (Italy)

    2013-11-15

    Recently at LHC one has obtained measurements of the total, elastic, and diffractive cross sections in pp collisions at very high energy. The total cross section is in good agreement with predictions based on a leading behavior {sigma}{sub tot}(s){proportional_to}(lns/s{sub 0}){sup 2}, on the other hand the elastic cross section is lower than most expectations and the diffractive cross section is higher. It is remarkable that the ratio ({sigma}{sub el}+{sigma}{sub diff})/{sigma}{sub tot} calculated combining the results of the TOTEM and ALICE detectors is 0.495{sup +0.05}{sub -0.06}, very close to the maximum theoretically allowed value of 1/2 known as the Miettinen-Pumplin bound. In this work we discuss these results using the frameworks of single- and multi-channel eikonal models, and we outline the main difficulties for a consistent interpretation of the data. (orig.)

  19. Removal cross sections and total mass attenuation coefficients of fast neutrons and gamma rays for steel

    CERN Document Server

    Elsayed, A A

    2003-01-01

    The present work deals with the study of the attenuation properties and determination of the cross sections of fast neutrons and gamma rays for structure steel used in different applications in nuclear power plants, particle accelerators, research reactors and different radiation attenuation fields. Investigation has been performed by measuring the transmitted fast neutron and gamma ray spectra behind cylindrical samples of steel (rho=7.87 gem sup - sup 3) of different thicknesses. A reactor collimated beam and neutron - gamma spectrometer with stiblbene scintillator were used for measurements. The pluse shape disriminate technique based on zero cross over method was used to discriminate between neutron and gamma ray pulses. Effective removal cross-section (sigma sub R) and total mass attenuation coefficient (mu) of neureons and gamma rays have been achieved using the attenuation relations. Microscopic removal cross sections sigma sup 9 sup 8 and mass removal cross sections sigma sub R sub / subrho of fast ne...

  20. Total cross-section for photon-axion conversions in external electromagnetic field

    CERN Document Server

    Soa, D V; Tham, T D

    2014-01-01

    We reconsider the conversion of the photon into axion in the external electromagnetic fields, namely in the static fields and in a periodic field of the wave guide. The total cross-sections for the conversion are evaluated in detail. The result shows that with strong strength of external electromagnetic fields, the cross-sections are large enough to measure the axion production. In the wave guide there exists the resonant conversion at the low energies, in which the value of cross-sections is much enhanced

  1. Measurements of the Total, Elastic, Inelastic and Diffractive Cross Sections with the ATLAS Detector

    CERN Document Server

    AUTHOR|(INSPIRE)INSPIRE-00237700; The ATLAS collaboration

    2016-01-01

    The main results of the total, elastic and inelastic cross sections measurements performed by the ATLAS ALFA detectors are presented. The independent inelastic cross section measurement done using Minimum Bias Trigger Scintillators is also shown. Next, the single diffractive di-jet production and gap survival probability are briefly described. After the event selection, it was found that the diffractive component is needed for a more complete description of data. Finally, the exclusive lepton pair production analysis in electron and muon channels is also described. The measured cross sections were found to be consistent with the theory prediction.

  2. Pion-nucleus total cross-section data from LAMPF and BNL. [Neutron and proton radii

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, M.D.

    1976-01-01

    New measurements of pion-nucleus total cross sections were made at LAMPF and BNL. The results from LAMPF include measurement of the difference of the rms neutron and proton radii of /sup 48/Ca to be 0.08 +- 0.02 and that of /sup 18/O to be 0.19 +- 0.02. The BNL measurements provide a new phenomenology on the downshift and spreading of the (3-3) resonance in nuclei from the first data on heavy nuclei. A new technique for handling the Coulomb effects in total cross section measurements is discussed.

  3. Measurement of total reaction cross section of sup 6 He on sup 2 sup 8 Si

    CERN Document Server

    Chen Zhi Qiang; Zhan Wen Long; Guo Zhong Yan; Sun Zhi Yu; Li Jia Xing; Wang Meng; Tian Wen Dong; Wang Jian Song; Wang Wu Sheng; Mao Rui Shi; Bai Jie; Hu Zheng Guo; Chen Li Xin; Li Chen

    2002-01-01

    Total reaction cross section (sigma sub t) was measured for neutron-rich nuclei sup 6 He on sup 2 sup 8 Si target from about 20 to 40 MeV/u and compared with Warner's experimental data. It is found that the total cross section of sup 6 He on sup 2 sup 8 Si depends on the energy and it can be fitted well by Glauber model using two-term HO density distribution from high energy data of sup 6 He

  4. Total cross sections of positron-sodium scattering at low energies

    Institute of Scientific and Technical Information of China (English)

    Cheng Yong-Jun; Zhou Ya-Jun; Jiao Li-Guang

    2012-01-01

    A new calculation for the total cross section of positron-sodium scattering is performed in an energy range down to a few tenths of one electron volt using the coupled-channel optical method. The ionization continuum and the positronium formation channels are included via an equivalent-local complex potential.The role played by the break-up and rearrangement processes in the low energy positron-sodium scattering is also investigated.The total scattering cross section is reported and compared with the available theoretical and experimental data.

  5. Ionization of molecules by electron impact: Differential and total cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Rezkallah, Z. [Laboratoire de Physique Quantique et Systemes Dynamiques, Departement de physique, Faculte des sciences, Universite Ferhat Abbas, Setif 19000 (Algeria); Houamer, S., E-mail: hosalim@yahoo.com [Laboratoire de Physique Quantique et Systemes Dynamiques, Departement de physique, Faculte des sciences, Universite Ferhat Abbas, Setif 19000 (Algeria); Dal Cappello, C. [Laboratoire de Physique Moleculaire et des Collisions, Universite Paul Verlaine-Metz, Institut de Physique, 1 Boulevard Arago, 57078 Metz Cedex 3 (France); Charpentier, I. [Laboratoire de Physique et Mecanique des Materiaux, Universite Paul Verlaine-Metz UMR 7554, ile du Saulcy, 57045 Metz Cedex 1 (France); Roy, A.C. [School of Mathematical Sciences, Ramakrishna Mission Vivekananda University, Belur Math 711202, West Bengal (India)

    2011-12-01

    The first Born approximation is applied to calculate differential and total ionization cross sections of a set of small molecules, namely, HF, H{sub 2}O, NH{sub 3} and CH{sub 4} by electron impact. The molecular targets are described by single center molecular orbitals consisting of linear combinations of atomic orbitals (MO-LCAO). First, we have considered electron momentum spectroscopy experiments to check the accuracy of the wave functions. The triply, doubly, singly differential and total cross sections are then evaluated in a systematic way for a variety of kinematics. The results are discussed and compared with experiments.

  6. Hadron-hadron total cross sections and soft high-energy scattering on the lattice

    CERN Document Server

    Giordano, M

    2011-01-01

    The nonperturbative approach to soft high-energy hadron-hadron scattering, based on the analytic continuation of Euclidean Wilson-loop correlation functions, makes possible the investigation of the problem of the asymptotic energy dependence of hadron-hadron total cross sections by means of lattice calculations. In this contribution we compare the lattice numerical results to analytic results obtained with various nonperturbative techniques. We also discuss the possibility to obtain indications of the rise of hadron-hadron total cross sections with energy directly from the lattice data.

  7. Total Cross-sections at very high energies: from protons to photons

    CERN Document Server

    Godbole, R M; Pancheri, G; Srivastava, Y N

    2010-01-01

    A model for both proton and photon total cross-sections is presented and compared with data. The model is based on the eikonal representation, with QCD mini-jets to drive the rise and soft gluon kt-resummation into the Infrared region to tame the excessive rise due to low-x perturbative gluons. We discuss the effects of a singular but integrable expression for the Infrared gluon spectrum on the high energy behaviour of the total cross-section expected in this model.

  8. How fast is the growth of Total Cross Section at High Energies?

    CERN Document Server

    Fazal-e-Aleem, M; Sohail-Afzal, Tahir; Ayub-Faridi, M; Qadee-Afzal, M

    2003-01-01

    Relativistic Heavy Ion Collider and Large Hadron Colliders have special agenda for the measurements of the total cross sections at high energies giving us an opportunity to touch cosmic ray energies. Recent analyses of the cosmic ray data together with earlier experimental measurements at ISR and SPS gives us an insight about the behaviour of this important parameter at asymptotic energies. We will study the growth of total cross section at high energies in the light of various theoretical approaches with special reference to measurements at RHIC and LHC.

  9. How Fast Is the Growth of Total Cross Section at High Energies?

    Science.gov (United States)

    Aleem, F.; Rashid, Haris; Tahir, Sohail Afzal; Faridi, M. Ayub; Afzal, Qadeer, M.

    2003-07-01

    Relativistic Heavy Ion Collider and Large Hadron Colliders have special agenda for the measurements of the total cross sections at high energies giving us an opportunity to touch cosmic ray energies. Recent analyses of the cosmic ray data together with earlier experimental measurements at ISR and SPS gives us an insight about the behaviour of this important parameter at asymptotic energies. We will study the growth of total cross section at high energies in the light of various theoretical approaches with special reference to measurements at RHIC and LHC.

  10. Energy dependence of the 4He(π+,π-) total cross section

    Science.gov (United States)

    Gräter, J.; Bilger, R.; Clement, H.; Meier, R.; Wagner, G. J.; Friedman, E.; Schepkin, M.; Amaudruz, P. A.; Felawka, L.; Ottewell, D.; Smith, G. R.; Ambardar, A.; Hofman, G. J.; Kermani, M.; Tagliente, G.; Bonutti, F.; Camerini, P.; Grion, N.; Rui, R.; Hong, P.; Mathie, E. L.; Tacik, R.; Clark, J.; Sevior, M. E.; Patarakin, O.

    1998-09-01

    The total cross section of the 4He(π+,π-) reaction was measured for π+ kinetic energies ranging from 70 to 130 MeV using the CHAOS spectrometer at TRIUMF and a liquid 4He target. Around Tπ=90 MeV, total cross sections exceed conventional model predictions by a factor of 3, whereas at Tπ=70 MeV and for Tπ>130 MeV the data are consistent with these calculations. An attempt is made to understand this behavior by assuming the production of the hypothetical d' dibaryon.

  11. Total knee arthroplasty with subvastus approach in patient with chronic post-traumatic patellar dislocation.

    Science.gov (United States)

    Junqueira, Jader Joel Machado; Helito, Camilo Partezani; Bonadio, Marcelo Batista; Pécora, Jose Ricardo; Demange, Marco Kawamura

    2016-01-01

    Chronic lateral dislocation of the patella is a rare condition and acquired causes are usually secondary to knee trauma. The neglected chronic dislocation leads to progressive genu valgum and external tibial torsion deformities with subsequent gonarthrosis, which becomes painful and debilitating. There is no consensus regarding treatment of these patients, but total knee arthroplasty (TKA) is a useful therapy in cases of painful symptomatic gonarthrosis. Few reports have shown that subvastus approach and lateral release may be a valid option for TKA, since it allows the correction of valgus deformity and patellar tracking without interrupting vascular blood supply of patella. This article reports a case of TKA and extensor mechanism realignment without patellar resurfacing in a patient with genu valgum and chronic post-traumatic patellar dislocation with satisfactory results after two years of follow-up.

  12. Total knee arthroplasty with subvastus approach in patient with chronic post-traumatic patellar dislocation

    Directory of Open Access Journals (Sweden)

    Jader Joel Machado Junqueira

    Full Text Available ABSTRACT Chronic lateral dislocation of the patella is a rare condition and acquired causes are usually secondary to knee trauma. The neglected chronic dislocation leads to progressive genu valgum and external tibial torsion deformities with subsequent gonarthrosis, which becomes painful and debilitating. There is no consensus regarding treatment of these patients, but total knee arthroplasty (TKA is a useful therapy in cases of painful symptomatic gonarthrosis. Few reports have shown that subvastus approach and lateral release may be a valid option for TKA, since it allows the correction of valgus deformity and patellar tracking without interrupting vascular blood supply of patella. This article reports a case of TKA and extensor mechanism realignment without patellar resurfacing in a patient with genu valgum and chronic post-traumatic patellar dislocation with satisfactory results after two years of follow-up.

  13. Early assessment of percutaneous coronary interventions for chronic total occlusions analyzed by novel echocardiographic techniques

    Directory of Open Access Journals (Sweden)

    Ercan Erdogan

    2013-10-01

    Full Text Available OBJECTIVE: Successful revascularization of chronic total occlusions has been associated with improved left ventricular systolic function, reduced anginal symptoms, increased exercise capacity, and increased survival. This study was conducted to determine the impact of revascularization in chronic total occlusion on left ventricular function using novel echocardiographic techniques. METHODS: A total of 129 patients with chronic total occlusion who underwent revascularization between April 2011 and November 2012 were included in this study. Echocardiographic assessments with two-dimensional speckle tracking echocardiography and real-time three-dimensional echocardiography were performed before the procedure and one month after the procedure. The left ventricular ejection fraction, left ventricular volumes, and three-dimensional systolic dyssynchrony index were quantified. RESULTS: An immediate procedural success was obtained in 118 patients (91.5%. There were no acute or subacute stent thromboses during follow-up. The mean left ventricular ejection fraction significantly increased (p<0.001, while the left ventricular end-diastolic and end-systolic volumes significantly decreased (p = 0.001 and p<0.001, respectively. The three-dimensional systolic dyssynchrony index also decreased significantly (p<0.001. The global longitudinal strain showed a significant increase after successful revascularization (p<0.001. An increase in the global longitudinal strain was correlated with an increase in the left ventricular ejection fraction (r = 0.27, p = 0.02. The patients with a left ventricular ejection fraction ≥50% displayed a greater improvement in the global longitudinal strain, and the patients with diabetes showed less improvement. CONCLUSIONS: Using novel echocardiographic techniques, our results showed that restoring the coronary blood flow in chronic total occlusion patients reduces the left ventricular volumes and improves the left ventricular

  14. Measurement of the $Z/A$ dependence of neutrino charged-current total cross-sections

    CERN Document Server

    Kayis-Topaksu, A; Van Dantzig, R; De Jong, M; Konijn, J; Melzer, O; Oldeman, R G C; Pesen, E; Van der Poel, C A F J; Spada, F R; Visschers, J L; Güler, M; Serin-Zeyrek, M; Kama, S; Sever, R; Tolun, P; Zeyrek, M T; Armenise, N; Catanesi, M G; De Serio, M; Ieva, M; Muciaccia, M T; Radicioni, E; Simone, S; Bülte, A; Winter, Klaus; El-Aidi, R; Van de Vyver, B; Vilian, P; Wilquet, G; Saitta, B; Di Capua, E; Ogawa, S; Shibuya, H; Artamonov, A V; Brunner, J; Chizhov, M; Cussans, D G; Doucet, M; Fabre, Jean-Paul; Hristova, I R; Kawamura, T; Kolev, D; Litmaath, M; Meinhard, H; Panman, J; Papadopoulos, I M; Ricciardi, S; Rozanov, A; Saltzberg, D; Tsenov, R V; Uiterwijk, J W E; Zucchelli, P; Goldberg, J; Chikawa, M; Arik, E; Song, J S; Yoon, C S; Kodama, K; Ushida, N; Aoki, S; Hara, T; Delbar, T; Favart, D; Grégoire, G; Kalinin, S; Makhlyoueva, I V; Gorbunov, P; Khovanskii, V D; Shamanov, V V; Tsukerman, I; Bruski, N; Frekers, D; Rondeshagen, D; Wolff, T; Hoshino, K; Kawada, J; Komatsu, M; Miyanishi, M; Nakamura, M; Nakano, T; Narita, K; Niu, K; Niwa, K; Nonaka, N; Sato, O; Toshito, T; Buontempo, S; Cocco, A G; D'Ambrosio, N; De Lellis, G; De Rosa, G; Di Capua, F; Ereditato, A; Fiorillo, G; Marotta, A; Messina, M; Migliozzi, P; Pistillo, C; Santorelli, R; Scotto-Lavina, L; Strolin, P; Tioukov, V; Nakamura, K; Okusawa, T; Dore, U; Loverre, P F; Ludovici, L; Maslennikov, A L; Righini, P; Rosa, G; Santacesaria, R; Satta, A; Barbuto, E; Bozza, C; Grella, G; Romano, G; Sirignano, C; Sorrentino, S; Sato, Y; Tezuka, I

    2003-01-01

    A relative measurement of total cross-sections is reported for polyethylene, marble, iron, and lead targets for the inclusive charged-current reaction nu_mu + N -> mu^- + X. The targets, passive blocks of ~100kg each, were exposed simultaneously to the CERN SPS wide-band muon-neutrino beam over a period of 18 weeks. Systematics effects due to differences in the neutrino flux and detector efficiency for the different target locations were minimised by changing the position of the four targets on their support about every two weeks. The relative neutrino fluxes on the targets were monitored within the same experiment using charged-current interactions in the calorimeter positioned directly downstream of the four targets. From a fit to the Z/A dependence of the total cross-sections a value is deduced for the effective neutron-to-proton cross-section ratio.

  15. Total hadronic cross-section data and the Froissart-Martin bound

    Energy Technology Data Exchange (ETDEWEB)

    Fagundes, Daniel Almeida; Menon, Marcio Jose; Silva, Paulo Victor Recchia Gomes, E-mail: precchia@ifi.unicamp.br, E-mail: menon@ifi.unicamp.br [Universidade Estadual de Campinas (UNICAMP), SP (Brazil). Instituto de Fisica Gleb Wataghin

    2012-07-01

    The energy dependence of the total hadronic cross section at high energies is investigated with focus on the recent experimental result by the Total Elastic and Diffractive Cross-section Measurement Collaboration at 7 TeV and the Froissart-Martin bound. On the basis of a class of analytical parametrization with the exponent y in the leading logarithm contribution as a free parameter, different variants of fits to pp and pp total cross-section data above 5 GeV are developed. Two ensembles are considered, the first comprising data up to 1.8 TeV and the second also including the data collected at 7 TeV. We show that in all fit variants applied to the first ensemble, the exponent is statistically consistent with y = 2. Applied to the second ensemble, however, the same variants yield y values above 2, a result already obtained in two other analysis, by Amaldi et al. and by the UA4/2 Collaboration. As recently discussed by Azimov, this faster-than-squared logarithm rise does not necessarily violate unitarity. Our results suggest that the energy dependence of the hadronic total cross section at high energies still constitutes an open problem. (author)

  16. Total Nuclear Reaction Cross Section Induced by Halo Nuclei and Stable Nuclei

    Institute of Scientific and Technical Information of China (English)

    GUO Wen-Jun; JIANG Huan-Qing; LIU Jian-Ye; ZUO Wei; REN Zhong-Zhou; LEE Xi-Guo

    2003-01-01

    We develop a method for calculation of the total reaction cross sections induced by the halo nuclei and stable. nuclei. This approach is based on the Glauber theory, which is valid for nuclear reactions at high energies. It is extended for nuclear reactions at low energies and intermediate energies by including both the quantum correction and Coulomb correction under the assumption of the effective nuclear density distribution. The calculated results of the total reaction cross section induced by stable nuclei agree well with 30 experimental data within 10 percent accuracy. The comparison between the numerical results and 20 experimental data for the total nuclear reaction cross section induced by the neutron halo nuclei and the proton halo nuclei indicates a satisfactory agreement after considering the halo structure of these nuclei, which implies quite different mean fields for the nuclear reactions induced by halo nuclei and stable nuclei. The halo nucleon distributions and the root-mean-square radii of these nuclei can be extracted from the above comparison based on the improved Glauber model, which indicates clearly the halo structures of these nuclei. Especially,it is clear to see that the medium correction of the nucleon-nucleon collision has little effect on the total reaction cross sections induced by the halo nuclei due to the very weak binding and the very extended density distribution.

  17. Total Nuclear Reaction Cross Section Induced by Halo Nuclei and Stable Nuclei

    Institute of Scientific and Technical Information of China (English)

    GUOWen-Jun; JIANGHuan-Qing; LIUJian-Ye; ZUOWei; RENZhong-Zhou; LEEXi-Guo

    2003-01-01

    We develop a method for calculation of the total reaction cross sections induced by the halo nuclei and stable nuclei. This approach is based on the Glauber theory, which is valid for nuclear reactions at high energies. It is extended for nuclear reactions at low energies and intermediate energies by including both the quantum correction and Coulomb correction under the assumption of the effective nuclear density distribution. The calculated results of the total reaction cross section induced by stable nuclei agree well with 30 experimental data within 10 percent accuracy.The comparison between the numerical results and 20 experimental data for the total nuclear reaction cross section induced by the neutron halo nuclei and the proton halo nuclei indicates a satisfactory agreement after considering the halo structure of these nuclei, which implies quite digerent mean fields for the nuclear reactions induced by halo nuclei and stable nuclei. The halo nucleon distributions and the root-mean-square radii of these nuclei can be extracted from the above comparison based on the improved Glauber model, which indicates clearly the halo structures of these nuclei. Especially,it is clear to see that the medium correction of the nucleon-nucleon collision has little effect on the total reaction cross sections, induced by the halo nuclei due to the very weak binding and the very extended density distribution.

  18. Measurement of the energy dependence of the total photon-proton cross section at HERA

    NARCIS (Netherlands)

    Abramowicz, H.; Abt, I.; Adamczykm, L.; Adamus, M.; Aggarwal, R.; Antonelli, S.; Antonioli, P.; Antonov, A.; Arneodo, M.; Aushev, V.; Aushev, Y.; Bachynska, O.; Bamberger, A.; Barakbaev, A. N.; Barbagli, G.; Bari, G.; Barreiro, F.; Bartsch, D.; Basile, M.; Behnke, O.; Behr, J.; Behrens, U.; Bellagamba, L.; Bertolin, A.; Bhadra, S.; Bindi, M.; Blohm, C.; Bokhonov, V.; Bold, T.; Boos, E. G.; Borras, K.; Boscherini, D.; Boutle, S. K.; Brock, I.; Brownson, E.; Brugnera, R.; Bruemmer, N.; Bruni, A.; Bruni, G.; Brzozowska, B.; Bussey, P. J.; Butterworth, J. M.; Bylsma, B.; Caldwell, A.; Capua, M.; Carlin, R.; Catterall, C. D.; Chekanov, S.; Chwastowski, J.; Ciborowski, J.; Ciesielski, R.; Cifarelli, L.; Cindolo, F.; Contin, A.; Cooper-Sarkar, A. M.; Coppola, N.; Corradi, M.; Corriveau, F.; Costa, M.; D'Agostini, G.; Dal Corso, F.; del Peso, J.; Dementiev, R. K.; De Pasquale, S.; Derrick, M.; Devenish, R. C. E.; Dobur, D.; Dolgoshein, B. A.; Dolinska, G.; Doyle, A. T.; Drugakov, V.; Durkin, L. S.; Dusini, S.; Eisenberg, Y.; Ermolov, P. F.; Eskreys, A.; Fazio, S.; Ferrando, J.; Ferrero, M. I.; Figiel, J.; Forrest, M.; Foster, B.; Fourletov, S.; Gach, G.; Galas, A.; Gallo, E.; Garfagnini, A.; Geiser, A.; Gialas, I.; Gladilin, L. K.; Gladkov, D.; Glasman, C.; Gogota, O.; Golubkov, Yu. A.; Goettlicher, P.; Grabowska-Bold, I.; Grebenyuk, J.; Gregor, I.; Grigorescu, G.; Grzelak, G.; Gueta, O.; Gwenlan, C.; Haas, T.; Hain, W.; Hamatsu, R.; Hart, J. C.; Hartmann, H.; Hartner, G.; Hilger, E.; Hochman, D.; Hori, R.; Horton, K.; Huettmann, A.; Iacobucci, G.; Ibrahim, Z. A.; Iga, Y.; Ingbir, R.; Ishitsuka, M.; Jakob, H. -P.; Januschek, F.; Jimenez, M.; Jones, T. W.; Juengst, M.; Kadenko, I.; Kahle, B.; Kamauddin, B.; Kananov, S.; Kanno, T.; Karshon, U.; Karstens, F.; Katkov, I. I.; Kaurg, M.; Kaur, P.; Keramidas, A.; Khein, L. A.; Kim, J. Y.; Kisielewska, D.; Kitamura, S.; Klanner, R.; Klein, U.; Kooijman, P.; Korol, Ie.; Korzhavina, I. A.; Kotanski, A.; Koetz, U.; Kowalski, H.; Kulinski, P.; Kuprash, O.; Kuze, M.; Lee, A.; Levchenko, B. B.; Libov, V.; Limentani, S.; Ling, T. Y.; Lisovyi, M.; Lobodzinska, E.; Lohmann, W.; Loehr, B.; Lohrmann, E.; Loizides, J. H.; Long, K. R.; Longhin, A.; Lontkovskyi, D.; Lukina, O. Yu.; Luniak, P.; Maeda, J.; Magill, S.; Makarenko, I.; Malka, J.; Mankel, R.; Margotti, A.; Marini, G.; Mastroberardino, A.; Mattingly, M. C. K.; Melzer-Pellmann, I. -A.; Miglioranzi, S.; Idris, F. Mohamad; Monaco, V.; Montanari, A.; Mujkic, K.; Musgrave, B.; Nagano, K.; Namsoo, T.; Nania, R.; Nicholass, D.; Nigro, A.; Ning, Y.; Noor, U.; Notz, D.; Nowak, R. J.; Nuncio-Quiroz, A. E.; Oh, B. Y.; Okazaki, N.; Oliver, K.; Olkiewicz, K.; Onishchuk, Yu.; Papageorgiu, K.; Parenti, A.; Pawlak, J. M.; Pawlik, B.; Pelfer, P. C.; Pellegrino, A.; Perlanski, W.; Perrey, H.; Piotrzkowski, K.; Plucinski, P.; Pokrovskiy, N. S.; Polini, A.; Proskuryakov, A. S.; Przybycien, M.; Raval, A.; Reeder, D. D.; Reisert, B.; Ren, Z.; Repond, J.; Ri, Y. D.; Robertson, A.; Roloff, P.; Ron, E.; Rubinsky, I.; Ruspa, M.; Sacchi, R.; Salii, A.; Samson, U.; Sartorelli, G.; Savin, A. A.; Saxon, D. H.; Schioppa, M.; Schlenstedt, S.; Schleper, P.; Schmidke, W. B.; Schneekloth, U.; Schoenberg, V.; Schoerner-Sadenius, T.; Schwartz, J.; Sciulli, F.; Shcheglova, L. M.; Shehzadi, R.; Singh, I.; Skillicorn, I. O.; Slominski, W.; Smith, W. H.; Sola, V.; Solano, A.; Son, D.; Sosnovtsev, V.; Spiridonov, A.; Stadie, H.; Stanco, L.; Stern, A.; Stewart, T. P.; Stifutkin, A.; Stopa, P.; Suchkov, S.; Susinno, G.; Suszycki, L.; Sztuk-Dambietz, J.; Szuba, D.; Szuba, J.; Tapper, A. D.; Tassi, E.; Terron, J.; Theedt, T.; Tiecke, H.; Tokushuku, K.; Tomalak, O.; Tomaszewska, J.; Tsurugai, T.; Turcatov, M.; Tymieniecka, T.; Uribe-Estrada, C.; Vazquez, M.; Verbytskyi, A.; Viazlo, O.; Vlasov, N. N.; Volynets, O.; Walczak, R.; Abdullah, W. A. T. Wan; Whitmore, J. J.; Whyte, J.; Wing, M.; Wlasenko, M.; Wolf, G.; Wolfe, H.; Wrona, K.; Yaguees-Molina, A. G.; Yamada, S.; Yamazaki, Y.; Yoshida, R.; Youngman, C.; Zarnecki, A. F.; Zawiejski, L.; Zenaiev, O.; Zeuner, W.; Zhautykov, B. O.; Zhmak, N.; Zichichi, A.; Zolko, M.; Zotkin, D. S.; Zulkapli, Z.

    2011-01-01

    The energy dependence of the photon-proton total cross section, sigma(gamma p)(tot), was determined from e(+) p scattering data collected with the ZEUS detector at HERA at three values of the center-of-mass energy, W, of the gamma p system in the range 194

  19. QCD Contributions to the Froissart bound for the total cross-section

    CERN Document Server

    Achilli, A; Pancheri, G; Srivastava, Y N

    2008-01-01

    We discuss the effect of infrared soft gluons on the asymptotic behaviour of the total cross-section. We use a singular but integrable expression for the strong coupling constant in the infrared limit and relate its behaviour to the satisfaction of the Froissart bound, giving a specific phenomenological example.

  20. A simple functional form for proton-nucleus total reaction cross sections

    CERN Document Server

    Amos, K A

    2002-01-01

    A simple functional form has been found that gives a good representation of the total reaction cross sections for the scattering of protons from (15) nuclei spanning the mass range ${}^{9}$Be to ${}^{238}$U and for proton energies ranging from 20 to 300 MeV.

  1. Evidence of Ni break-up from total production cross sections in p+Ni collisions

    CERN Document Server

    Budzanowski, A; Filges, D; Goldenbaum, F; Hodde, H; Jarczyk, L; Kamys, B; Kistryn, M; Kistryn, St; Kliczewski, St; Kowalczyk, A; Kozik, E; Kulessa, P; Machner, H; Magiera, A; Piskor-Ignatowicz, B; Pysz, K; Rudy, Z; Siudak, R; Wojciechowski, M

    2009-01-01

    The total production cross sections of light charged particles (LCPs), intermediate mass fragments (IMFs) and heavy reaction products of p+Ni collisions available in the literature have been compared with predictions of a two-step model in the proton beam energy range from reaction threshold up to approximately 3 GeV. Model cross sections were calculated assuming, that the reaction proceeds via an intranuclear cascade of nucleon-nucleon collisions followed by evaporation of particles from an equilibrated, heavy target residuum. The shape of the excitation functions was well described by model calculations for all reaction products. The magnitude of the cross sections was reasonably well reproduced for heavy reaction products, i.e. for nuclei heavier than Al, but the cross sections for lighter products were systematically underestimated. This fact was used as an argument in favor of a significant break-up contribution to the reaction mechanism. The present conclusions are supported by recently published result...

  2. Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total Occlusion Intervention

    Directory of Open Access Journals (Sweden)

    Abdul-rahman R. Abdel-karim

    2016-01-01

    Full Text Available Interventricular septal hematoma is a rare complication of retrograde chronic total occlusion (CTO percutaneous coronary interventions (PCI with a typically benign course. Here we report two cases of interventricular septal hematoma and coronary-cameral fistula development after right coronary artery (RCA CTO-PCI using a retrograde approach. Both were complicated by development of ST-segment elevation and chest pain. One case was managed actively and the other conservatively, both with a favorable outcome.

  3. Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total Occlusion Intervention

    Science.gov (United States)

    Abdel-karim, Abdul-rahman R.; Main, Michael L.

    2016-01-01

    Interventricular septal hematoma is a rare complication of retrograde chronic total occlusion (CTO) percutaneous coronary interventions (PCI) with a typically benign course. Here we report two cases of interventricular septal hematoma and coronary-cameral fistula development after right coronary artery (RCA) CTO-PCI using a retrograde approach. Both were complicated by development of ST-segment elevation and chest pain. One case was managed actively and the other conservatively, both with a favorable outcome. PMID:27668097

  4. Pain catastrophizing as a risk factor for chronic pain after total knee arthroplasty: a systematic review

    Directory of Open Access Journals (Sweden)

    Burns LC

    2015-01-01

    Full Text Available Lindsay C Burns,1–3 Sarah E Ritvo,1 Meaghan K Ferguson,1 Hance Clarke,3–5 Ze’ev Seltzer,3,5 Joel Katz1,3–5 1Department of Psychology, York University, Toronto, ON, Canada; 2Arthritis Research Centre of Canada, Vancouver, BC, Canada; 3Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, ON, Canada; 4Department of Anesthesia, University of Toronto, Toronto, ON, Canada; 5Centre for the Study of Pain, Faculties of Dentistry and Medicine, University of Toronto, Toronto, ON, Canada Background: Total knee arthroplasty (TKA is a common and costly surgical procedure. Despite high success rates, many TKA patients develop chronic pain in the months and years following surgery, constituting a public health burden. Pain catastrophizing is a construct that reflects anxious preoccupation with pain, inability to inhibit pain-related fears, amplification of the significance of pain vis-à-vis health implications, and a sense of helplessness regarding pain. Recent research suggests that it may be an important risk factor for untoward TKA outcomes. To clarify this impact, we systematically reviewed the literature to date on pain catastrophizing as a prospective predictor of chronic pain following TKA. Methods: We searched MEDLINE, EMBASE, and PsycINFO databases to identify articles related to pain catastrophizing, TKA, risk models, and chronic pain. We reviewed titles and abstracts to identify original research articles that met our specified inclusion criteria. Included articles were then rated for methodological quality. including methodological quality. Due to heterogeneity in follow-up, analyses, and outcomes reported across studies, a quantitative meta-analysis could not be performed. Results: We identified six prospective longitudinal studies with small-to-mid-sized samples that met the inclusion criteria. Despite considerable variability in reported pain outcomes, pain catastrophizing was identified as a significant

  5. Differentiation of acute total occlusion of coronary artery from chronic total occlusion in coronary computed tomography angiography

    Energy Technology Data Exchange (ETDEWEB)

    Kwag, Hyon Joo [Sungkyunkwan Univ. School of Medicine, Seoul (Korea, Republic of)

    2012-08-15

    To compare the features of coronary computed tomography angiography (CCTA) imaging of the patients with acute total occlusion (ATO) of coronary artery with those of chronic total occlusion (CTO). CCTA of 26 patients with complete interruption of the coronary artery in CCTA and occlusion in conventional coronary angiography, were retrospectively analyzed. Discrimination between the ATO group (n = 11, patients with non ST elevation myocardial infarction or unstable angina) and the CTO group (n = 15, patients with stable angina or nonspecific symptom) was arbitrarily determined by clinical diagnosis. Lesion length, remodeling index (RI), plaque density measured by Hounsfield units (HU), plaque composition, percentage attenuation drop across the lesion, and presence of myocardial thinning were evaluated. Comparisons between the ATO and CTO groups revealed significantly shorter lesion length in the ATO group (0.40 cm vs. 1.87 cm, respectively; p = 0.001), and significantly higher RI (1.56 vs. 1.10, respectively; p = 0.004). Plaque density of the ATO group was lower (37.0 HU vs. 104.7 HU, respectively; p < 0.001) and non calcified plaque was frequently seen in the ATO group (72.7% vs. 26.7%, respectively; p = 0.02). Percentage attenuation drop across the lesion was lower for the ATO group (10.92% vs. 25.44%, respectively; p = 0.005). Myocardial thinning was exclusively observed in the CTO group (seven of 15 patients, p = 0.01). CCTA shows various statistically significant differences between the ATO and CTO groups.

  6. Integral elastic, electronic-state, ionization, and total cross sections for electron scattering with furfural

    Science.gov (United States)

    Jones, D. B.; da Costa, R. F.; Varella, M. T. do N.; Bettega, M. H. F.; Lima, M. A. P.; Blanco, F.; García, G.; Brunger, M. J.

    2016-04-01

    We report absolute experimental integral cross sections (ICSs) for electron impact excitation of bands of electronic-states in furfural, for incident electron energies in the range 20-250 eV. Wherever possible, those results are compared to corresponding excitation cross sections in the structurally similar species furan, as previously reported by da Costa et al. [Phys. Rev. A 85, 062706 (2012)] and Regeta and Allan [Phys. Rev. A 91, 012707 (2015)]. Generally, very good agreement is found. In addition, ICSs calculated with our independent atom model (IAM) with screening corrected additivity rule (SCAR) formalism, extended to account for interference (I) terms that arise due to the multi-centre nature of the scattering problem, are also reported. The sum of those ICSs gives the IAM-SCAR+I total cross section for electron-furfural scattering. Where possible, those calculated IAM-SCAR+I ICS results are compared against corresponding results from the present measurements with an acceptable level of accord being obtained. Similarly, but only for the band I and band II excited electronic states, we also present results from our Schwinger multichannel method with pseudopotentials calculations. Those results are found to be in good qualitative accord with the present experimental ICSs. Finally, with a view to assembling a complete cross section data base for furfural, some binary-encounter-Bethe-level total ionization cross sections for this collision system are presented.

  7. Chronic fatigue syndrome--a controlled cross sectional study

    DEFF Research Database (Denmark)

    Rasmussen, A K; Nielsen, H; Andersen, V

    1994-01-01

    OBJECTIVE. To look for signs of immunodeficiencies and/or longstanding infections underlying chronic fatigue syndrome (CFS). METHODS. Twenty-one patients fulfilling the Centers for Disease Control criteria for CFS were compared to 21 age and sex matched controls. A number of viral antibodies...

  8. Zero momentum gluons and the total pp and pbarp cross-sections

    CERN Document Server

    Achilli, A; Grau, A; Pancheri, G; Srivastava, Y N

    2008-01-01

    We describe a QCD motivated model for total cross-sections which uses the eikonal representation and incorporates QCD mini-jets to drive the rise with energy of the cross-section, while the impact parameter distribution is obtained through the Fourier transform of the transverse momentum distribution of soft gluons emitted in the parton-parton interactions giving rise to mini-jets in the final state. A singular but integral expression for the running coupling constant in the infrared region is part of this model.

  9. Accelerating cross-validation with total variation and its application to super-resolution imaging

    CERN Document Server

    Obuchi, Tomoyuki; Akiyama, Kazunori; Kabashima, Yoshiyuki

    2016-01-01

    We develop an approximation formula for the cross-validation error (CVE) of a sparse linear regression penalized by $\\ell_1$-norm and total variation terms, which is based on a perturbative expansion utilizing the largeness of both the data dimensionality and the model. The developed formula allows us to reduce the necessary computational cost of the CVE evaluation significantly. The practicality of the formula is tested through application to simulated black-hole image reconstruction on the event-horizon scale with super resolution. The results demonstrate that our approximation reproduces the CVE values obtained via literally conducted cross-validation with reasonably good precision.

  10. Neutrino Energy Reconstruction and the Shape of the CCQE-like Total Cross Section

    CERN Document Server

    Nieves, J; Simo, I Ruiz; Vacas, M J Vicente

    2012-01-01

    We show that because of the multinucleon mechanism effects, the algorithm used to reconstruct the neutrino energy is not adequate when dealing with quasielastic-like events, and a distortion of the total flux unfolded cross section shape is produced. This amounts to a redistribution of strength from high to low energies, which gives rise to a sizable excess (deficit) of low (high) energy neutrinos. This distortion of the shape leads to a good description of the MiniBooNE unfolded CCQE-like cross sections published in Phys.Rev. D81 (2010) 092005. However, these changes in the shape are artifacts of the unfolding process that ignores multinucleon mechanisms.

  11. Total reaction cross sections of 50 and 65 MeV pions on nuclei

    Science.gov (United States)

    Meirav, O.; Friedman, E.; Altman, A.; Hanna, M.; Johnson, R. R.; Gill, D. R.

    1987-09-01

    Total reaction cross sections have been measured for 50 and 65 MeV π+/- on C, O, 18O, S, Ca, and Zr. The motivation for this experiment is to obtain cross sections to act as constraints in optical model fits to elastic scattering data. Measurements using the ``poor geometry'' transmission method were made for exceptionally small angles with the aim of improving the accuracy of the extrapolation to zero solid angle. At these small solid angles the muon cone from pion decay contributes significantly and its effects were explicitly included. The accuracies of the elastic correction are evaluated by using error matrix techniques and an additional systematic error is included.

  12. Why photoproduction of charmonium on nuclei does not measure the charmonium-nucleon total cross section

    Energy Technology Data Exchange (ETDEWEB)

    Benhar, O.; Kopeliovich, B.Z.; Mariotti, C.; Nikolaev, N.N.; Zakharov, B.G. (Department of Physics, University of Illinois at Urbana-Champaign, Urbana, Illinois 61801 (United States) Laboratory of Nuclear Physics, Joint Institute for Nuclear Research, Head Post Office, P. O. Box 79, 101000 Moscow (Russia) Istituto Nazionale di Fisica Nucleare Sezione Sanita, Physics Laboratory-Istituto Superiore di Sanita, viale Regina Elena 299, I-00161 Roma (Italy) Dipartimento di Fisica Teorica, Universita di Torino and Istituto Nazionale di Fisica Nucleare, Sezione di Torino, via P. Giuria, 1, I-10125 Torino (Italy) L. D. Landau Institute for Theoretical Physics, GSP-1, 117940, ul. Kosygina 2, V-334 Moscow (Russia) Nuclear Research Institute, High Energy Laboratory, Moscow State University, 177234 Moscow (Russia))

    1992-08-24

    We show that color transparency produces either strong nuclear shadowing or antishadowing, depending on the specific (semi)exclusive photoproduction reaction off nuclei. Neither coherent nor quasielastic diffractive photoproduction of charmonium on nuclei measures the charmonium-nucleon total cross section and the vector-dominance-model interpretation of nuclear photoproduction data cannot be applied. We relate the {ital A} dependence of the coherent and quasielastic photoproduction cross sections and derive the energy dependence of shadowing. The results are in good agreement with the New Muon Collaboration data.

  13. Chronic pain and pain medication use in chronic obstructive pulmonary disease. A cross-sectional study.

    Science.gov (United States)

    Roberts, Melissa H; Mapel, Douglas W; Hartry, Ann; Von Worley, Ann; Thomson, Heather

    2013-08-01

    Pain is a common problem for patients with chronic obstructive pulmonary disease (COPD). However, pain is minimally discussed in COPD management guidelines. The objective of this study was to describe chronic pain prevalence among patients with COPD compared with similar patients with other chronic diseases in a managed care population in the southwestern United States (age ≥ 40 yr). Using data for the period January 1, 2006 through December 31, 2010, patients with COPD were matched to two control subjects without COPD but with another chronic illness based on age, sex, insurance, and healthcare encounter type. Odds ratios (OR) for evidence of chronic pain were estimated using conditional logistic regression. Pulmonary function data for 200 randomly selected patients with COPD were abstracted. Retrospectively analyzed recurrent pain-related utilization (diagnoses and treatment) was considered evidence of chronic pain. The study sample comprised 7,952 patients with COPD (mean age, 69 yr; 42% male) and 15,904 patients with other chronic diseases (non-COPD). Patients with COPD compared with non-COPD patients had a higher percentage of chronic pain (59.8 vs. 51.7%; P pain-related medications (41.2 vs. 31.5%; P Hispanic ethnicity, and comorbidities, patients with COPD had higher odds of chronic pain (OR, 1.56; 95% confidence interval [CI], 1.43-1.71), chronic use of pain-related medications (OR, 1.60; 95% CI, 1.46-1.74), and chronic use of short-acting or long-acting opioids (OR, 1.74; 95% CI, 1.57-1.92). Chronic pain and opioid use are prevalent among adults with COPD. This finding was not explained by the burden of comorbidity.

  14. Cross-cultural adaptation and validation of Persian Achilles tendon Total Rupture Score.

    Science.gov (United States)

    Ansari, Noureddin Nakhostin; Naghdi, Soofia; Hasanvand, Sahar; Fakhari, Zahra; Kordi, Ramin; Nilsson-Helander, Katarina

    2016-04-01

    To cross-culturally adapt the Achilles tendon Total Rupture Score (ATRS) to Persian language and to preliminary evaluate the reliability and validity of a Persian ATRS. A cross-sectional and prospective cohort study was conducted to translate and cross-culturally adapt the ATRS to Persian language (ATRS-Persian) following steps described in guidelines. Thirty patients with total Achilles tendon rupture and 30 healthy subjects participated in this study. Psychometric properties of floor/ceiling effects (responsiveness), internal consistency reliability, test-retest reliability, standard error of measurement (SEM), smallest detectable change (SDC), construct validity, and discriminant validity were tested. Factor analysis was performed to determine the ATRS-Persian structure. There were no floor or ceiling effects that indicate the content and responsiveness of ATRS-Persian. Internal consistency was high (Cronbach's α 0.95). Item-total correlations exceeded acceptable standard of 0.3 for the all items (0.58-0.95). The test-retest reliability was excellent [(ICC)agreement 0.98]. SEM and SDC were 3.57 and 9.9, respectively. Construct validity was supported by a significant correlation between the ATRS-Persian total score and the Persian Foot and Ankle Outcome Score (PFAOS) total score and PFAOS subscales (r = 0.55-0.83). The ATRS-Persian significantly discriminated between patients and healthy subjects. Explanatory factor analysis revealed 1 component. The ATRS was cross-culturally adapted to Persian and demonstrated to be a reliable and valid instrument to measure functional outcomes in Persian patients with Achilles tendon rupture. II.

  15. Fast-neutron total and scattering cross sections of sup 58 Ni and nuclear models

    Energy Technology Data Exchange (ETDEWEB)

    Smith, A.B.; Guenther, P.T.; Whalen, J.F. (Argonne National Lab., IL (United States)); Chiba, S. (Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment)

    1991-07-01

    The neutron total cross sections of {sup 58}Ni were measured from {approx} 1 to > 10 MeV using white-source techniques. Differential neutron elastic-scattering cross sections were measured from {approx} 4.5 to 10 MeV at {approx} 0.5 MeV intervals with {ge} 75 differential values per distribution. Differential neutron inelastic-scattering cross sections were measured, corresponding to fourteen levels with excitations up to 4.8 MeV. The measured results, combined with relevant values available in the literature, were interpreted in terms of optical-statistical and coupled-channels model using both vibrational and rotational coupling schemes. The physical implications of the experimental results nd their interpretation are discussed in the contexts of optical-statistical, dispersive-optical, and coupled-channels models. 61 refs.

  16. Amino acids analysis by total neutron cross-sections determinations: part V

    Energy Technology Data Exchange (ETDEWEB)

    Voi, Dante L.; Ferreira, Francisco de O., E-mail: dante@ien.gov.br, E-mail: fferreira@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Rocha, Helio F. da, E-mail: helionutro@hotmail.com [Universidade Federal do Rio de Janeiro (IPPMG/UFRJ), Rio de Janeiro, RJ (Brazil). Instituto de Pediatria

    2013-07-01

    Total neutron cross-sections of twenty essential and non-essential amino acids to human were determined using crystal spectrometer installed on the Argonauta reactor of IEN (Instituto de Engenharia Nuclear (CNEN-RJ) and compared with data generated by parceling and grouping methodologies developed at this institution. For each amino acid was calculated the respective neutron cross-section by molecular structure, conformation and chemistry analysis. The results obtained for eighteen of twenty amino acids confirm the specifications and product formulations indicated by manufactures. These initial results allow to build a neutron cross-sections database as part of quality control of the amino supplied to hospitals for production of nutriments for parenteral or enteral formulations used in critical patients dependent on artificial feed, and for application in future studies of structure and dynamics for more complex molecules, including proteins, enzymes, fatty acids, membranes, organelles and other cell components. (author)

  17. Electron impact total and ionization cross-sections for some hydrocarbon molecules and radicals

    Energy Technology Data Exchange (ETDEWEB)

    Vinodkumar, M. [Open Univ., Dept. of Physics and Astronomy, Milton Keynes MK (United Kingdom); Vinodkumar, M. [VP and RPTP Science College, Vallabh Vidyanagar, Gujarat (India); Joshipura, K.N.; Limbachiya, C.G. [Sardar Patel Univ., Dept. of Physics, Vallabh Vidyanagar, Gujarat (India); Limbachiya, C.G. [PS Science College, Kadi (N.G.), Gujarat (India); Antony, B.K. [Massachusetts Lowell Univ., Dept. of Environmental, Earth and Atmospheric Sciences, Lowell, MA (United States)

    2006-01-15

    Electron impact total (50 to 2000 eV) and ionization (threshold to 2000 eV) cross-sections are calculated using the SCOP (spherical complex optical potential) and CSP-ic (complex scattering potential-ionization contribution) methods for the hydrocarbon molecules (CH{sub 4}, C{sub 2}H{sub 2}, C{sub 2}H{sub 4}, C{sub 2}H{sub 6}, C{sub 3}H{sub 4}, C{sub 3}H{sub 6} and C{sub 3}H{sub 8}) and radicals (CH{sub x} (x=1-3)). Present method has already been tested successfully to other plasma molecules and radicals. Our results exhibited in this paper show good agreement with experimental results where available. For the radical species, we have presently done a first estimate of the total cross-sections. (authors)

  18. Elastic scattering and total reaction cross sections with low-energy light radioactive ion beams.

    Directory of Open Access Journals (Sweden)

    Guimarães Valdir

    2011-10-01

    Full Text Available Elastic scattering experiments have being performed with low-energy radioactive ion beams produced by the RIBRAS facility in Sao Paulo, Brazil. Here I present the results for elastic scattering of 6He on several targets and light beams on 12C target. Special emphasis is given to the analysis of experiments were angular distributions for the elastic scattering of beryllium isotopes projectiles, 7Be, 9Be and 10Be, on a light target 12C were obtained. These elastic scattering angular distributions have been analysed in terms of optical model using the double-folding Sao Paulo potential. From this analysis, the total reaction cross section were also deduced and compared to the total reaction cross sections for many other light projectiles on 12C target. The comparison was made in terms of Universal Function reduction method.

  19. Clinical outcome of successful percutaneous coronary intervention for chronic total occlusion: results from the multicenter Korean Chronic Total Occlusion (K-CTO) registry.

    Science.gov (United States)

    Kim, Byeong-Keuk; Shin, Sanghoon; Shin, Dong-Ho; Hong, Myeong-Ki; Gwon, Hyeon-Cheol; Kim, Hyo-Soo; Yu, Cheol Woong; Park, Hun Sik; Chae, In-Ho; Rha, Seung-Woon; Lee, Seung-Hwan; Kim, Moo-Hyun; Hur, Seung-Ho; Jang, Yangsoo

    2014-06-01

    To investigate the impact of the success or failure of chronic total occlusion (CTO) interventions on the clinical outcomes in the current drug-eluting stent (DES) era. The impact of the successful CTO intervention on long-term clinical outcomes still remains unclear. Between 2007 and 2009, a total of 2568 patients with CTO were followed in a multicenter Korean CTO registry. Of these, successful recanalization with DESs occurred in 2045 patients (successful CTO group), whereas failure occurred in 523 patients (failed CTO group). The occurrence of the composite of cardiac death and myocardial infarction (MI) was compared between the successful CTO and failed CTO groups. During follow-up (median duration, 729 days), the occurrence of cardiac death or MI was significantly lower in the successful CTO group than in the failed CTO group (1.7% vs 3.3%; hazard ratio, 0.50; 95% confidence interval, 0.28-0.91; P=.02) and the cumulative occurrence in the successful CTO group was also significantly lower than in the failed CTO group (1.7% vs 3.0%; P=.03) by the Kaplan-Meier method. The successful CTO group had a significantly lower need for bypass surgery than the failed CTO group (0.2% vs 2.5%; PCTO (odds ratio, 0.51; 95% CI, 0.29-0.92) was significantly predictive of the occurrence of cardiac death or MI, together with age and left ventricular ejection fraction CTO intervention with DESs compared to failed CTO intervention was associated with lower event rates during follow-up.

  20. Long-term clinical outcomes after successful and failed recanalization to native chronic Total occlusion: Insights from the Busan chronic Total occlusion (B-CTO) Registry.

    Science.gov (United States)

    Kim, Moo Hyun; Mitsudo, Kazuaki; Jin, Cai De; Kim, Tae Hyung; Cho, Young-Rak; Park, Jong-Sung; Park, Kyungil; Park, Tae-Ho; Serebruany, Victor

    2016-06-01

    To assess hard major adverse clinical events (HMACE) after successful versus failed percutaneous coronary intervention for chronic total occlusion (PCI-CTO). There are limited data regarding long-term HMACE risks based on PCI-CTO success. First-time PCI was performed in 438 consecutive patients with 473 target CTO lesions. Patients after procedural success (n=355; 378 CTO lesions) and failure (n=83; 95 CTO lesions) were followed for an average 40months (7-77months range). We compared HMACE (composite of cardiac death, non-fatal myocardial infarction (MI), and stroke) dependent on the success of PCI. The incidence of HMACE was low, with a total of 16 events, and did not differ {6% vs.3.1%, HR=0.47; CI [0.16-1.35; p=0.162} dependent on the success of PCI-CTO. There were less cardiac deaths {0.3% vs. 1.2%, RR=0.22; CI [0.01-3.50];p=0.283}, non fatal MI {1.1% vs.3.6%, RR=0.27; CI [0.06-1.22], p=0.089}, but more strokes {1.7% vs.1.2%, RR=1.32; CI [0.16-10.99], p=0.795} after successful PCI-CTO. The risks of HMACE after PCI-CTO over long-term follow-up were minimal, and do not depend on the procedure success. This unexpected finding somewhat challenge the aggressive interventional approach, and should be confirmed in the adequately powered randomized trial. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. The total nucleon-nucleon cross section at large N_c

    CERN Document Server

    Cohen, Thomas D

    2012-01-01

    It is shown that at sufficiently large $N_c$ for incident momenta which are much larger than the QCD, the total nucleon-nucleon cross section is independent of incident momentum and given by $\\sigma^{\\rm total}=2 \\pi \\log^2(N_c) / (m^2_{\\pi})$. This result is valid in the extreme large $N_c$ regime of $\\log(N_c) \\gg 1$ and has corrections of relative order $\\log (\\log(N_c))/\\log(N_c)$. A possible connection of this result to the Froissart-Martin bound is discussed.

  2. Evaluation of cross-reactive antibody response to HVR1 in chronic hepatitis C

    Science.gov (United States)

    Xiu, Bing-Shui; Feng, Xiao-Yan; He, Jing; Wang, Guo-Hua; Zhang, Xiang-Ying; Zhang, He-Qiu; Song, Xiao-Guo; Chen, Kun; Ling, Shi-Gan; Zhu, Cui-Xia; Wei, Lai; Rao, Hui-Ying

    2010-01-01

    AIM: To evaluate the presence and cross-reactive antibodies against hypervariable region 1 (HVR1) in hepatitis C virus (HCV) infected patients and its relationship with the progression of the disease. METHODS: Sixteen representative HVR1 proteins selected from a unique set of 1600 natural sequences were used to semiquantitate the cross-reactivity of HVR1 antibodies in the sera of HCV patients. Fifty-five chronic HCV patients including 23 with asymptomatic mild hepatitis, 18 with chronic hepatitis and 16 with liver cirrhosis patients were studied. RESULTS: The degree of the cross-reactivity of anti-HVR1 antibodies in 23 patients with mild asymptomatic hepatitis was 3.09 ± 2.68, which was significantly lower than in those with chronic hepatitis (5.44 ± 3.93, P < 0.05) and liver cirrhosis (7.44 ± 3.90, P < 0.01). No correlation was observed between the broadness of the cross-reactivity anti-HVR1 antibodies and patient’s age, infection time, serum alanine aminotransferase activity, or serum HCV-RNA concentration. It was the breath of cross-reactivity rather than the presence of anti-HVR1 antibody in HCV sera that was associated with the progression of liver disease. CONCLUSION: The broadly cross-reactive HVR1 antibodies generated in natural HCV patients can not neutralize the virus, which results in persistent infection in patients with chronic hepatitis. PMID:20845515

  3. Hadronic Total Cross-sections Through Soft Gluon Summation in Impact Parameter Space

    OpenAIRE

    1999-01-01

    The Bloch-Nordsieck model for the parton distribution of hadrons in impact parameter space, constructed using soft gluon summation, is investigated in detail. Its dependence upon the infrared structure of the strong coupling constant $\\alpha_s$ is discussed, both for finite as well as singular, but integrable, $\\alpha_s$. The formalism is applied to the prediction of total proton-proton and proton-antiproton cross-sections, where screening, due to soft gluon emission fro...

  4. Measurement of Total Reaction Cross-sections with Heavy Ions at the SC

    CERN Multimedia

    2002-01-01

    The aim of this experiment is the measurement of heavy ion total reaction cross-sections in the energy range 40-86 MeV/A with the anti-coincidence beam attenuation technique. A system of 19 @DE scintillation detectors together with a time-of-flight measurement is used for detection of the residual beam. The results will complete measurements at the Grenoble cyclotron and post accelerator over the energy range 10-40 MeV/A.

  5. Total cross sections for neutron scattering from few nucleon systems. I. Measurements.

    Science.gov (United States)

    Abfalterer, W. P.; Bateman, F. B.; Dietrich, F. S.; Elster, Ch.; Finlay, R. W.; Glöckle, W.; Golak, J.; Haight, R. C.; Hüber, D.; Morgan, G. L.; Witala, H.

    1998-04-01

    We have recently measured neutron total cross sections for hydrogen and the total cross section difference for deuterium-hydrogen (d-h) over a wide energy range (approximately 10-600 MeV projectile energy). These measurements were made by an attenuation technique at the LANSCE/WNR facility using samples of D_2O, H_2O, C_8H_18, and CH2 with a technique similar to that applied in Ref. [1]. The results for d-h are in significant disagreement with previous measurements of this quantity (up to 9% near 80 MeV). The results have been used to test the Faddeev description of the n+d total cross section between 10 and 300 MeV as reported in the following abstract. [1mm] [1] R.W. Finlay et al., Phys. Rev. C47, 237 (1993) [2mm] ^ This work is supported in part by the U.S. Department of Energy under Contracts W-7405-ENG-48 (LLNL), W-7405-ENG-36 (LANL), and DE-FG02-93ER40756 (Ohio U.), the Deutsche Forschungsgemeinschaft (DFG), the Ohio Supercomputer Center (OSC) and the HLRZ Jülich.

  6. Comparison of CT-RECTOR and J-CTO scores to predict chronic total occlusion difficulty for percutaneous coronary intervention.

    Science.gov (United States)

    Tan, Yahang; Zhou, Jia; Zhang, Wei; Zhou, Ying; Du, Luoshan; Tian, Feng; Guo, Jun; Chen, Lian; Cao, Feng; Chen, Yundai

    2017-05-15

    We sought to evaluate the ability of the CT-RECTOR and J-CTO scores to predict time-efficient guidewire (GW) crossing through a chronic total occlusion (CTO) and final procedure success. Data from 191 consecutive CTO lesions with pre-procedural coronary computed tomography angiography (CCTA) from our center were analyzed retrospectively. The difficulty of the procedure was classified as easy, intermediate, difficult, or very difficult according to CT-RECTOR and J-CTO scores. A successful GW crossing within 30min was set as the first endpoint. Final success of the procedure was set as the second endpoint. Receiver operating characteristic curves and net reclassification improvement (NRI) were used to compare the performance of both scores in predicting both endpoints. The first and second endpoints were achieved in 55% and 76% of lesions, respectively. The NRI for prediction for both endpoints were 30.21% and 28.94%, respectively. Use of the CT-RECTOR score demonstrated a positive NRI for both the first (p=0.0027) and second (p=0.0190) endpoints. Compared with the J-CTO score (area under the curve: 0.76), the CT-RECTOR score (area under the curve: 0.85) yielded a higher predictive value for successful GW crossing within 30min (p=0.0018). Compared with J-CTO, the CT-RECTOR scoring system provides a more accurate noninvasive tool for predicting time-efficient GW crossing and final procedure success. This scoring system, which is based on CCTA, may aid in the identification of very difficult CTO lesions and downstream management. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  7. Recanalization of Chronic Total Occlusion Lesions: A Critical Appraisal of Current Devices and Techniques

    Science.gov (United States)

    2016-01-01

    Chronic Total Occlusion (CTO) has been considered as one of the “final frontier” in interventional cardiology. Until recently, the patients with CTO are often managed surgically or medically due to lack of published evidence of clinical benefits and lower success rate of percutaneous recanalization of CTO. However, the introduction of enhanced guidewires, microcatheters combined with novel specialized devices and techniques reduce the number of unapproachable CTO. In this review article, current techniques and devices of percutaneous recanalization of CTO have been systematically summarized, which may help budding interventional cardiologists to theoretically understand these complex procedures and to deliver safe and effective percutaneous management of CTO to the patients. PMID:27790503

  8. Guidewires used in first intentional single wiring strategy for chronic total occlusions of the left anterior descending coronary artery

    Directory of Open Access Journals (Sweden)

    Yasser S Nassar

    2013-01-01

    Full Text Available Background: Percutaneous coronary intervention (PCI for chronic total occlusion (CTO of the left anterior descending (LAD specifically is associated with improved long-term 5 year survival as compared to PCI failure.The procedure is associated with usage of different types of dedicated guidewires by simple or complex techniques aiming to reopen the occluded artery. Aim: To describe types and outcome of guidewires used in LAD-CTO utilizing a first intentional single wiring simple strategy. Methods: A single center prospective registry for all consecutive patients with a PCI attempt to a native LAD CTO. The initial strategy for lesion crossing was Single wiring. Results: A total of 30 patients with LAD CTO lesions (100%, were recorded. Mean age was 71.6 + 15 years, 77% were Males, risk factors Hypertension in 63%, Diabetes 27%, Dyslipidemia 57%, smoking 40%, hereditary in 13% of patients. Isolated guidewire (GW success rate was very high 93%. Single wiring was the prevailing technique used in 97% of successfull lesions (83% of total cases while only 3% were by multiple wiring techniques. Successful single antegrade wiring represented 63% with a GW success rate of 92% of cases. Successful single retrograde wiring represented 13% with a GW success rate of 67%. Successful Crossing GW types in our patients were 44% Soft Tapered GWs; fielder XT (44%, 36% were Soft Non Tapered Pilot 50 (28%, whisper (8%, while 16% were Stiff Non tapered GWs; Miracle 12 (8%, Miracle 6 (4%, Miracle 3 (4%, and 4% were Stiff Tapered GWs; Progress 200 (4%. Conclusions: Single wiring as an initial strategy in PCI for LAD-CTO lesions has a high success rate and is associated with a 44% majority of Soft Tapered GWs, 36% Soft Non Tapered, 16% Stiff Non tapered GWs, and 4% Stiff Tapered GWs.

  9. Total ionization cross sections for Benzene, Furan and Tetrahydro furan on electron impact

    Science.gov (United States)

    Limbachiya, C. G.; Vinodkumar, M.; Gangopadhyay, S.; Joshipura, K. N.

    2007-10-01

    Industrial society has increased human exposure to thousands of chemicals in the environment e.g. Benzene (C6H6), Furan (C4H4O) and Tetrahydrofuran (C4H8O). Of particular concern is the potential hazard of these chemicals to produce cancer. The molecules are thus biologically and industrially important. In this paper we have examined scattering of electrons (from threshold to 5 keV) from these targets and calculated the total ionization cross sections. We used complex optical potential formalism (SCOP) [1, 2] to calculate total inelastic cross section Qinel. We have developed a method, Complex Scattering Potential -- ionization contribution (CSP-ic) to extract ionization cross sections Qion from calculated Qinel. Ref. [1] M.Vinodkumar, K.N.Joshipura, C.G.Limbachiya & B.K.Antony, Eur. J. Phys. D. 37 (2006) 67 [2] M.Vinodkumar, K.N.Joshipura, C.G.Limbachiya & B.K.Antony, Phys. Rev A 74 (2006) 022721

  10. Measurements of inelastic, elastic and total pp cross-sections at the LHC with ATLAS

    CERN Document Server

    Trottier-McDonald, Michel; The ATLAS collaboration

    2015-01-01

    First, a recent measurement of the inelastic cross section using the ATLAS detector with 63 $\\mu b^{−1}$ of proton-proton collisions at $\\sqrt{s}=13$ TeV is presented. The measurement is performed using scintillators mounted in front of the forward calorimeters. A cross section of $65.2\\pm0.8$ (exp.) $\\pm5.9$ (lum.) mb is measured in the fiducial region $M_X>13$ GeV, where $M_X$ is the larger of the dissociation masses of the two proton systems in diffractive events. The experimental uncertainty is indicated by (exp.) and the luminosity uncertainty by (lum.). The full inelastic cross section is determined to be $73.1\\pm0.9$ (exp.) $\\pm6.6$ (lum.) $\\pm3.8$ (extr.) mb, where (extr.) indicates model-dependent uncertainties on the extrapolation from the fiducial region. The measured value is about one standard deviation below most current theoretical predictions. Second, a measurement of the total $pp$ cross section at the LHC at $\\sqrt{s}=7$ TeV is presented. In a special run with high-$\\beta^*$ beam optics, a...

  11. Vitamin E diffused highly cross-linked polyethylene in total hip arthroplasty at five years

    DEFF Research Database (Denmark)

    Nebergall, Audrey K; Greene, M. E.; Laursen, M B

    2017-01-01

    AIMS: The objective of this five-year prospective, blinded, randomised controlled trial (RCT) was to compare femoral head penetration into a vitamin E diffused highly cross-linked polyethylene (HXLPE) liner with penetration into a medium cross-linked polyethylene control liner using radiostereome......AIMS: The objective of this five-year prospective, blinded, randomised controlled trial (RCT) was to compare femoral head penetration into a vitamin E diffused highly cross-linked polyethylene (HXLPE) liner with penetration into a medium cross-linked polyethylene control liner using...... radiostereometric analysis. PATIENTS AND METHODS: Patients scheduled for total hip arthroplasty (THA) were randomised to receive either the study E1 (32 patients) or the control ArComXL polyethylene (35 patients). The median age (range) of the overall cohort was 66 years (40 to 76). RESULTS: The five-year median...... (interquartile range) proximal femoral head penetration into the E1 was -0.05 mm (-0.13 to -0.02) and 0.07 mm (-0.03 to 0.16) for ArComXL. At three and five years, the penetration was significantly greater in the ArComXL group compared with the E1 group (p = 0.029 and p = 0.019, respectively). All patient...

  12. Improved Neutron Capture Cross Section Measurements with the n_TOF Total Absorption Calorimeter

    CERN Document Server

    Mendoza, E; Perkowski, J; Andriamonje, S; Carrapico, C; Moinul, M; Vannini, G; Quesada, J M; Harrisopulos, S; Milazzo, P M; Berthier, B; Lozano, M; Krticka, M; Domingo-Pardo, C; Nolte, R; Chiaveri, E; Saarmento, H; Jericha, E; Ferrari, A; Massimi, C; Giubrone, G; Avrigeanu, V; Martinez, T; Guerrero, C; Andrzejewski, J; Karadimos, D; Mengoni, A; Ganesan, S; Vlachoudis, V; Becares, V; Cortes, G; Variale, V; Losito, H; Calvino, F; Kappeler, F; Gunsing, F; Gramegna, F; Colonna, N; Marrone, S; Pavlik, A; Berthoumieux, E; Paradela, C; Mastinu, P F; Vaz, P; Tassan-Got, L; Kadi, Y; Tarrio, D; Cano-Ott, D; Brugger, M; Wallner, A; Audouin, L; Fernandez-Ordonez, M; Becvar, F; Goncalves, I F; Cerutti, F; Ventura, A; Mosconi, M; Tagliente, G; Duran, I; Casado, A; Ioannides, K; Weiss, C; Mirea, M; Gomez-Hornillos, M B; Vlastou, R; Calviani, M; Lederer, C; Gonzalez-Romero, E; Marganiec, J; Vidriales, J J; Lebbos, E; Leeb, H; Heil, M; Dillmann, I; Tain, J L; Belloni, F

    2011-01-01

    The n\\_TOF collaboration operates a Total Absorption Calorimeter (TAC) {[}1] for measuring neutron capture cross-sections of low-mass and/or radioactive samples. The results obtained with the TAC have led to a substantial improvement of the capture cross sections of (237)Np and (240)Pu {[}2]. The experience acquired during the first measurements has allowed us to optimize the performance of the TAC and to improve the capture signal to background ratio, thus opening the way to more complex and demanding measurements on rare radioactive materials. The new design has been reached by a series of detailed Monte Carlo simulations of complete experiments and dedicated test measurements. The new capture setup will be presented and the main achievements highlighted.

  13. Total and elastic electron scattering cross sections from Xe at intermediate and high energies

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, G [Instituto de Matematicas y Fisica Fundamental, CSIC, Serrano 123, 28006 Madrid (Spain); Pablos, J L de [Departamento de Fusion y Particulas Elementales, CIEMAT, Avenida Complutense 22, 28040 Madrid (Spain); Blanco, F [Departamento de Fisica Atomica Molecular y Nuclear, Universidad Complutense de Madrid, 28040 Madrid (Spain); Williart, A [Departamento de Fisica de los Materiales, UNED, Senda del Rey 9, 28040 Madrid (Spain)

    2002-11-28

    Experimental total electron scattering cross sections from Xe in the energy range 300-5000 eV have been obtained with experimental errors of about 3%. The method was based on the measurement of the attenuation of a linear electron beam through a Xe gas cell in combination with an electron spectroscopy technique to analyse the energy of the transmitted electrons. Differential and integral elastic cross sections have been calculated using a scattering potential method which includes relativistic effects. The consistency of our theoretical and experimental results is also discussed in the paper. Finally, analytical formulae depending on two parameters, namely the number of target electrons and the atomic polarizability, are given to reproduce the experimental data for Ne, Ar, Kr and Xe in the energy range 500-10 000 eV.

  14. Chronic obstructive pulmonary disease prevalence in Lebanon: a cross-sectional descriptive study

    Directory of Open Access Journals (Sweden)

    Waked M

    2011-11-01

    Full Text Available Mirna Waked1, George Khayat2, Pascale Salameh31Saint George Hospital University Medical Center, Beirut, Lebanon; 2Faculty of Medicine, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon; 3Faculties of Pharmacy and Public Health, Lebanese University, Beirut, LebanonBackground: Chronic obstructive pulmonary disease (COPD continues to increase worldwide. The objective of this study was to determine the prevalence of COPD in Lebanese adults.Methods: A cross-sectional study was carried out using a multistage cluster sample from all over Lebanon. Residents aged 40 years and over were enrolled. Subjects underwent baseline spirometry and answered a questionnaire. After an albuterol + ipratropium bromide bronchodilator, a posttest was performed.Results: Of 2201 individuals, only 33.3% had never smoked. The prevalence of COPD by the Global Initiative for Chronic Obstructive Lung Disease definition, was 9.7% (95% confidence interval [CI]: 8.5%–10.9%. According to the 5% lower limit of normal definition of COPD, the prevalence was 12.5% (95% CI: 11.2%–13.9%. A total of 20.2% were already diagnosed by a physician. No differences in symptoms across stages of COPD were found, but there was a significant trend for a higher number of visits to the emergency room and to the doctor (P < 0.001, and a higher number of hospitalizations (P < 0.001. Older individuals had an increased risk of COPD (adjusted odds ratio [ORa] = 1.05; so did “ever” cigarette smokers (ORa = 4.88 and water-pipe smokers (ORa = 2.53.Conclusion: This is the first epidemiological study in Lebanon that determined COPD prevalence and the link with water-pipe smoking.Keywords: COPD, prevalence, water-pipe smoking

  15. First direct measurement of the total cross section of 12C(alpha,gamma)16O

    CERN Document Server

    Schuermann, D; D'Onofrio, A; Gialanella, L; Imbriani, G; Kunz, R; Leva, A D; Lubritto, C; Ordine, A; Roca, V; Rogalla, D; Rolfs, C; Romano, M; Schuemann, F; Strieder, F; Terrasi, F; Trautvetter, H P

    2005-01-01

    The total cross section of 12C(alpha,gamma)16O was measured for the first time by a direct and ungated detection of the 16O recoils. This measurement in inverse kinematics using the recoil mass separator ERNA in combination with a windowless He gas target allowed to collect data with high precision in the energy range E=1.9 to 4.9 MeV. The data represent new information for the determination of the astrophysical S(E) factor.

  16. Cross-sectional Assessment of Daily Physical Activity in Chronic Obstructive Pulmonary Disease Lung Transplant Patients

    NARCIS (Netherlands)

    Bossenbrock, Linda; ten Thicken, Nick H. T.; van der Bij, Wim; Verschuuren, Erik A. M.; Koeter, Gerard H.; de Greef, Mathieu H. G.

    Background: information about daily physical activity of chronic obstructive pulmonary disease (COPD) lung transplant patients is relevant for evaluation of the functional recovery of physical capacity after lung transplantation. The objective of this study was to cross-sectionally assess daily

  17. The chinese version of achilles tendon total rupture score: cross-cultural adaptation, reliability and validity.

    Science.gov (United States)

    Cui, Jin; Jia, Zhenyu; Zhi, Xin; Li, Xiaoqun; Zhai, Xiao; Cao, Liehu; Weng, Weizong; Zhang, Jun; Wang, Lin; Chen, Xiao; Su, Jiacan

    2017-01-05

    The Achilles tendon Total Rupture Score (ATRS), which is originally developed in 2007 in Swedish, is the only patient-reported outcome measure (PROM) for specific outcome assessment of an Achilles tendon rupture.Purpose of this study is to translate and cross-culturally adapt Achilles tendon Total Rupture Score (ATRS) into simplified Chinese, and primarily evaluate the responsiveness, reliability and validity. International recognized guideline which was designed by Beaton was followed to make the translation of ATRS from English into simplified Chinese version (CH-ATRS). A prospective cohort study was carried out for the cross-cultural adaptation. There were 112 participants included into the study. Psychometric properties including floor and ceiling effects, Cronbach's alpha, intraclass correlation coefficient, effect size, standard response mean, and construct validity were tested. The mean scores of CH-ATRS are 57.42 ± 13.70. No sign of floor or ceiling effect was found of CH-ATRS. High level of internal consistency was supported by the value of Cronbach's alpha (0.893). ICC (0.979, 95%CI: 0.984-0.993) was high to indicate the high test-retest reliability. Great responsive ness was proved with the high absolute value of ES and SRM (0.84 and 8.98, respectively). The total CH-ATRS score had very good correlation with physical function and body pain subscales of SF-36 (r = -0.758 and r = -0.694, respectively, p Achilles tendon Total Rupture Score (CH-ATRS) can be used as a reliable and valid instrument for Achilles tendon rupture assessing in Chinese-speaking population. Level of evidence II.

  18. Chronic obstructive pulmonary disease and cardiac comorbidities: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Mohit Kaushal

    2016-01-01

    Full Text Available Introduction: Chronic obstructive pulmonary disease (COPD is a global health issue with cigarette smoking being an important risk factor. COPD affects pulmonary blood vessels, right ventricle, as well as left ventricle leading to the development of pulmonary hypertension (PH, cor-pulmonale (COR-P, right and left ventricular dysfunction. Echocardiography provides a rapid, noninvasive, portable, and accurate method to evaluate cardiac functions. Early diagnoses and intervention for cardiac comorbidities would reduce mortalities. Materials and Methods: A cross-sectional study. Total 50 patients of moderate to severe COPD according to GOLD guidelines were taken from Department of Respiratory Medicine, Smt. B. K. Shah Medical Institute and Research Centre, Vadodara. All patients underwent investigations such as chest X-ray PA view, ECG, and spirometry followed by two-dimensional echocardiography. Results: We investigated 49 males and 1 female patients ranging from 35 to 80 years of age. Twenty-nine individuals were of moderate COPD and twenty-one of severe COPD. Of these cases 29 had left ventricular diastolic dysfunction (LVDD changes, 24 were diagnosed with PH and 16 had changes of COR-P. The study showed the linear relation between the severity of LVDD, PH, and COR-P with the severity of COPD. Conclusion: Our study put emphasis on early cardiac screening of all COPD patients which will be helpful in the assessment of the prognosis and will further assist in identifying the individuals likely to suffer increase morbidity and mortality.

  19. Comparison of pathology of chronic total occlusion with and without coronary artery bypass graft

    Science.gov (United States)

    Sakakura, Kenichi; Nakano, Masataka; Otsuka, Fumiyuki; Yahagi, Kazuyuki; Kutys, Robert; Ladich, Elena; Finn, Aloke V.; Kolodgie, Frank D.; Virmani, Renu

    2014-01-01

    Aims The aim of our study was to investigate chronic total occlusion (CTO) in human coronary arteries to clarify the difference between CTO with prior coronary artery bypass graft (CABG) and those without prior CABG. Methods and results A total of 95 CTO lesions from 82 patients (61.6 ± 14.0 years, male 87.8%) were divided into the following three groups: CTO with CABG (n = 34) (CTO+CABG), CTO without CABG—of long-duration (n = 49) (LD-CTO) and short-duration (n = 12) (SD-CTO). A histopathological comparison of the plaque characteristics of CTO, proximal and distal lumen morphology, and negative remodelling between groups was performed. A total of 1127 sections were evaluated. Differences in plaque characteristics were observed between groups as follows: necrotic core area was highest in SD-CTO (18.6%) (LD-CTO: 7.8%; CTO+CABG: 4.5%; P = 0.02); calcified area was greatest in CTO+CABG (29.2%) (LD-CTO: 16.8%; SD-CTO: 12.1%; P = 0.009); and negative remodelling was least in SD-CTO [remodelling index (RI) 0.86] [CTO+CABG (RI): 0.72 and LD-CTO (RI): 0.68; P CTO patients with and without CABG. PMID:24126875

  20. Optical model predictions for total cross sections for scattering of neutrons from {sup 40}Ca

    Energy Technology Data Exchange (ETDEWEB)

    Chinn C.R.; Elster, C.; Thaler, R.M.

    1993-10-01

    Measurements of neutron total cross sections are both extensive and extremely accurate. Although they should place a strong constraint on theoretically constructed optical models, there are relatively few comparisons of optical model predictions with those experiments. We have calculated total cross sections for neutron scattering from {sup 40}Ca as a function of energy from 100 - 600 MeV laboratory energy with a microscopic first order optical potential derived within the framework of the Watson expansion. Although the results are already in qualitative agreement with the data, the inclusion of medium corrections to the propagator using a recently derived microscopic mean field approach, is essential for correctly predicting the energy dependence given by the experiment. In the region below 200 MeV, where our off-shell tp calculations over predict the experiment, the modification due to the nuclear medium reduces the calculated values, whereas above 200 MeV, these corrections tend to compensate for the under prediction of the off-shell t{rho} results.

  1. Isotopic molybdenum total neutron cross section in the unresolved resonance region

    Science.gov (United States)

    Bahran, R.; Barry, D.; Block, R.; Leinweber, G.; Rapp, M.; Daskalakis, A.; Blain, E.; Williams, D.; McDermott, B.; Leal, L.; Danon, Y.

    2015-08-01

    Accurate isotopic molybdenum nuclear data are important because molybdenum can exist in nuclear reactor components including fuel, cladding, or as a high yield fission product. High-resolution time-of-flight neutron transmission measurements on highly enriched isotopic metallic samples of 95Mo , 96Mo , 98Mo , and 100Mo were performed in the resonance energy range from 1 to 620 keV . The measurements were taken with the newly developed modular 6Li -glass transmission detector positioned at the 100-m experimental flight station. In the unresolved energy region (URR), new comprehensive methods of analysis were developed and validated in order to obtain accurate neutron total cross-section data from the measurement by correcting for background and transmission enhancement effects. Average parameters and fits to the total cross section for 95Mo were obtained using the Hauser-Feshbach statistical model code fitacs, which is currently incorporated into the sammy code. The fits to the experimental data deviate from the current evaluated nuclear data file/B-VII.1 isotopic Mo evaluations by several percent in the URR.

  2. Hadronic total cross sections at high energy and the QCD spectrum

    CERN Document Server

    Giordano, Matteo

    2014-01-01

    We show how to obtain the leading energy dependence of hadronic total cross sections, in the framework of the nonperturbative approach to soft high-energy scattering based on Wilson-loop correlation functions, if certain nontrivial analyticity assumptions are satisfied. The total cross sections turn out to be of "Froissart" type, $\\sigma_{\\rm tot}^{(hh)}(s) \\mathop\\sim B\\log^2 s$ for ${s \\to \\infty}$. We also discuss under which conditions the coefficient $B$ is universal, i.e., independent of the hadrons involved in the scattering process. In the most natural scenarios for universality, $B$ can be related to the stable spectrum of QCD, and is predicted to be $B_{\\rm th}\\simeq 0.22~{\\rm mb}$, in fair agreement with experimental results. If we consider, instead, the stable spectrum of the quenched (i.e., pure-gauge) theory, we obtain a quite larger value $B^{(Q)}_{\\rm th} \\ge 0.42~{\\rm mb}$, suggesting (quite surprisingly) large unquenching effects due to the sea quarks.

  3. Total cross sections for neutron scattering from few nucleon systems. II. Theoretical considerations.^.

    Science.gov (United States)

    Elster, Ch.; Abfalterer, W. P.; Bateman, F. B.; Dietrich, F. S.; Finlay, R. W.; Glöckle, W.; Golak, J.; Haight, R. C.; Hüber, D.; Morgan, G. L.; Witala, H.

    1998-04-01

    New high precision measurements of the difference in neutron total cross sections of deuterium and hydrogen (d-h) were performed for neutron energies between 10 and 600 MeV. The results are compared to state-of-the-art Faddeev calculations of the n+d total cross section between 10 and 300 MeV, which systematically underpredict the experiment above 100 MeV. This result is not very sensitive to the type of modern NN interaction employed. Further, the convergence of the Faddeev multiple scattering series is demonstrated. We therefore conclude that the Faddeev description is inadequate above 100 MeV projectile energy. We also consider the first and second order terms in the multiple scattering series in the high energy limit to study shadowing effects. [1mm] ^ This work is supported in part by the U.S. Department of Energy under Contracts W-7405-ENG-48 (LLNL), W-7405-ENG-36 (LANL), and DE-FG02-93ER40756 (Ohio U.), the Deutsche Forschungsgemeinschaft (DFG), the Ohio Supercomputer Center (OSC) and the HLRZ Jülich.

  4. Model for neutron total cross-section at low energies for nuclear grade graphite

    Energy Technology Data Exchange (ETDEWEB)

    Galván Josa, V.M. [Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), FaMAF, Universidad Nacional de Córdoba (Argentina); Dawidowski, J., E-mail: javier@cab.cnea.gov.ar [Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Comisión Nacional de Enegía Atómica-Universidad Nacional de Cuyo (Argentina); Santisteban, J.R.; Malamud, F. [Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Comisión Nacional de Enegía Atómica-Universidad Nacional de Cuyo (Argentina); Oliveira, R.G. [Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), CIQUIBIC, Fac. Cs. Químicas, Universidad Nacional de Córdoba (Argentina)

    2015-04-21

    At subthermal neutron energies, polycrystalline graphite shows a large total cross-section due to small angle scattering processes. In this work, a new methodology to determine pore size distributions through the neutron transmission technique at subthermal energies is proposed and its sensitivity is compared with standard techniques. A simple model based on the form factor for spherical particles, normally used in the Small Angle Neutron Scattering technique, is employed to calculate the contribution of small angle effect to the total scattering cross-section, with the width and center of the radii distributions as free parameters in the model. Small Angle X-ray Scattering experiments were performed to compare results as a means to validate the method. The good agreement reached reveals that the neutron transmission technique is a useful tool to explore small angle scattering effects. This fact can be exploited in situations where large samples must be scanned and it is difficult to investigate them with conventional methods. It also opens the possibility to apply this method in energy-resolved neutron imaging. Also, since subthermal neutron transmission experiments are perfectly feasible in small neutron sources, the present findings open new possibilities to the work done in such kind of facilities.

  5. Percutaneous Retrograde Recanalization of a Chronic Total Coronary Artery Occlusion in a 7 Year Old

    Energy Technology Data Exchange (ETDEWEB)

    Natal-Hernandez, Luz; Meadows, Jeffery; Shunk, Kendrick A.; Boyle, Andrew J., E-mail: aboyle@medicine.ucsf.edu

    2013-03-15

    The arterial switch operation for correction of transposition of the great arteries can be complicated by late stenosis or occlusion of the coronary arteries that are re-implanted to the new aorta. We report the case of a young boy who underwent this operation as a neonate and was found to have an occluded anomalous left anterior descending artery (LAD) before age 3. Subsequent bypass surgery was complicated by anastomotic stricture and kinking of the left internal mammary artery graft to the LAD. At age 7, the LAD territory showed reversible ischemia on nuclear perfusion testing and he was referred for percutaneous coronary intervention. A combined approach with pediatric and adult interventional cardiologists resulted in successful retrograde PCI to recanalize the chronic total occlusion of the LAD. Important features of this technique in pediatric patients are discussed.

  6. Total molecular photoionization cross-sections by algebraic diagrammatic construction-Stieltjes-Lanczos method: Benchmark calculations

    Science.gov (United States)

    Ruberti, M.; Yun, R.; Gokhberg, K.; Kopelke, S.; Cederbaum, L. S.; Tarantelli, F.; Averbukh, V.

    2013-10-01

    In [K. Gokhberg, V. Vysotskiy, L. S. Cederbaum, L. Storchi, F. Tarantelli, and V. Averbukh, J. Chem. Phys. 130, 064104 (2009)] we introduced a new {L}2ab initio method for the calculation of total molecular photoionization cross-sections. The method is based on the ab initio description of discretized photoionized molecular states within the many-electron Green's function approach, known as algebraic diagrammatic construction (ADC), and on the application of Stieltjes-Chebyshev moment theory to Lanczos pseudospectra of the ADC electronic Hamiltonian. Here we establish the accuracy of the new technique by comparing the ADC-Lanczos-Stieltjes cross-sections in the valence ionization region to the experimental ones for a series of eight molecules of first row elements: HF, NH3, H2O, CO2, H2CO, CH4, C2H2, and C2H4. We find that the use of the second-order ADC technique [ADC(2)] that includes double electronic excitations leads to a substantial systematic improvement over the first-order method [ADC(1)] and to a good agreement with experiment for photon energies below 80 eV. The use of extended second-order ADC theory [ADC(2)x] leads to a smaller further improvement. Above 80 eV photon energy all three methods lead to significant deviations from the experimental values which we attribute to the use of Gaussian single-electron bases. Our calculations show that the ADC(2)-Lanczos-Stieltjes technique is a reliable and efficient ab initio tool for theoretical prediction of total molecular photo-ionization cross-sections in the valence region.

  7. Correlates of COPD and chronic bronchitis in nonsmokers: data from a cross-sectional study.

    Science.gov (United States)

    Waked, Mirna; Salame, Joseph; Khayat, Georges; Salameh, Pascale

    2012-01-01

    Our objective was to assess the prevalence of chronic bronchitis and chronic obstructive pulmonary disease (COPD) and their correlates among a Lebanese nonsmoker group. A cross-sectional study was conducted between October 2009 and September 2010, using a multistage cluster sample throughout Lebanon including Lebanese residents aged 40 years and above with no exclusion criteria. Pre- and postbronchodilator spirometry measurements were performed and carbon monoxide level was measured in exhaled air. COPD was defined and classified according to the Global Initiative for Chronic Obstructive Lung Disease guidelines or according to the lower limit of normal (forced expiratory volume in 1 second/forced vital capacity postbronchodilator bronchitis was defined by the declaration of morning cough and expectorations for more than 3 months a year over more than 2 years in individuals with normal spirometry. Out of 2201 individuals, 732 were never-smokers: 25 (3.4%) of them had COPD, and 86 (11.75%) fulfilled the definition of chronic bronchitis. Correlates of COPD included a childhood respiratory disease, house heated by diesel, and older age. On the other hand, correlates of chronic bronchitis included childhood respiratory diseases, living in southern Lebanon versus other regions, heating home by gas, older age, number of smokers at work, and lower height. A substantial percentage of the nonsmoking population may exhibit chronic bronchitis or COPD. The significant correlates mentioned above should be taken into consideration in order to reduce the risk of developing such chronic and debilitating respiratory diseases.

  8. Total Cross Section Measurements with $\\pi^{-}$, $\\Sigma^{-}$ and Protons on Nuclei and Nucleons around 600 GeV/c

    CERN Document Server

    Dersch, U

    2000-01-01

    Total cross sections for Sigma- and pi- on beryllium, carbon, polyethylene and copper as well as total cross sections for protons on beryllium and carbon have been measured in a broad momentum range around 600GeV/c. These measurements were performed with a transmission technique adapted to the SELEX hyperon-beam experiment at Fermilab. We report on results obtained for hadron-nucleus cross sections and on results for sigma_tot(Sigma- N) and sigma_tot(pi- N), which were deduced from nuclear cross sections.

  9. Positron total cross sections for collisions with N2 and CO2 at 30-3000 eV

    Institute of Scientific and Technical Information of China (English)

    Deheng Shi; Yufang Liu; Jinfeng Sun; Zunlue Zhi; Xiangdong Yang

    2006-01-01

    @@ The total (elastic plus inelastic) cross sections for positron scattering from N2 and CO2 over the incident energy range from 30 to 3000eV are calculated using the additivity rule model at Hartree-Fock level.A complex optical model potential modified by incorporating the concept of bonded atom, which takes into account the overlapping effect of electron clouds between two atoms in a molecule, is employed to calculate the total cross section of positron-molecule scattering. The calculated total cross sections are in good agreement with those reported by experiments and other theories over a wide energy range.

  10. Analysis of the total activation cross section of all possible reactions producing the same radioactive nuclide for the%Analysis of the total activation cross section of all possible reactions producing the same radioactive nuclide for the

    Institute of Scientific and Technical Information of China (English)

    周丰群; 宋月丽; 拓飞; 孔祥忠

    2011-01-01

    Firstly, according to the regulation of growth and decay of radioactive nuclides produced in reactions, a formula used to calculate the total activation cross section of all possible reactions producing the same radioactive nuclide for the same element is

  11. Retrograde Percutaneous Coronary Intervention for Left Anterior Descending Chronic Total Occlusion Via an Ipsilateral Intraseptal Collateral Channel Using a Single Guiding Catheter.

    Science.gov (United States)

    Chon, Min Ku; Kim, Jeong Su; Chun, Kook Jin

    2016-06-01

    Successful recanalization of chronic total occlusion (CTO) of coronary arteries has improved symptoms and mortality. In CTO cases, retrograde approach from opposite coronary artery has a better chance of procedural success. But the retrograde approach from opposite site is not always suitable. In certain CTO cases, the distal left anterior descending (LAD) artery is supplied from the intraseptal collateral channel. Controlled antegrade and retrograde tracking (CART) strategy has been developed to improve guidewire crossing and successful recanalization. We report a case of the retrograde percutaneous coronary intervention for the LAD CTO lesion via an ipsilateral intraseptal collateral channel, which was successfully revascularized with reverse CARTtechnique using a single 8-French guiding catheter.

  12. The association between total leukocyte count and longevity: Evidence from longitudinal and cross-sectional data.

    Science.gov (United States)

    Chmielewski, Piotr Paweł; Borysławski, Krzysztof; Chmielowiec, Krzysztof; Chmielowiec, Jolanta; Strzelec, Bartłomiej

    2016-03-01

    The aim of the study was to evaluate the relationship between age-dependent changes in total leukocyte count (TLC) and certain selected differential counts expressed as frequencies (granulocytes, band cells, eosinophils, lymphocytes, and monocytes) and longevity in physically healthy men and women aged 45+. Longitudinal data on cell counts from 142 subjects (68 men and 74 women; all aged 45-70 and examined for 25 years) were compared with cross-sectional data from 225 subjects (113 men and 112 women; this group was divided into four categories of average lifespan; i.e.: 53, 63, 68, and 76+ years of age). ANOVA, t-test, and regression analysis were employed. Secular changes in leukocyte count were controlled. Men had continuously higher TLC compared with women. Moreover, sex differences in patterns of changes with age were found. The longitudinal assessment revealed a U-shaped pattern of changes in TLC in men (y=0.0026x(2)-0.2866x+14.4374; R(2)=0.852) and women (y=0.0048x(2)-0.5386x+20.922; R(2)=0.938), whereas the cross-sectional comparison showed an inverted U-shaped pattern in men (y=-0.0021x(2)+0.2421x; R(2)=0.417) and women (y=-0.0017x(2)+0.2061x; R(2)=0.888). In general, the comparison of longitudinal and cross-sectional data on changes with age in TLC indicates that longevity favors individuals with lower yet normal TLC and this correlation is more pronounced in men. In conclusion, our findings are in line with previous longitudinal studies of aging and suggest that lower TLC within the normal range (4.0-10.0 × 10(3)μL(-1)) can be a useful predictor of longevity in physically healthy individuals. Copyright © 2015 Elsevier GmbH. All rights reserved.

  13. Deuteron-nucleus total reaction cross sections up to 1 GeV

    CERN Document Server

    Minomo, Kosho; Ogata, Kazuyuki

    2016-01-01

    Total reaction cross sections of deuteron, $\\sigma_d^{\\rm R}$, are calculated by a microscopic three-body reaction model. The reaction model has no free adjustable parameter and applicable to reactions at various deuteron incident energies $E_d$ and with both stable and unstable nuclei. The predicted $\\sigma_d^{\\rm R}$ are consistent with those evaluated by a phenomenological optical potential for $E_d\\leq 200$ MeV in which the potential has been parametrized. A simple formula of $\\sigma_d^{\\rm R}$ up to $E_d=1$ GeV, as a function of $E_d$, the target mass number $A$ and its atomic number $Z$, is given.

  14. Total Reaction Cross Section in an Isospin-Dependent Quantum Molecular Dynamics Model

    Institute of Scientific and Technical Information of China (English)

    魏义彬; 蔡翔舟; 沈文庆; 马余刚; 张虎勇; 钟晨; 郭威; 陈金根; 马国亮; 王鲲

    2003-01-01

    The isospin-dependent quantum molecular dynamics (IDQMD) model is used to study the total reaction cross section σR. The energy-dependent Pauli volumes of neutrons and protons have been discussed and introduced into the IDQMD calculation to replace the widely used energy-independent Pauli volumes. The modified IDQMD calculation can reproduce the experimental cr R well for both stable and exotic nuclei induced reactions. Comparisons of the calculated σn induced by 11Li with different initial density distributions have been performed. It is shown that the calculation by using the experimentally deduced density distribution with a long tail can fit the experimental excitation function better than that by using the Skyrme-Hartree-Fock calculated density without long tails. It is also found that σR at high energy is sensitive to the long tail of density distribution.

  15. Measurement of the energy dependence of the total photon-proton cross section at HERA

    Energy Technology Data Exchange (ETDEWEB)

    Abramowicz, H. [Tel Aviv Univ. (Israel). Raymond and Beverly Sackler Faculty of Exact Sciences; Univ. Coll. London (United Kingdom); Krakow Univ. of Technology (Poland). Faculty of Physics, Mathematics and Applied Computer Science; Abt, I. [Max-Planck-Institut fuer Physik, Muenchen (Germany); Adamczyk, L. [AGH-Univ. of Science and Technology, Cracow (PL). Faculty of Physics and Applied Computer Science] (and others)

    2010-10-15

    The energy dependence of the photon-proton total cross section, {sigma}{sub tot}{sup {gamma}}{sup p}, was determined from e{sup +}p scattering data collected with the ZEUS detector at HERA at three values of the center-of-mass energy, W, of the {gamma}p system in the range 194

  16. Neutron total cross-sections and resonance parameters of Mo and Ta

    Indian Academy of Sciences (India)

    A K M Moinul Haque Meaze; K Devan; Y S Lee; Y D Oh; G N Kim; D Son

    2007-02-01

    Experimental results of transmissions for the samples of natural molybdenum with thickness 0.0192 atoms/barn and for the four samples of natural tantalum with thickness 0.0222, 0.0111, 0.0055 and 0.0025 atoms/barn are presented in this work. Measurements were carried out at the Pohang Neutron Facility which consists of a 100 MeV Linac, water-cooled tantalum target, and 12 m flight path length. Effective total cross-sections were extracted from the transmission data, and resonance parameters were obtained by using the code SAMMY. The present measurements were compared with other measurements and with the evaluated nuclear data file ENDF/B-VI.8.

  17. Measurement of neutron total cross-sections of 209Bi at the Pohang Neutron Facility

    CERN Document Server

    Wang, Tao-Feng; Kim, Guinyun

    2014-01-01

    Measurements of neutron total cross-sections of natural bismuth in the neutron energy region from 0.1 eV to 100 eV have been performed by using the time-of-flight method at the Pohang Neutron Facility, which consists of an electron linear accelerator, a water-cooled tantalum target with a water moderator, and a 12-m-long time-of-flight path. A 6Li-ZnS(Ag) scintillator with a diameter of 12.5 cm and a thickness of 1.6 cm is employed as a neutron detector, and a piece of high purity natural bismuth metallic plates with a thickness of 3 mm is used for the neutron transmission measurement. The present results were compared with the evaluated data from ENDF/B VII.1 and other previous reported experimental data.

  18. K+ nucleus reaction and total cross sections: New analysis of transmission experiments

    Science.gov (United States)

    Friedman, E.; Gal, A.; Weiss, R.; Aclander, J.; Alster, J.; Mardor, I.; Mardor, Y.; May-Tal Beck, S.; Piasetzky, E.; Yavin, A. I.; Bart, S.; Chrien, R. E.; Pile, P. H.; Sawafta, R.; Sutter, R. J.; Barakat, M.; Johnston, K.; Krauss, R. A.; Seyfarth, H.; Stearns, R. L.

    1997-03-01

    The attenuation cross sections measured in transmission experiments at the alternating-gradient synchrotron for K+ on 6Li, C, Si, and Ca at pL = 488, 531, 656, and 714 MeV/c are reanalyzed in order to derive total (σT) and reaction (σR) cross sections. The effect of plural (Molière) scattering is properly accounted for, leading to revised values of σT. We demonstrate the model dependence of these values, primarily due to the choice of K+ nuclear optical potential used to generate the necessary Coulomb-nuclear and nuclear elastic corrections. Values of σR are also derived, for the first time, from the same data and exhibit a remarkable degree of model independence. The derived values of σT and σR exceed those calculated by the first-order tρ optical potential for C, Si, and Ca, but not for 6Li, particularly at 656 and 714 MeV/c where the excess is 10-25%. Relative to 6Li, this excess is found to be nearly energy independent and its magnitude of 15-25% is not reproduced by any nuclear medium effect studied so far.

  19. Measurement of the total hadronic cross section in tagged. gamma. gamma. reactions

    Energy Technology Data Exchange (ETDEWEB)

    Aihara, H.; Alston-Garnjost, M.; Avery, R.E.; Barker, A.R.; Bauer, D.A.; Bay, A.; Belcinski, R.; Bingham, H.H.; Bloom, E.D.; Buchanan, C.D.; Caldwell, D.O.; Chao, H.; Chun, S.; Clark, A.R.; Cowan, G.D.; Crane, D.A.; Dahl, O.I.; Daoudi, M.; Derby, K.A.; Eastman, J.J.; Eberhard, P.H.; Edberg, T.K.; Eisner, A.M.; Erne, F.C.; Fairfield, K.H.; Fridman, A.; Godfrey, G.; Hauptman, J.M.; Ho, C.; Hofmann, W.; Kamae, T.; Kenney, R.W.; Khacheryan, S.; Kofler, R.R.; Lambert, D.J.; Langeveld, W.G.J.; Layter, J.G.; Lin, W.T.; Linde, F.L.; Loken, S.C.; Lu, A.; Lynch, G.R.; Lys, J.E.; Madaras, R.J.; Magnuson, B.D.; Marsiske, H.; Masek, G.E.; Mathis, L.G.; Maxfield, S.J.; McNeil, R.R.; Miller, E.S.; Nicol, N.A.; Nygren, D.R.; Oddone, P.J.; Oh, H.; Oyang, Y.; Paar, H.P.; Palounek, A.P.T.; Park, S.K.; Pellett, D.E.; Pripstein, M.; Ronan, M.T.; Ross, R.R.; Rouse, F.R.; Schwitkis, K.A.; Sens, J.C.; Shapiro, G.; Shen, B.C.; Smith, J.R.; Steinman, J.S.; Stephens, R.W.; Stevenson, M.L.; Stork, D.H.; Strauss,; TPC/Two-Gamma Collaboration

    1990-05-01

    We present a measurement of the total cross section for {gamma}{gamma}{r arrow}hadrons, with one photon quasireal and the other a spacelike photon of mass squared {minus}{ital Q}{sup 2}. Results are presented as a function of {ital Q}{sup 2} and the {gamma}{gamma} center-of-mass energy {ital W}, with the {ital Q}{sup 2} range extending from 0.2 to 60 GeV{sup 2}, and {ital W} in the range from 2 to 10 GeV. The data were taken with the TPC/Two-Gamma facility at the SLAC {ital e}{sup +}{ital e}{sup {minus}} storage ring PEP, which was operated at a beam energy of 14.5 GeV. The cross section exhibits a gentle falloff with increasing {ital W}. Its {ital Q}{sup 2} dependence is shown to be well described by an incoherent sum of vector-meson and pointlike scattering over most of the observed {ital W} range. Agreement at high {ital Q}{sup 2} is improved if a minimum-{ital p}{sub {ital T}} cutoff (motivated by QCD) is imposed on the pointlike contribution.

  20. Total pancreatectomy for the treatment of chronic pancreatitis: indications, outcomes, and recommendations.

    Science.gov (United States)

    Behrman, Stephen W; Mulloy, Matthew

    2006-04-01

    Total pancreatectomy (TP) for chronic pancreatitis (CP) has not gained widespread acceptance because of concerns regarding technical complexity, diabetic complications, and uncertainty with respect to long-term pain relief. Records of patients having TP from 1997 to 2005 were reviewed. Patient presentation, etiology of disease, and the indication for TP were examined. Operative results were analyzed. Long-term results were critically assessed, including narcotic usage and the need for re-admission. Postoperative quality of life (QOL) was assessed by the SF-36 health survey. During the study period, 7 patients with CP had TP, and 28 had other operations. The etiology of CP was alcohol in four and hereditary pancreatitis in three. The indication for surgery was pain and weight loss. Preoperatively, all patients used narcotics chronically and two had insulin-dependent diabetes. Four had TP after failed previous surgical procedures. Endoscopic retrograde cholangiopancreatography and computed tomography demonstrated small ducts and atrophic calcified glands. The mean length of the operation was 468 minutes, and only two patients required transfusion. There were no biliary anastomotic complications. The mean length of stay was 14 days. Major morbidity was limited to a single patient with a leak from the gastrojejunal anastomosis. Thirty-day mortality was zero, with one late death unrelated to the surgical procedure or diabetes. The mean length of follow-up was 46 months. All patients remained alcohol and narcotic free. No patient was readmitted with a diabetic complication. When compared with the general population, QOL scores were diminished but reasonable. We conclude that TP is indicated in hereditary pancreatitis and in those with an atrophic, calcified pancreas with small duct disease; that TP is technically arduous but can be completed with very low morbidity and mortality; and that on long-term follow-up, pain relief and abstinence from alcohol and narcotics was

  1. Meta-analysis of the effect of percutaneous coronary intervention on chronic total coronary occlusions

    Science.gov (United States)

    2014-01-01

    Background and purpose Coronary chronic total occlusion (CTO) is the last stage of coronary artery atherosclerosis. Percutaneous coronary intervention (PCI) is a therapeutic procedure used to recanalize vessels with total occlusion. However, successful recanalization of CTO is still not optimal, and the key influence factors are still uncertainty. Therefore, a scientific evaluation on the effective of PCI for CTO treatment is necessary. Methods Relevant studies of PCI treatment for CTO were examined. Data were extracted and assessed by two independent clinical experts. Embase, PubMed and Medline et al. were used as database. The main research key words include “CTO”, “PCI”, “Stent”, “Reopen”, “long-term”, “follow-up” and “outcome”. Quality assessment was carried out according to the Cochrane Handbook. The selected data were pooled and analyzed using fixed-effect model and random-effect model. Heterogeneity was assessed using the I2 test, Q test, L’abbe and Galbraith. Comprehensive Meta -Analysis 2.0 and Metanalysis 1.0 were used for statistics analysis in this research. Results A total of 16 articles involving 6695 cases in successful CTO recanalization (CTO success group) and 2370 cases in failed CTO recanalization(CTO failure group) were included in this research. Low CTO success was associated with elder age, previous coronary artery bypass graft surgery (CABG) history, multi-vessel diseases and right coronary artery disease lesion. Six follow-up variables including major adverse cardiac events (MACE), recurrent myocardial infarction (MI), all-cause death, incidence of angina, subsequent CABG and cumulative survival rate were found significantly reduced associated with CTO success. Conclusions Clinical baseline characteristics such as age, previous CABG history and lesion baseline characteristics such as lesion length, multi-vessel diseases might be important factors influencing the successful rate of CTO recanalization. Compared to

  2. Introduction to the physics of the total cross-section at LHC: A Review of Data and Models

    CERN Document Server

    Pancheri, Giulia

    2016-01-01

    This review describes the development of the physics of hadronic cross sections up to recent LHC results and cosmic ray experiments. We present here a comprehensive review - written with a historical perspective - about total cross-sections from medium to the highest energies explored experimentally and studied through a variety of methods and theoretical models for over sixty years. We begin by recalling the analytic properties of the elastic amplitude and the theorems about the asymptotic behavior of the total cross-section. A discussion of how proton-proton cross-sections are extracted from cosmic rays at higher than accelerator energies and help the study of these asymptotic limits, is presented. This is followed by a description of the advent of particle colliders, through which high energies and unmatched experimental precisions have been attained. Thus the measured hadronic elastic and total cross-sections have become crucial instruments to probe the so called soft part of QCD physics, where quarks and...

  3. QCD mini-jets contribution to the total cross-section for pions and protons and expectations at LHC

    CERN Document Server

    Grau, Agnes; Pancheri, Giulia; Shekhovtsova, Olga; Achilli, Andrea; Srivastava, Yogendra N

    2010-01-01

    We describe our kt-resummation model for total cross-sections and show its application to pp and ¯pp scattering. The model uses mini-jets to drive the rise of the cross-section and soft gluon resummation in the infrared region to transform the violent rise of the mini-jet cross-section into a logarithmic behaviour in agreement with the Froissart bound.

  4. Total Born cross section of $e^+e^-$-pair production in relativistic ion collisions from differential equations

    CERN Document Server

    Lee, Roman N

    2016-01-01

    We apply the differential equation method to the calculation of the total Born cross section of the process $Z_1Z_2\\to Z_1Z_2e^+e^-$. We obtain explicit expression for the cross section exact in the relative velocity of the nuclei.

  5. Measurements of the elastic, inelastic and total $pp$ cross sections with the ATLAS, CMS and TOTEM detectors

    CERN Document Server

    Mortensen, Simon Stark; The ATLAS collaboration

    2016-01-01

    The total pp cross sections is a fundamental property of the strong interaction which can not be calculated in perturbative QCD but only described based on phenomenological models. The ATLAS and CMS collaborations have recently measured the total inelastic proton-proton cross section at 13 TeV centre-of-mass energy in special data sets with a low interaction probability per bunch crossing. A more precise measurement of the total pp cross section as well as elastic and inelastic contributions can be extracted from a measurement of the differential elastic cross section using the optical theorem. The TOTEM and ATLAS collaborations have collected elastic data in dedicated runs with high beta* optics at 8 TeV centre-of-mass energy with Roman Pot detectors in order to perform this measurement. From the extrapolation of the differential elastic cross section to t=0, using the optical theorem, the total cross section is extracted. In addition the nuclear slope of the elastic t-spectrum and the total elastic and inel...

  6. The AngiographiC Evaluation of the Everolimus-Eluting Stent in Chronic Total Occlusion (ACE-CTO) Study.

    Science.gov (United States)

    Kotsia, Anna; Navara, Rachita; Michael, Tesfaldet T; Sherbet, Daniel P; Roesle, Michele; Christopoulos, George; Rangan, Bavana V; Haagen, Donald; Garcia, Santiago; Maniu, Calin; Pershad, Ashish; Abdullah, Shuaib M; Hastings, Jeffrey L; Kumbhani, Dharam J; Luna, Michael; Addo, Tayo; Banerjee, Subhash; Brilakis, Emmanouil S

    2015-09-01

    There are limited data on outcomes after implantation of second-generation drug-eluting stents in coronary chronic total occlusions (CTOs). We aimed to evaluate the frequency of angiographic restenosis and clinical outcomes after implantation of the everolimus-eluting stent (EES) in coronary CTOs. One hundred patients undergoing successful CTO percutaneous coronary intervention using EES at our institution between 2009 and 2012 were enrolled. The primary study endpoint was binary in-segment restenosis at 8-month follow-up quantitative coronary angiography. Secondary endpoints included death, myocardial infarction, target-lesion and target-vessel revascularization, and symptom improvement. Mean age was 64 ± 7 years and 99% of the patients were men. The successful crossing technique was antegrade wiring in 51 patients, antegrade dissection/reentry in 24 patients, and retrograde in 25 patients. Binary angiographic restenosis occurred in 46% of the patients (95% confidence interval [CI], 35%-57%). The pattern of restenosis was focal, proliferative, and total occlusion in 19 lesions (46%), 14 lesions (34%), and 8 lesions (20%), respectively. At 12 months, the incidences of death, myocardial infarction, target-lesion revascularization, and target-vessel revascularization were 2%, 2%, 37%, and 39%, respectively. At 12 months, symptoms were improved, unchanged, or worse compared with baseline in 89 patients, 8 patients, and 1 patient, respectively (2 patients died before the 12-month follow-up). On multivariable analysis, smaller stent diameter was associated with higher risk for binary angiographic restenosis. High rates of angiographic restenosis and repeat revascularization were observed among patients receiving EES in coronary CTOs, but most had significant symptom improvement.

  7. Precise Measurement of the $\\bar{p}p$ Total Cross-Section in the ISR Energy Range

    CERN Multimedia

    2002-01-01

    The major aim of this experiment is the precise measurement of the antiproton-proton total cross-section in the ISR energy range, using the total-rate method. The proton-proton total cross-section is remeasured with the same method and the same apparatus, and a precision of 0.5\\% is expected for both cross-sections. The total-rate method consists in the simultaneous measurement of the total interaction rate and the ISR luminosity. This is done with a set of scintillation-counter hodoscopes covering over 99.99\\% of the solid angle, which are sensitive to over 95\\% of all interactions. In addition to these detectors, small-angle drift-tube hodoscopes are used to measure the differential elastic cross-section as a function of the momentum transfert t. The total cross-section can be measured independently by extrapolating this differential cross-section to the forward direction and invoking the optical theorem. A study of the general features of charged-particle production is performed using finely divided scinti...

  8. Multi-wire plaque crushing as a novel technique in treating chronic total occlusions

    Institute of Scientific and Technical Information of China (English)

    HAN Ya-ling; WANG Dong-mei; LI Yi; WANG Shou-li; JING Quan-min; MA Ying-yan; WANG Geng; LUAN Bo; WANG Bin; WANG Zhu-lu

    2008-01-01

    Background Failure of balloon catheter passing through the occluded segment accounts for 10%-15% of all procedures during percutaneous coronary intervention(PCI)for chronic total occlusion(CTO).We sought to investigate an original technique for facilitating balloon catheter passing by multi-wire plaque crushing.Methods Between July 2000 and October 2007,152 patients with 164 CTO lesions who had failed balloon passing were treated by multi-wire plaque crushing technique.The main process of this technique was to insert 1 or 2 wires along with the original wire located in the true lumen of CTO lesions after balloon failure for plaque crushing and then to withdraw the crushing wires to get an enlarged lumen inside of the occlusion segment,thus facilitating the balloon passing.Results Both overall lesion and technique success rates were 91.5%(150/164).A total of 211 crushing wires were used during PCI,including 1 crushing wire for 117(71.3%)lesions and 2 crushing wires for 47(28.7%)lesions.Approximately 57.3%(121/211)of all crushing wires were those already used in the same procedure.Technique failure occurred in 14 lesions(8.5%).Technique failure was due to crushing wires entering false lumen(92.9%,13/14)and coronary perforation(7.1%,1/14).Major procedural complications included coronary perforation(1 case)and severe coronary dissection(2 cases),all of which were successfully treated.Conclusions Multi-wire plaque crushing technique is effective in facilitating balloon catheter passing during CTO PCI.It is feasible,economical and relatively safe with a low rate of procedural complications.

  9. Chronic Total Occlusion Should Not Routinely be Treated with Coronary Artery Bypass Grafting

    Science.gov (United States)

    Weintraub, William S.; Garratt, Kirk N.

    2017-01-01

    Chronic total occlusions (CTOs) of the coronary arteries are common. In addition, they are often treated by coronary artery bypass graft (CABG) surgery. The decision to perform CABG for CTOs should be predicated on the demonstration of viability of the subtended myocardium and based on evidence that revascularization will increase the probability of some demonstrably better outcome, whether improved quality of life, prevention of future non-fatal everts or prolongation of life. The literature on surgical revascularization of CTOs is limited, and largely descriptive with only one post-hoc analysis from a randomized trial. There are two small non-randomized studies comparing PCI and to medical therapy. That the outcomes data are so limited affects the ability to justify CABG in this setting. The literature on PCI for CTOs is far more extensive, although there is also limited clinical trial data or comparative effectiveness data concerning choice of therapy for CTOs. Nonetheless, CABG for CTOs can be more easily justified in the setting of multivessel disease where bypass of the CTO is part of an overall strategy of complete revascularization. Thus, CABG for CTOs can be best justified where there is multivessel disease, poorly controlled angina pectoris, and evidence of viability in the subtended zone. While carrying out studies concerning CABG for CTOs will be difficult, a research agenda in this space is clearly needed. PMID:27143549

  10. Effectiveness and Safety of the Transradial 8Fr Sheathless Approach for Revascularization of Chronic Total Occlusions.

    Science.gov (United States)

    Dautov, Rustem; Ribeiro, Henrique Barbosa; Abdul-Jawad Altisent, Omar; Nombela-Franco, Luis; Gibrat, Claire; Nguyen, Can Manh; Rinfret, Stéphane

    2016-09-15

    The experience with the transradial approach in percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs) in the United States is limited. We looked at the safety and feasibility of a home-made sheathless transradial technique (STT) with regular 8Fr catheters in CTO PCI. In March 2013, we developed an 8Fr STT for CTO PCI. We compared 119 patients who had the STT versus 122 treated with a standard transradial or transfemoral approach. The primary outcomes of interest were major vascular or bleeding site access complications. In a subgroup of patients with bilateral transradial approach, we assessed and compared radial patency 3 to 6 months after the procedure. Technical success rate of the CTO PCI was 93% in both groups. There were no major vascular or bleeding complications in the STT group. Radial hematomas were frequent but grade III occurred in 4 patients (3%) treated with the STT, not different to the incidence in the other group. The STT did not result in any increase in procedure time, contrast use, or radiation dose. Radial Doppler follow-up in 28 patients revealed 2 occlusions (7.1%) on the 8Fr shealthless side and one on the 6Fr side. In conclusion, our STT with regular 8Fr guides for CTO PCI is feasible, safe, and associated with low complication rate. We show that the hybrid CTO PCI nowadays can be performed through transradial access in the majority, with limited use of transfemoral approach. Copyright © 2016. Published by Elsevier Inc.

  11. Subadventitial techniques for chronic total occlusion percutaneous coronary intervention: The concept of "vessel architecture".

    Science.gov (United States)

    Azzalini, Lorenzo; Carlino, Mauro; Brilakis, Emmanouil S; Vo, Minh; Rinfret, Stéphane; Uretsky, Barry F; Karmpaliotis, Dimitri; Colombo, Antonio

    2017-03-17

    Despite improvements in guidewire technologies, the traditional antegrade wire escalation approach to chronic total occlusion (CTO) recanalization is successful in only 60-80% of selected cases. In particular, long, calcified, and tortuous occlusions are less successfully approached with a true-to-true lumen approach. Frequently, the guidewire tracks into the subadventitial space, with no guarantee of distal re-entry into the true lumen. The ability to manage the subadventitial space has been a key step in the tremendous improvement in success rates of contemporary CTO percutaneous coronary intervention (PCI), whether operating antegradely or retrogradely. A modern approach to CTO PCI involves understanding the concept of "vessel architecture," which is based on the distinction between coronary structures (occlusive plaque, comprising the disrupted intima and media, and the outer adventitia) and extravascular space. The vessel architecture represents a safe work environment for guidewire and device manipulation. This review provides an anatomy-based description of the concept of vessel architecture, along with a historical perspective of subadventitial techniques for CTO PCI, and outcome data of CTO PCI utilizing the subadventitial space. © 2017 Wiley Periodicals, Inc.

  12. [Surgical treatment of secondary hyperparathyroidism in chronic kidney failure. Results of total parathyroidectomy with parathyroid autotransplantation].

    Science.gov (United States)

    Courant, O; Letessier, E; Moutel, M G; Hamy, A; Paineau, J; Visset, J

    1993-01-01

    Between 1978 and 1990, 68 patients, operated on for secondary hyperparathyroidism (HPT), received a forearm intramuscular free autologous parathyroid graft (37 women and 31 men--mean age: 43 +/- 16 years). The transplantation (Wells technique) was performed in the same time as the total parathyroidectomy and the remaining parathyroid material after surgical resection was cryopreserved. The results were evaluated in term of clinical and/or radiological and/or biological response respectively 3 or 5.5 years later, depending of the realisation of a renal transplantation (n = 27) or not. Four patients were lost to follow-up and 4 died post-operatively, including a wrong diagnosis (60 patients evaluated). Mortality rate was 12% (5 cases out of 7 related to chronic renal insufficiency). In 3 patients (5%) the transplanted gland had to be removed because of recurrent HPT (1 graft hyperplasia; 2 wrong diagnosis: 1 cervical gland left over and 1 aluminium intoxication). Second cervicotomy was performed in 3 cases (5%) for remaining cervical parathyroid gland (2 cases) and false-positive Tallium-Technetium scan (1 case). Overall results were good or very good in 51 cases (85%). A review of the literature indicate that subtotal parathyroidectomy in not superior to the Wells technique and the latter remain the landmark technique in the authors' hands in order to treat secondary HPT.

  13. Total neutron cross-sections for rare isotopes using a digital-signal-processing technique: Case study {sup 48}Ca

    Energy Technology Data Exchange (ETDEWEB)

    Shane, R. [Department of Physics, Washington University, Campus Box 1134, St. Louis, MO 63130 (United States); Charity, R.J.; Elson, J.M. [Department of Chemistry, Washington University, Campus Box 1134, St. Louis, MO 63130 (United States); Sobotka, L.G., E-mail: lgs@wustl.ed [Department of Physics, Washington University, Campus Box 1134, St. Louis, MO 63130 (United States); Department of Chemistry, Washington University, Campus Box 1134, St. Louis, MO 63130 (United States); Devlin, M.; Fotiades, N.; O' Donnell, J.M. [LANSCE Division, Los Alamos National Laboratory, Los Alamos, NM 87545 (United States)

    2010-03-11

    A digital-signal-processing method was developed and used to measure the total neutron cross-sections of {sup 48}Ca from 15 to 300 MeV. This technique allows for cross-sections to be obtained with high statistical accuracy even for samples that are an order of magnitude smaller than those used with conventional (non-digital) techniques. The isotopic and energy dependence of rare-isotope total neutron cross-sections are of considerable value for extracting the n/p asymmetry dependence of optical-model potentials.

  14. Bounds on the rise of total cross section from LHC7 and LHC8 data

    Science.gov (United States)

    Fagundes, D. A.; Menon, M. J.; Silva, P. V. R. G.

    2017-10-01

    Recent measurements of the proton-proton total cross section σtot at 7 and 8 TeV by the TOTEM and ATLAS Collaborations are characterized by some discrepant values: the TOTEM data suggest a rise of the cross section with the energy faster than the ATLAS data. Attempting to quantify these different behaviors, we develop new analytical fits to σtot and ρ data from pp and p bar p scattering in the energy region 5 GeV-8 TeV. The dataset comprises all the accelerator data below 7 TeV and we consider three ensembles by adding: either only the TOTEM data (T), or only the ATLAS data (A), or both sets (T + A). For the purposes, we use our previous RRPLγ parametrization for σtot (s), consisting of two Reggeons (RR), one critical Pomeron (P) and a leading log-raised-to-gamma (Lγ) contribution (with γ as a free fit parameter), analytically connected to ρ (s) through singly-subtracted derivative dispersion relations and energy scale fixed at the physical threshold. The data reductions with ensembles T and A present good agreement with the experimental data analyzed and cannot be distinguished on statistical grounds. The quality of the fit is not as good with ensemble T + A. The fit results provide γ ∼ 2.3 ± 0.1 (T), 2.0 ± 0.1 (A), 2.2 ± 0.2 (T +A), with χ2 / DOF ∼ 1.07 (T), 1.09 (A), 1.14 (T + A), suggesting extrema bounds for γ given by 1.9 and 2.4. Fits with γ = 2 (fixed) are also developed and discussed.

  15. Fission, total and neutron capture cross section measurements at ORELA for {sup 233}U, {sup 27}Al and natural chlorine

    Energy Technology Data Exchange (ETDEWEB)

    Guber, K.H.; Spencer, R.R.; Leal, L.C.; Larson, D.C.; Santos, G. Dos; Harvey, J.A.; Hill, N.W.

    1998-08-01

    The authors have made use of the Oak Ridge Electron Linear Accelerator (ORELA) to measure the fission cross section of {sup 233}U in the neutron energy range of 0.36 eV to {approximately} 700 keV. This paper reports integral data and average cross sections. In addition they measured the total neutron cross section of {sup 27}Al and natural chlorine, as well as the capture cross section of Al over an energy range from 100 eV up to about 400 keV.

  16. Introduction to the physics of the total cross section at LHC. A review of data and models

    Science.gov (United States)

    Pancheri, Giulia; Srivastava, Yogendra N.

    2017-03-01

    This review describes the development of the physics of hadronic cross sections up to recent LHC results and cosmic ray experiments. We present here a comprehensive review - written with a historical perspective - about total cross sections from medium to the highest energies explored experimentally and studied through a variety of methods and theoretical models for over 60 years. We begin by recalling the analytic properties of the elastic amplitude and the theorems about the asymptotic behavior of the total cross section. A discussion of how proton-proton cross sections are extracted from cosmic rays at higher than accelerator energies and help the study of these asymptotic limits, is presented. This is followed by a description of the advent of particle colliders, through which high energies and unmatched experimental precisions have been attained. Thus the measured hadronic elastic and total cross sections have become crucial instruments to probe the so called soft part of QCD physics, where quarks and gluons are confined, and have led to test and refine Regge behavior and a number of diffractive models. As the c.m. energy increases, the total cross section also probes the transition into hard scattering describable with perturbative QCD, the so-called mini-jet region. Further tests are provided by cross section measurements of γ p, γ ^* p and γ ^* γ ^* for models based on vector meson dominance, scaling limits of virtual photons at high Q^2 and the BFKL formalism. Models interpolating from virtual to real photons are also tested.

  17. Measurement of the total neutron cross-section of selenium at neutron energies below 2 eV

    Energy Technology Data Exchange (ETDEWEB)

    Salama, M.

    1983-01-01

    Total neutron cross-section of ordinary selenium has been measured at room temperature as a function of neutron energy in the range from 2.2 eV to 5.5 meV. The measurements were performed using the transmission method in connection with a time-of-flight spectrometer installed in front of one of the horizontal channels of the ET-RR-1 reactor. Expression for the dependence of the total neutron cross-section of selenium upon energy was obtained. New values for the coherent scattering amplitude as well as the coherent scattering cross-section of selenium were also determined. Values for the average scattering cross-section and the total incoherent scattering cross-section were also obtained. The values of both potential scattering cross-section and effective potential scattering radius R' were determined for this element from the measured behaviour of the total cross section, using the single level Breit-Wigner formula. The determined value of R' was found to be in agreement with that predicted from vibrational-rotational optical model calculations.

  18. Chronic wind and plant communities in dunes: Total biomass, inter-specific competition, and species abundance

    NARCIS (Netherlands)

    He, W.M.; Xi, W.M.; Anten, N.P.R.

    2013-01-01

    Chronic wind is an important ecological factor, but its direct roles in shaping plant communities remain poorly understood. We hypothesized that chronic wind can modulate community productivity, inter-specific competition, and species abundance in inland dunes. We conducted an experiment with three

  19. Unitarized diffractive scattering in QCD and its application to virtual photon total cross sections

    Science.gov (United States)

    Dib, Rim; Khoury, Justin; Lam, C. S.

    1999-08-01

    The problem of restoring the Froissart bound to the Balitskiıˇ-Fadín-Kuraev-Lipatov (BFKL) Pomeron is studied in an extended leading-log approximation of QCD. We consider the parton-parton scattering amplitude and show that the sum of all Feynman-diagram contributions can be written in an eikonal form. In this form, dynamics is determined by the phase shift, and subleading-logs of all orders needed to restore the Froissart bound are automatically provided. The main technical difficulty is to find a way to extract these subleading contributions without having to compute each Feynman diagram beyond the leading order. We solve that problem by using non-Abelian cut diagrams introduced elsewhere. They can be considered as color filters used to isolate the multi-Reggeon contributions that supply these subleading-log terms. An illustration of the formalism is given for amplitudes and phase shifts up to three loops. For diffractive scattering, only phase shifts governed by one and two Reggeon exchanges are needed. They can be computed from the leading-log-Reggeon and the BFKL Pomeron amplitudes. In applications, we argue that the dependence of the energy-growth exponent on virtuality Q2 for γ*P total cross section observed at DESY HERA can be interpreted as the first sign of a slowdown of energy growth towards satisfying the Froissart bound. An attempt to understand these exponents with the present formalism is discussed.

  20. Measurement of the Antiproton-Proton Total Cross-Section at the CERN ISR

    CERN Multimedia

    2002-01-01

    This experiment is a measurement of small angle scattering of antiprotons on protons and of protons on protons at 15/15, 22/22, 26/26 and 31/31 GeV, with the aim of obtaining data on the total cross-section for the scattering of protons on protons, and of determining the ratio of the real to the imaginary scattering amplitude at zero momentum transfer for antiprotons on protons. The measurement is divided into two parts: \\item 1) The measurement of @s^t^o^t(@*p) and @s^t^o^t(pp), using hodoscopes placed at small angles, outside the vacuum pipe, at approximately 9 metres from the intersection point. \\item 2) The measurement of the region in !t!, the momentum transfer squared, around the value !t^c!, where Coulomb and nuclear scattering are equal, in order to deduce the quantity @r = Re f(t=0)/Im f(t=0). This latter measurement is done by employi in earlier @s^t(pp) and @r experiments at the ISR. \\end{enumerate} In both set-ups the measurements are made by recording coincidences between collinear counters in th...

  1. Optical parameters Determination for absolute luminosity and total cross section measurements in ATLAS

    CERN Document Server

    Cavalier, Sophie

    ALFA (Absolute Luminosity For ATLAS) aims at measuring the absolute luminosity for the ATLAS experiment with an incertitude down to 2-3 \\% and the total elastic cross section. The luminosity is related to the number of events, the highest the luminosity, the highest the number of events. This is, then, an important quantity for colliders like LHC (Large Hadron Collider). LHC is made of two beams circulating in two different beam pipes and colliding at four interaction points where the four physics experiments are located (ATLAS, CMS, ALICE, LHCb). ALFA detectors inserted into Roman Pots (RPs), have been placed around ATLAS at 240 m distance from the collision point (IP1) after six quadrupoles magnets and two dipoles defining the ALFA beam line which is part of the LHC ring.The detectors are made of scintillating optics fibers to catch elastic protons generated at IP1. These protons are tracked through the LHC magnets beam line which needs to be optimized in terms of optics parameters. We call high β optics, ...

  2. Total Cross Sections as a Surrogate for Neutron Capture: An Opportunity to Accurately Constrain (n,γ) Cross Sections for Nuclides Beyond the Reach of Direct Measurements

    Energy Technology Data Exchange (ETDEWEB)

    Koehler, Paul E. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-03-05

    There are many (n,γ) cross sections of great interest to radiochemical diagnostics and to nuclear astrophysics which are beyond the reach of current measurement techniques, and likely to remain so for the foreseeable future. In contrast, total neutron cross sections currently are feasible for many of these nuclides and provide almost all the information needed to accurately calculate the (n,γ) cross sections via the nuclear statistical model (NSM). I demonstrate this for the case of 151Sm; NSM calculations constrained using average resonance parameters obtained from total cross section measurements made in 1975, are in excellent agreement with recent 151Sm (n,γ) measurements across a wide range of energy. Furthermore, I demonstrate through simulations that total cross section measurements can be made at the Manuel Lujan Jr. Neutron Scattering Center at the Los Alamos Neutron Science Center for samples as small as 10μg. Samples of this size should be attainable for many nuclides of interest. Finally, I estimate that over half of the radionuclides identified ~20 years ago as having (n,γ) cross sections of importance to s-process nucleosynthesis studies (24/43) and radiochemical diagnostics (11/19), almost none of which have been measured, can be constrained using this technique.

  3. Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion

    Directory of Open Access Journals (Sweden)

    Joanna Wojtasik-Bakalarz

    2017-03-01

    Full Text Available Introduction : Fifty percent of cases of peripheral artery disease are caused by chronic total occlusion (CTO of the superficial femoral artery (SFA. Ten–fifteen percent of percutaneous SFA recanalization procedures are unsuccessful. In those cases the retrograde technique can increase the success rate of the procedure, but the long-term follow-up of such procedures is still unknown. Aim : To assess the efficacy and clinical outcomes during long-term follow-up after retrograde recanalization of the SFA. Material and methods: We included patients after at least one unsuccessful percutaneous antegrade recanalization of the SFA. Patients were evaluated for the procedural and clinical follow-up of mean time 13.9 months. Results: The study included 17 patients (7 females, 10 males who underwent percutaneous retrograde recanalization of the SFA from June 2011 to June 2015. The mean age of patients was 63 ±7 years. Retrograde puncture of the distal SFA was successful in all cases. A retrograde procedure was performed immediately after antegrade failure in 4 (23.5% patients and after a previously failed attempt in 13 (76.5% patients. The procedure was successful in 15 (88.2% patients, and unsuccessful in 2 (11.8% patients. Periprocedural complications included 1 peripheral distal embolization (successfully treated with aspiration thrombectomy, 1 bleeding event from the puncture site and 7 puncture site hematomas. During follow-up the all-cause mortality rate was 5.8% (1 patient, non-cardiac death. The primary patency rate at 12 months was 88.2% and secondary patency 100%. Conclusions : The retrograde SFA puncture seems to be a safe and successful technique for CTO recanalization and is associated with a low rate of perioperative and long-term follow-up complications.

  4. Measurement of the Total Cross Section and Energy - Correlations for Electron-Positron Annihilation Into Hadrons at 29 GEV.

    Science.gov (United States)

    Heltsley, Brian Keith

    This work describes measurements of the total cross section and the energy-energy correlation cross section for hadronic events produced in electron-positron annihilation at a center-of-mass energy of 29 GeV. The performance of the MAC detector at PEP, featuring total absorption calorimetry and charged particle tracking over nearly the full solid angle, is examined and found to meet the original design requirements. The unique and optimal features of MAC are fully exploited to reduce the systematics involved in both measurements, resulting in significant quantitative tests of the theory of quantum chromodynamics. Special attention is focussed on radiative corrections to the total cross section, which constitute a critical component of the acceptance determination, and for the first time the effects of higher order than (alpha)('3) QED processes are included. The total cross section measurement yields R = 3.91 with a total error of (+OR-)2.7%, an accuracy not previously attained by other experiments. For the energy-energy correlation cross section, the consequences of combining pure quantum chromodynamics with contrasting fragmentation models are explored and compared with the data, and result in different values for the strong coupling constant, (alpha)(,s) (TURNEQ) 0.13 (+OR-) 0.02 for incoherent jet formation and 0.24 (+OR-) 0.04 in the string model.

  5. Measurement of the Neutron-Proton and Neutron-Carbon Total Cross Section from 150 to 800 keV

    CERN Document Server

    Daub, B H; Kovash, M A; Matthews, J L; Miller, Z W; Shoniyozov, K; Yang, H

    2012-01-01

    There have been very few measurements of the total cross section for np scattering below 500 keV. In order to differentiate among NN potential models, improved cross section data between 20 and 600 keV are required. We measured the np and nC total cross sections in this energy region by transmission; a collimated neutron beam was passed through CH2 and C samples and transmitted neutrons were detected by a BC-501A liquid scintillator. Cross sections were obtained with a precision of 1.1-2.0% between 150 and 800 keV using ratios of normalized neutron yields measured with and without the scattering samples in the beam. In energy regions where they overlap, the present results are consistent with existing precision measurements, and fill in a significant gap in the data between En = 150 and 500 keV.

  6. A correlated study between effective total macroscopic cross sections and effective energies for neutron beams with continuous spectra

    CERN Document Server

    Kobayashi, H

    1999-01-01

    Two practically useful quantities have been introduced to characterize a continuous-energy-spectrum neutron beam and to describe transmission phenomena of the beam in the field of quantitative neutron radiography. These quantities are the effective energy instead of a peak energy or a mean energy of the spectrum and an effective total macroscopic (ETM) cross section instead of a total macroscopic (TM) cross section as defined for a monochromatic energy. Four neutron beams have been used to measure ETM cross sections at effective energies of 29.8, 17.2, 9.8 meV, and at the In resonance energy of 1.46 eV. Results are studied as a function of estimated effective energy, where the effective energy was estimated by a beam quality indicator (BQI) which has been proposed recently. Validity of ETM cross sections as a function of the effective energy is discussed and correlated with recent nuclear data.

  7. Feline chronic kidney disease is associated with upregulation of transglutaminase 2: a collagen cross-linking enzyme.

    Science.gov (United States)

    Sánchez-Lara, A C; Elliott, J; Syme, H M; Brown, C A; Haylor, J L

    2015-05-01

    Chronic kidney disease is a major cause of morbidity and mortality in cats. Transglutaminase 2 (TG2) is a calcium-dependent enzyme proposed to mediate tubulointerstitial fibrosis in the kidney by cross-linking collagen fibrils. Postmortem kidney tissue was obtained from primary renal azotemic (n = 10) and nonazotemic (n = 5) cats (14 domestic short hair, 1 Burmese; aged 9-23.7 years). Extracellular matrix protein deposition was determined by Masson's trichrome staining and collagen immunofluorescence. Total kidney transglutaminase (TG) enzyme activity and TG2 protein were measured in tissue homogenates by putrescine incorporation and Western blotting. Extracellular TG enzyme activity and TG2 protein were determined in situ by immunofluorescence, quantified by multiphase image analysis. Results were compared using the unpaired Student's t-test with Welch's correction. Elevated plasma creatinine, urea, and phosphate concentrations were associated with tubulointerstitial fibrosis but not glomerular fibrosis. Kidney homogenates from azotemic cats showed a 3-fold higher total TG enzyme activity and TG2 protein compared with kidneys from nonazotemic cats. Immunofluorescent studies performed in situ confirmed a 3-fold higher extracellular TG enzyme activity and TG2 protein in cats with azotemia. Tubulointerstitial TG2 showed a positive linear correlation with both renal function and tubulointerstitial fibrosis. In conclusion, for cats with azotemia, both filtration failure and tubulointerstitial fibrosis were associated with the upregulation of TG2, a collagen cross-linking enzyme and the major isoform of transglutaminase in the kidney. TG2 may provide a new therapeutic target for drugs designed to slow the progression of feline chronic kidney disease.

  8. Approach towards total knee arthroplasty in Brazil: cross-sectional study

    Directory of Open Access Journals (Sweden)

    Raul Frankllim de Carvalho Almeida

    Full Text Available CONTEXT AND OBJECTIVE: Total knee arthroplasty (TKA has evolved particularly since the 1970s, with improvements in implants and surgical instruments, and has thus become an effective intervention for treating knee arthrosis. Many studies have presented rates of satisfactory clinical and radiological results greater than 90%, from follow-ups of over ten years. Nevertheless, despite scientific evidence showing the efficacy of TKA, the approaches taken present controversies in certain respects. The objective of this study was to evaluate how the Brazilian orthopedists deal with TKA, with investigation of the main aspects of this procedure. DESIGN AND SETTING: Cross-sectional survey conducted during the 39th Brazilian Congress of Orthopedics and Traumatology, in São Paulo, Brazil, in November 2007. METHODS: We applied a questionnaire to orthopedists registered at the congress. The questionnaire was randomly distributed and participation was voluntary; 858 completed questionnaires were included in the analysis. RESULTS: Most of the Brazilian orthopedists were members of SBOT and worked in the southeastern region. They used imported cemented implants through an anterior access route centered on the patella, with replacement of the joint surface of the patella and preservation of the posterior cruciate ligament. They did not have experience with simultaneous bilateral TKA. Postoperatively, they used antibiotics and suction drains for 48 hours. There was no consensus regarding prophylaxis for venous thromboembolism or the frequency of the main complications. CONCLUSION: The majority of Brazilian orthopedists work in the southeastern region of the country and agree about the main aspects of the approaches towards TKA.

  9. Total fission cross section of {sup 181}Ta and {sup 208}Pb induced by protons at relativistic energies

    Energy Technology Data Exchange (ETDEWEB)

    Ayyad, Y.; Benlliure, J.; Casarejos, E. [Group GENP, Dpto. Fisica de Particulas, Universidade de Santiago de Compostela, 15782 Santiago de Compostela (Spain); Schmidt, K. H. [GSI, Planckstrasse 1, 64941, Darmstadt (Germany); Jurado, B. [Universite Bordeaux I, CNRS/IN2 P3, CENBG, BP 120, F-33175 Gradignan (France); Kelic-Heil, A. [GSI, Planckstrasse 1, 64941, Darmstadt (Germany); Pol, H. A. [Group GENP, Dpto. Fisica de Particulas, Universidade de Santiago de Compostela, 15782 Santiago de Compostela (Spain); Ricciardi, M. V.; Pleskac, R. [GSI, Planckstrasse 1, 64941, Darmstadt (Germany); Enqvist, T. [CUPP Project, P.O. Box 22, FI-86801, Pyhsalmi (Finland); Rejmund, F. [Grand Accelerateur National D Ions Lourds, BP 55027, F-14076 Caen Cedex 05 (France); Giot, L. [Subatech - Ecole des Mines de Nantes (France); Henzl, V. [Massachusetts Inst. of Technology, 77, Massachusetts Ave, Cambridge, MA 02139 (United States); Lukic, S. [Karlsruhe Inst. of Technology, D-76021 Karlsruhe (Germany); Ngoc, S. N. [Dept. of Nuclear Physics, Inst. of Physics, National Centre for Natural Science and Technology, NgiaDo-TuLiem, Hanoi (Viet Nam); Boudard, A. [DSM/IRFU/CEA, 91191 Gif-sur-Ivette (France); Universite Louis Pasteur, Strasbourg (France); Leray, S. [DSM/IRFU/CEA, 91191 Gif-sur-Ivette (France); Fernandez, M. [Entro de Investigaciones Energticas Medioambientales Y Tecnolgicas, Madrid (Spain); Kurtukian, T. [Universite Bordeaux I, CNRS/IN2 P3, CENBG, BP 120, F-33175 Gradignan (France); Nadtochy, P. [Omsk State Univ., Dept. of Theoretical Physics, RU-644077 Omsk (Russian Federation); Schmitt, C. [Grand Accelerateur National D' Ions Lourds, BP 55027, F-14076 Caen Cedex 05 (France); Henzlova, D. [Los Alamos National Laboratory, Safeguards Science and Technology Group N-1, Los Alamos, NM 87545 (United States); Paradela, C. [Group GENP, Dpto. Fisica de Particulas, Universidade de Santiago de Compostela, 15782 Santiago de Compostela (Spain); Bacquias, A. [DSM/IRFU/CEA, 91191 Gif-sur-Ivette (France); Universite Louis Pasteur, Strasbourg (France); Loureiro, D. P. [Group GENP, Dpto. Fisica de Particulas, Universidade de Santiago de Compostela, 15782 Santiago de Compostela (Spain); Foehr, V. [GSI, Planckstrasse 1, 64941, Darmstadt (Germany); Tarrio, D. [Group GENP, Dpto. Fisica de Particulas, Universidade de Santiago de Compostela, 15782 Santiago de Compostela (Spain); Kezzar, K. [DSM/IRFU/CEA, 91191 Gif-sur-Ivette (France)

    2011-07-01

    Total fission cross section induced by protons in {sup 181}Ta and {sup 208}Pb at energies in the range of 300 to 1000 A MeV have been measured at GSI (Germany) using the inverse kinematics technique. A dedicated setup with high efficiency made it possible to determine these cross sections with high accuracy. The new data seed light in the controversial results obtained so far and contribute to the understanding of the fission process at high excitation energies. (authors)

  10. Total and single differential cross sections for the electron impact ionization of the ground state of helium

    Energy Technology Data Exchange (ETDEWEB)

    Singh, T.S.C. [Thoubal Coll., Manipur (India). Dept. of Phys.; Choudhury, K.B. [B.K.C. Coll., Calcutta (India). Dept. of Phys.; Singh, M.B. [Manipur Univ. (India). Sch. of Sci.; Deb, N.C. [Indian Association for the Cultivation of Science, Calcutta (India). Dept. of Theoretical Physics; Mukherjee, S.C. [Indian Association for the Cultivation of Science, Calcutta (India). Dept. of Theoretical Physics; Mazumdar, P.S. [Manipur Univ. (India). Sch. of Sci.

    1997-04-01

    Total cross sections (TCS) and single differential cross sections (SDCS) have been computed for the single ionization of the ground state of helium by electron impact in a distorted wave formalism which takes into account the effects of the initial and final channel distortions. The present TCS and SDCS results are in fair agreement with the measured values and other theoretical predictions for the incident electron energy E{sub i} > 150 eV. (orig.).

  11. Recanalization strategy for chronic total occlusions with tapered and stiff-tip guidewire. The results of CTO new techniQUE for STandard procedure (CONQUEST) trial.

    Science.gov (United States)

    Mitsudo, Kazuaki; Yamashita, Takehiro; Asakura, Yasushi; Muramatsu, Toshiya; Doi, Osamu; Shibata, Yoshisato; Morino, Yoshihiro

    2008-11-01

    The success rate of percutaneous coronary intervention (PCI) for chronic total coronary occlusion (CTO) lesions varies depending on the guidewire manipulation skills of the operator. The standardization of guidewire technique is very important. A new technique with a new tapered wire (Conquest, Confianza Pro) was tested to verify effectiveness for higher initial success rates and standardization of PCI for CTO. A prospective, multicenter registry was conducted at 6 investigational sites. In the CONQUEST trial, The CTO lesions were treated by using an intermediate guidewire to cross the lesion. If it did not cross, the guidewire was changed to the Conquest guidewire. If it did not cross, "seesaw-wiring" or the "parallel-wire technique" was performed. The primary endpoint was the initial procedural success rate. A total of 110 patients representing 116 CTO lesions were treated from July 2003 through March 2004. The procedural success rate was 86.2% on the first try, and 88.8% on the second try, respectively. The guidewire success rate on the second try was 90.5% during the hospital stay; no deaths, or acute myocardial infarctions were confirmed. Two patients deteriorated into tamponade, and surgical or percutaneous drainage was performed in each patient without any sequelae. A guidewire technique in PCI for CTOs that starts with the intermediate guidewire and moves to the Confianza Pro tapered guidewire, either alone or by performing a see-saw or parallel-wire technique, can achieve a high initial success rate with an acceptably low major complication rate.

  12. Strategies for Successful Percutaneous Revascularization of Chronic Total Occlusion of the Femoropopliteal Arteries When the Antegrade Passage of a Guide Wire Fails

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hui Jin; Park, Sang Woo; Chang, So Il; Jeon, Hae Jeong; Park, Jeong Hee [Konkuk University Hospital, Konkuk University School of Medicine, Seoul (Korea, Republic of)

    2012-07-15

    To evaluate the efficacy of various strategies for revascularization of chronic total occlusion of femoropopliteal arteries when the guide wire does not pass in an anterograde direction. Twenty-four patients with totally occluded femoropopliteal arteries (mean occlusion length 13.75 cm; range, 6-22 cm) were treated by using a retrograde approach and two novel catheters. After successful recanalization or reentry, balloon angioplasty followed by stent placement was performed to complete the revascularization. In 16 cases in which to cross the occlusion via intraluminal or subintimal route was failed, we used Frontrunner catheters in five cases and Outback catheters in 11 cases. In eight cases in which to reenter after subintimal passage of the guide wire was failed, we used Outback catheters. Successful recanalization was achieved intraluminally or subintimally in all cases. One perforation occurred during subintimal passage of the guide wire that was controlled by recanalization of another subintimal tract. There were no cases of distal thromboembolism or other complications. A retrograde approach and using the Frontrunner and Outback catheters are safe and effective for successful revascularization of chronic total occlusion of femoropopliteal arteries. In particular, they are useful when the initial antegrade attempts at recanalization have failed.

  13. Effects of Percutaneous Coronary Intervention on Viable Myocardium and Heart Function of Diabetic Patients With Chronic Total Occlusion.

    Science.gov (United States)

    Zhou, Guowei; Yang, Wenyi; Li, Liang

    The aim of this study was to compare the effects of percutaneous coronary intervention (PCI) on coronary chronic total occlusion patients with (DM) or without (NDM) diabetes mellitus. A total of 78 patients were divided into DM group and NDM group according to whether the patient has DM. The results of PCI were analyzed using quantitative coronary analysis. In addition, all the patients underwent Tc-MIBI (methoxyisobutylisonitrile) single-photon emission computed tomography (SPECT) and ultrasonic cardiogram in the first week and the sixth month after PCI to evaluate PCI results. During the 6-month follow-up, major adverse cardiac event (MACE) was recorded and analyzed as well. The first and second classes of collateral circulation between the 2 groups have significant differences (P coronary intervention has beneficial effects on heart functions and MACE when performed on chronic total occlusion patients with and without DM.

  14. Predicting Successful Recanalization in Patients with Native Coronary Chronic Total Occlusion: The Busan CTO Score.

    Science.gov (United States)

    Jin, Cai De; Kim, Moo Hyun; Kim, Soo Jin; Lee, Kwang Min; Kim, Tae Hyung; Cho, Young-Rak; Serebruany, Victor L

    2017-01-01

    The optimal strategy to manage chronic total occlusion (CTO) remains unclear. The Japanese CTO multicenter registry (J-CTO) score is an established tool for predicting successful recanalization. However, it does not take into account nonangiographic predictors for final technique success. In the present study, we designed and tested a scoring model called the Busan single-center CTO registry (B-CTO) score combining clinical and angiographic characteristics to predict successful CTO recanalization in Korean patients. Prospectively enrolled CTO patients (n = 438) undergoing coronary intervention (1999-2015) were assessed. The B-CTO score comprises 6 independent predictors: age 60-74 years and lesion length ≥20 mm were assigned 1 point each, while age ≥75 years, female gender, lesion location in the right coronary artery, blunt stump, and bending >45° were assigned 2 points each. For each predictor, the points assigned were based on the associated odds ratio by multivariate analysis. The lesions were classified into 4 groups according to the summation of points scored to assess the probability of successful CTO recanalization: easy (score 0-1), intermediate (score 2-3), difficult (score 4-5), and very difficult (score ≥6). CTO opening was designated as the primary endpoint regardless of the interventional era or the skill of the operator. The final success rate for B-CTO was 81.1%. The probability of successful recanalization for patient groups classified as easy (n = 64), intermediate (n = 148), difficult (n = 134), and very difficult (n = 92) was 95.3, 86.5, 79.1 and 65.2%, respectively (p for trend CTO, the B-CTO score demonstrated a significant improvement in discrimination as indicated by the area under the receiver-operator characteristic curve (AUC 0.083; 95% CI 0.025-0.141), with a positive integrated discrimination improvement of 0.042 and a net reclassification improvement of 56.0%. The B-CTO score has been designed and validated in Korean patients

  15. Total Flavone of Hawthorn Leaf inhibits neuronal apoptosis in brain tissue of rat models of chronic cerebral ischemia

    Institute of Scientific and Technical Information of China (English)

    Tan Rong-fang; Xia Ai-hua; Wu Xiao-guang; Cao Na-na; Li Meng-meng; Zhang Tian-ge; Wang Yi-ru; Yue Zhi-ling

    2014-01-01

    BACKGROUND: Cerebrovascular disease often causes dysfunction of the brain nerve, and nerve cel apoptosis is the important factor of cerebral nerve dysfunction. The excessive expression of c-fos can block the transduction of intracelular signal so that producing some apoptosis-promoting factors, which involve in nerve cel apoptosis process after ischemia injury of brain. Bcl-2 is an inhibited factor. It might to be the key to treat ischemic cerebrovascular disease by inhibiting or reducing the apoptosis of nerve cels after ischemia injury. OBJECTIVE: To investigate the therapeutic effect and mechanism of the Total Flavone of Hawthorn Leaf on chronic cerebral ischemia rats. METHODS: A total of 72 healthy male Sprague-Dawley rats were randomly divided into sham surgery group, model group, Total Flavone of Hawthorn Leaf group and ginkgo leaf group. Permanent bilateral carotid artery ligation was used to prepare chronic cerebral ischemia model in the model group, Total Flavone of Hawthorn Leaf group and ginkgo leaf group. Total Flavone of Hawthorn Leaf group and ginkgo leaf group respectively received 140 mg/kg Total Flavone of Hawthorn Leaf and 12.3 mg/kg ginkgo leaf intragastricaly for 36 days from 36 days after model induction. Model group and sham surgery group received 3.5 mL/kg physiological saline intragastricaly. RESULTS AND CONCLUSION: Compared with the model group, the expression of c-fos protein significantly deceased in the Total Flavone of Hawthorn Leaf group (P 0.05). These data indicated that the protective effect of Total Flavone of Hawthorn Leaf on chronic cerebral ischemia was associated with its inhibition of neuronal apoptosis. Its mechanism of anti-apoptosis might be associated with up-regulating expression of Bcl-2, down-regulating expression of c-fos and decreasing Ca2+ content in brain.

  16. Prevalence, awareness, and treatment of anemia in Chinese patients with nondialysis chronic kidney disease: First multicenter, cross-sectional study.

    Science.gov (United States)

    Li, Ya; Shi, Hao; Wang, Wei-Ming; Peng, Ai; Jiang, Geng-Ru; Zhang, Jin-Yuan; Ni, Zhao-Hui; He, Li-Qun; Niu, Jian-Ying; Wang, Nian-Song; Mei, Chang-Lin; Xu, Xu-Dong; Guo, Zhi-Yong; Yuan, Wei-Jie; Yan, Hai-Dong; Deng, Yue-Yi; Yu, Chen; Cen, Jun; Zhang, Yun; Chen, Nan

    2016-06-01

    This was the first multicenter, cross-sectional survey to assess the prevalence of anemia, patient awareness, and treatment status in China. Data of patients with chronic kidney disease (CKD; age, 18-75 years; both out- and inpatients) from 25 hospitals in Shanghai, seeking medical treatment at the nephrology department, were collected between July 1, 2012 and August 31, 2012. The prevalence, awareness, and treatment of anemia in patients with nondialysis CKD (ND-CKD) were assessed. Anemia was defined as serum hemoglobin (Hb) levels ≤12 g/dL in women and ≤13 g/dL in men. A total of 2420 patients with ND-CKD were included. Anemia was established in 1246 (51.5%) patients: 639 (51.3%) men and 607 (48.7%) women. The prevalence of anemia increased with advancing CKD stage (χtrend = 675.14, P Anemia was more prevalent in patients with diabetic nephropathy (68.0%) than in patients with hypertensive renal damage (56.6%) or chronic glomerulonephritis (46.1%, both P anemia patients, only 7.5% received more effective and recommended intravenous supplementation. Anemia is highly prevalent in patients with ND-CKD in China, with a low target-achieving rate and poor treatment patterns. The study highlights the need to improve multiple aspects of CKD management to delay the progression of renal failure.

  17. Multi-linear regression analysis, preliminary biotic ligand modeling, and cross species comparison of the effects of water chemistry on chronic lead toxicity in invertebrates.

    Science.gov (United States)

    Esbaugh, A J; Brix, K V; Mager, E M; De Schamphelaere, K; Grosell, M

    2012-03-01

    The current study examined the chronic toxicity of lead (Pb) to three invertebrate species: the cladoceran Ceriodaphnia dubia, the snail Lymnaea stagnalis and the rotifer Philodina rapida. The test media consisted of natural waters from across North America, varying in pertinent water chemistry parameters including dissolved organic carbon (DOC), calcium, pH and total CO(2). Chronic toxicity was assessed using reproductive endpoints for C. dubia and P. rapida while growth was assessed for L. stagnalis, with chronic toxicity varying markedly according to water chemistry. A multi-linear regression (MLR) approach was used to identify the relative importance of individual water chemistry components in predicting chronic Pb toxicity for each species. DOC was an integral component of MLR models for C. dubia and L. stagnalis, but surprisingly had no predictive impact on chronic Pb toxicity for P. rapida. Furthermore, sodium and total CO(2) were also identified as important factors affecting C. dubia toxicity; no other factors were predictive for L. stagnalis. The Pb toxicity of P. rapida was predicted by calcium and pH. The predictive power of the C. dubia and L. stagnalis MLR models was generally similar to that of the current C. dubia BLM, with R(2) values of 0.55 and 0.82 for the respective MLR models, compared to 0.45 and 0.79 for the respective BLMs. In contrast the BLM poorly predicted P. rapida toxicity (R(2)=0.19), as compared to the MLR (R(2)=0.92). The cross species variability in the effects of water chemistry, especially with respect to rotifers, suggests that cross species modeling of invertebrate chronic Pb toxicity using a C. dubia model may not always be appropriate.

  18. Total Flavonoids Extracted from Xiaobuxin-Tang on the Hyperactivity of Hypothalamic-Pituitary-Adrenal Axis in Chronically Stressed Rats

    Directory of Open Access Journals (Sweden)

    Lei An

    2011-01-01

    Full Text Available Our previous studies have demonstrated that the total flavonoids (XBXT-2 isolated from the extract of Xiaobuxin-Tang (XBXT, a traditional Chinese herbal decoction, ameliorated behavioral alterations and hippocampal dysfunctions in chronically stressed rats. Studies over the last decades have suggested that the hyperactivity of hypothalamic-pituitary-adrenal (HPA axis is one of the most consistent findings in stress-related depression. Herein, we used the same chronic mild stress model of rats as before to further investigate the effect of XBXT-2 on the hyperactivity of HPA axis, including the stress hormones levels and glucocorticoid receptors (GRs expression. Our ELISA results showed that chronic administration of XBXT-2 (25, 50 mg kg−1, p.o., 28 days, the effective doses for behavioral responses significantly decreased serum corticosterone level and its upstream stress hormone adrenocorticotropic hormone (ACTH level in chronically stressed rats. Furthermore, western blotting result demonstrated XBXT-2 treatment ameliorated stress-induced decrease of GRs expression in hippocampus, an important target involved in the hyperactivity of HPA axis. These results were similar to that of classic antidepressant imipramine treatment (10 mg kg−1, p.o.. In conclusion, the modulation of HPA axis produced by XBXT-2, including the inhibition of stress hormones levels and up-regulation of hippocampal GRs expression, may be an important mechanism underlying its antidepressant-like effect in chronically stressed rats.

  19. Luminosity-Independent Measurement of the Proton-Proton Total Cross Section at $\\sqrt{s}$ = 8 TeV

    CERN Document Server

    Antchev, G; Atanassov, I; Avati, V; Baechler, J.; Berardi, V; Berretti, M; Bossini, E; Bozzo, M; Bottigli, U; Brucken, E; Buzzo, A; Cafagna, F S; Calicchio, M; Catanesi, M G; Covault, C; Csanad, M; Csorgo, T; Deile, M; Doubek, M; Eggert, K; Eremin, V; Ferretti, R; Ferro, F; Fiergolski, A; Garcia, F; Giani, S; Greco, V; Grzanka, L; Heino, J; Hilden, T; Intonti, R A; Kavspar, J; Kopal, J; Kundrat, V; Kurvinen, K; Lami, S; Latino, G; Lauhakangas, R; Leszko, T; Lippmaa, E; Lokajivcek, M; Lo Vetere, M; Lucas-Rodriguez, F; Macri, M.; Maki, T; Mercadante, A; Minafra, N; Minutoli, S; Nemes, F; Niewiadomski, H; Oliveri, E; Oljemark, F; Orava, R; Oriunno, M; Osterberg, K; Palazzi, P; Prochazka, J; Quinto, M; Radermacher, E; Radicioni, E; Ravotti, F; Robutti, E; Ropelewski, L; Ruggiero, G; Saarikko, H; Santroni, A; Scribano, A; Smajek, J; Snoeys, W; Sziklai, J; Taylor, C; Turini, N; Vacek, V; Vitek, M; Welti, J; Whitmore, J; Wyszkowski, P

    2013-01-01

    TOTEM has measured the proton-proton total cross-section at $\\sqrt{s}$ = 8 TeV using a luminosity independent method. In LHC fills with dedicated beam optics, the Roman Pots have been inserted very close to the beam allowing the detection of 90% of the nuclear elastic scattering events. Simultaneously the inelastic scattering rate has been measured by the T1 and T2 Telescopes. By applying the optical theorem, the total proton-proton cross-section of (101.7 $\\pm$ 2.9)mb is determined, well in agreement with the extrapolation from lower energies. This method allows also to derive the luminosity-independent elastic and inelastic cross-sections: $\\sigma_{el}$ = (27.1 $\\pm$ 1.4)mb; $\\sigma_{inel}$ = (74.7 $\\pm$ 1.7)mb.

  20. Analysis of the total activation cross section of all possible reactions producing the same radioactive nuclide for the same element

    Institute of Scientific and Technical Information of China (English)

    ZHOU Feng-Qun; SONG Yue-Li; TUO Fei; KONG Xiang-Zhong

    2011-01-01

    Firstly,according to the regulation of growth and decay of radioactive nuclides produced in reactions,a formula used to calculate the total activation cross section of all possible reactions producing the same radioactive nuclide for the same element is deduced,and it is pointed out that the activation formula given in two references is incorrect.Then,as an example,the so-called total activation cross section in one of the two references is analyzed and the correct results of the cross sections of 182W(n,p)182(m+g)Ta,183W(n,p)183Ta and 206Pb(n,a)203Hg induced by neutrons around 14 MeV calculated with the data given in the literature,the nuclear parameters and some evaluated values are given.Finally,the correct results are compared with other values collected in the literature.

  1. Energy dependence of the total reaction cross section of isomeric F-18(m) on silicon below 400 MeV

    NARCIS (Netherlands)

    Roberts, DA; Becchetti, FD; Janecke, J; Lee, MY; O'Donnell, TW; Pham, K; Warner, RE; Ronningen, RM; Wilschut, HW

    2002-01-01

    A 25 MeV/nucleon primary O-17 beam was used to produce an isomeric state F-18(m) beam via the single-nucleon transfer reaction O-17 (C-12, B-11)F-18(m). The total nuclear reaction cross section, sigma(R), of F-18(m) (metastable) on silicon was measured using a stack of silicon surface barrier detect

  2. Total reaction cross sections for 20-30 MeV pions and the anomaly of pionic atoms

    Science.gov (United States)

    Friedman, E.; Goldring, A.; Johnson, R. R.; Meirav, O.; Vetterli, D.; Weber, P.; Altman, A.

    1991-03-01

    Total reaction cross sections of 20 MeV π- and 30 MeV π+ and π- have been measured for carbon and nickel targets. The experimental results are in very good agreement with calculations based on commonly accepted pion-nucleus potentials but disagree with calculations based on the potentials associated with the so-called pionic atom anomaly.

  3. Analytic amplitudes for hadronic forward scattering and the Heisenberg ln{sup 2} s behaviour of total cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Nicolescu, Basarab [LPNHE, Unite de Recherche des Universites Paris 6 et Paris 7, associee au CNRS, Theory Group, Universite Pierre et Marie Curie, 4 Place Jussieu, 75252 Paris Cedex 05 (France)

    2004-07-01

    We consider several classes of analytic parametrizations of hadronic scattering amplitudes (the COMPETE analysis), and compare their predictions to all available forward data (pp, {pi}p, Kp, {gamma}p, {gamma}{gamma}, {sigma}p). Although these parametrizations are very close for {radical}s {>=} 9 GeV, it turns out that they differ markedly at low energy, where a universal Pomeron term {approx} ln{sup 2} s enables one to extend the fit down to {radical}s = 4 GeV. We present predictions on the total cross sections and on the ratio of the real part to the imaginary part of the elastic amplitude ({rho} parameter) for present and future pp colliders, and on total cross sections for {gamma}p {yields} hadrons at cosmic-ray energies and for it{gamma}{gamma} {yields} hadrons up to {radical}s = 1 TeV. The ln{sup 2} s behaviour of total cross sections, first obtained by Heisenberg 50 years ago, receives now increased interest both on phenomenological and theoretical levels. We present a modification of the Heisenberg's model in connection with the presence of glueballs and we show that it leads to a realistic description of all existing hadron total cross-sections data, in agreement with the COMPETE analysis.

  4. Relationship between Chronic Short Sleep Duration and Childhood Body Mass Index: A School-Based Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Claudia Pileggi

    Full Text Available To assess relationship between obesity and chronic shorter sleep duration in children and to determine if lack of sleep represents an independent determinant of childhood Body Mass Index.This cross-sectional study was conducted in all children enrolled in the fifth class (approximately 10 years of age of all public primary schools in Catanzaro (Southern Italy. The overall response rate was 62% resulting in 542 participating children. Parents completed a questionnaire with information on their demographics and socio-economic characteristics, their health status, characteristics of their child birth and health status. The sleeping habits were investigated in the 3 months preceding the consultation and parents were asked to indicate hours of bedtime and wake-up of their children. Multivariate linear regression analysis was performed to examine the association between child BMI and chronic lack of sleep.36.7% of the children surveyed were overweight or obese. A quarter of children did not routinely play sports and many of them spent more than an hour a day watching TV (60.7% and using videogames or computer (51.1%. Widespread dietary habits were inadequate, especially concerning vegetables and fruit intake with more than 95% of children who consumed insufficient amounts. The average duration of sleep was equal to 9.4 (SD = ±0.6 hours, and the short-sleepers accounted for 38.9% of the total sample. The results of multivariate analysis showed a significant 0.77 Kg/m(2 increase of BMI for children classified as short compared to normal sleepers (95%CI = 0.16-1.38, p = 0.01.Chronic lack of sleep appears to be associated to higher BMI even in middle childhood and strongly suggests that public health strategies, focused on promoting healthy lifestyles should include an innovative approach to ensure an adequate duration of sleep at night especially in children, alongside more traditional approaches.

  5. MEASUREMENTS OF TOTAL CROSS SECTIONS FOR K—SHELL IONIZATION BY ELECTRON BOMBARDMENT

    Institute of Scientific and Technical Information of China (English)

    李景文; 董志强; 等

    1994-01-01

    Cross sections for K-shell ionization have been measured at electron energies of 0.1-0.40MeV for Cu and Sn,and of 0.30MeV for Ag.The present results have been compared with theoretical calculations and previously reported experimental values.A great deal of experimental and theoretical work has been devoted in recent years to the study of the ionization cross sections of atoms or ions by electron impact[1-3],The importance of an accurate evaluation of these cross sections is evidenced by the wide variety of physical phenomana,the interpretations of which demand a knowledge of reaction rates for ionization by electron impact.Examples of such phenomena arise in the field of plamsa physics,in study of stellar atomospheres and the solar corona,in studies of gas discharges and of the passage of shock waves through gases,and in astrophysics.

  6. Attitudes and beliefs about chronic pain among nurses- biomedical or behavioral? A cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Venkatesan Prem

    2011-01-01

    Full Text Available Context: Studies have documented that nurses and other health care professionals are inadequately prepared to care for patients in chronic pain. Several reasons have been identified including inadequacies in nursing education, absence of curriculum content related to pain management, and attitudes and beliefs related to chronic pain. Aims: The objective of this paper was to assess the chronic pain-related attitudes and beliefs among nursing professionals in order to evaluate the biomedical and behavioral dimensions of their perceptions on pain. Settings and Design: Cross-sectional survey of 363 nurses in a multispecialty hospital. Materials and Methods: The study utilized a self-report questionnaire - pain attitudes and beliefs scale (PABS - which had 31 items (statements about pain for each of which the person had to indicate the level at which he or she agreed or disagreed with each statement. Factor 1 score indicated a biomedical dimension while factor 2 score indicated a behavioral dimension to pain. Statistical Analysis Used: Comparisons across individual and professional variables for both dimensions were done using one-way ANOVA and correlations were done using the Karl-Pearson co-efficient using SPSS version 11.5 for Windows. Results: The overall factor 1 score was 52.95 ± 10.23 and factor 2 score was 20.93 ± 4.72 (P = 0.00. The female nurses had a higher behavioral dimension score (21.1 ± 4.81 than their male counterparts (19.55 ± 3.67 which was significant at P< 0.05 level. Conclusions: Nurses had a greater orientation toward the biomedical dimension of chronic pain than the behavioral dimension. This difference was more pronounced in female nurses and those nurses who reported "very good" general health had higher behavioral dimension scores than those who had "good" general health. The study findings have important curricular implications for nurses and practical implications in palliative care.

  7. Intravascular ultrasound guidance of percutaneous coronary intervention in ostial chronic total occlusions: a description of the technique and procedural results.

    Science.gov (United States)

    Ryan, Nicola; Gonzalo, Nieves; Dingli, Philip; Cruz, Oscar Vedia; Jiménez-Quevedo, Pilar; Nombela-Franco, Luis; Nuñez-Gil, Ivan; Trigo, María Del; Salinas, Pablo; Macaya, Carlos; Fernandez-Ortiz, Antonio; Escaned, Javier

    2017-02-14

    Inability to cross the lesion with a guidewire is the most common reason for failure in percutaneous revascularization (PCI) of chronic total occlusions (CTOs). An ostial or stumpless CTO is an acknowledged challenge for CTO recanalization due to difficulty in successful wiring. IVUS imaging provides the opportunity to visualize the occluded vessel and to aid guidewire advancement. We review the value of this technique in a single-centre experience of CTO PCI. This series involves 22 patients who underwent CTO-PCI using IVUS guidance for stumpless CTO wiring at our institution. CTO operators with extensive IVUS experience in non-CTO cases carried out all procedures. Procedural and outcome data was prospectively entered into the institutional database and a retrospective analysis of clinical, angiographic and technical data performed. 17 (77%) of the 22 procedures were successful. The mean age was 59.8 ± 11.5 years, and 90.9% were male. The most commonly attempted lesions were located in the left anterior descending 36.4% (Soon et al. in J Intervent Cardiol 20(5):359-366, 2007) and Circumflex artery (LCx) 31.8% (Mollet et al. in Am J Cardiol 95(2):240-243, 2005). Mean JCTO score was 3.09 ± 0.75 (3.06 ± 0.68, 3.17 ± 0.98 in the successful and failed groups respectively p = 0.35). The mean contrast volume was 378.7 ml ± 114.7 (389.9 ml ± 130.5, 349.2 ml ± 52.2 p = 0.3 in the successful and failed groups respectively). There was no death, coronary artery bypass grafting or myocardial infarction requiring intervention in this series. When the success rates were analyzed taking into account the date of adoption of this technique, the learning curve had no significant impact on CTO-PCI success. This series describes a good success rate in IVUS guided stumpless wiring of CTOs in consecutive patients with this complex anatomical scenario.

  8. Chronic-disease patients and their use of out-of-hours primary health care: a cross-sectional study

    DEFF Research Database (Denmark)

    Flarup, Lone; Moth, Grete; Christensen, Morten Bondo;

    2014-01-01

    Background The general practitioner (GP) plays an important role for chronic disease care. Continuous and close contact with daytime general practice is intended to prevent medical problems arising outside office hours due to already diagnosed chronic disease. However, previous studies indicate...... that patients with chronic diseases are frequent users of out-of-hours primary care services (OOH), but knowledge is limited on reasons for encounter (RFE), severity of symptoms, and OOH patient handling. We aimed to describe contacts to the OOH services from patients with chronic heart disease, lung disease...... of the five chronic diseases. In total, 25.9% of all calls to the OOH services came from this chronic disease patient group due to an acute exacerbation; 32.6% of these calls came from patients with psychiatric diagnoses. Patients with chronic disease were more likely to receive a face-to-face contact than...

  9. Universal trend for heavy-ion total reaction cross-sections at energies above the Coulomb barrier

    Science.gov (United States)

    Tavares, O. A. P.; Medeiros, E. L.; Morcelle, V.

    2010-08-01

    Heavy-ion total reaction cross-section measurements for more than 1100 reaction cases covering 61 target nuclei in the range 6Li-238U and 158 projectile nuclei from 2H to 84Kr (mostly exotic ones) have been analyzed in a systematic way by using an empirical, three-parameter formula that is applicable to the cases of projectile kinetic energies above the Coulomb barrier. The analysis has shown that the average total nuclear binding energy per nucleon of the interacting nuclei and their radii are the chief quantities that describe the cross-section patterns. A great amount of cross-section data (87%) has been quite satisfactorily reproduced by the proposed formula; therefore, the total reaction cross-section predictions for new, not yet experimentally investigated reaction cases can be obtained within 25% (or much less) uncertainty. Dedicated to CBPF—Centro Brasileiro de Pesquisas Físicas in its celebration of the 60th anniversary of its foundation.

  10. Measurements of pion-helium total cross sections at energies from 51 to 105 MeV

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, K.F.

    1976-10-01

    Measurements of ..pi../sup + -/-/sup 4/He total cross sections have been made at energies from 51 to 105 MeV using a superfluid /sup 4/He target at the Low Energy Pion channel of the LAMPF accelerator in Los Alamos. Pions were selected with either a DISC counter or a time-of-flight system. The scattered pions were detected by a series of circular plastic scintillation counters using standard transmission techniques. The resulting partial removal cross sections were extrapolated to zero solid angle after being corrected for Coulomb effects, pion decay, accidental counts, counter absorption and efficiencies, and statistical correlations. The resulting statistical errors were generally approximately 3-5 percent. The measured total cross sections were found to be in good statistical agreement with previous measurements and in poor agreement with the predictions of several optical potentials in current use. Through an optical theorem the imaginary part of the forward scattering amplitude was found. The total cross sections have been used with previously-measured angular distributions through a phenomenological model to obtain the real part of the forward scattering amplitude at four energies between 50 and 75 MeV. These results were found to be in good agreement with forward dispersion relation calculations.

  11. Two-Pion Production in Proton-Proton Collisions -- Experimental Total Cross Sections and their Isospin Decomposition

    CERN Document Server

    Skorodko, T; Bogoslawsky, D; Calén, H; Clement, H; Doroshkevich, E; Demiroers, L; Ekström, C; Fransson, K; Gustafsson, L; Höistad, B; Ivanov, G; Jacewicz, M; Jiganov, E; Johansson, T; Khakimova, O; Keleta, S; Koch, I; Kren, F; Kullander, S; Kupsc, A; Marciniewski, P; Meier, R; Morosov, B; Pauly, C; Petren, H; Petukhov, Yu P; Povtorejko, A; Ruber, R J M Y; Schonning, K; Scobel, W; Shwartz, B; Stepaniak, J; Thorngren-Engblom, P; Tikhomirov, V; Wagner, G J; Wolke, M; Yamamoto, A; Zabierowski, J; Zlomanczuk, Yu

    2009-01-01

    The two-pion production in pp-collisions has been investigated at CELSIUS in exclusive measurements from threshold up to $T_p$ = 1.36 GeV. Total and differential cross sections have been obtained for the channels $pn\\pi^+\\pi^0$, $pp\\pi^+\\pi^-$, $pp\\pi^0\\pi^0$ and also $nn\\pi^+\\pi^+$. For intermediate incident energies $T_p >$ 1 GeV, i.e. in the region which is beyond the Roper excitation but at the onset of $\\Delta\\Delta$ excitation, the total $pp\\pi^0\\pi^0$ cross section falls behind theoretical predictions by as much as an order of magnitude near 1.2 GeV, whereas the $nn\\pi^+\\pi^+$ cross section is a factor of five larger than predicted. An isospin decompostion of the total cross sections exhibits a s-channel-like energy dependence in the region of the Roper excitation as well as a significant contribution of an isospin 3/2 resonance other than the $\\Delta(1232)$. As possible candidates the $\\Delta(1600)$ and the $\\Delta(1700)$ are discussed.

  12. Two-pion production in proton-proton collisions — experimental total cross sections and their isospin decomposition

    Science.gov (United States)

    Skorodko, T.; Bashkanov, M.; Bogoslawsky, D.; Calén, H.; Clement, H.; Doroshkevich, E.; Demiroers, L.; Ekström, C.; Fransson, K.; Gustafsson, L.; Höistad, B.; Ivanov, G.; Jacewicz, M.; Jiganov, E.; Johansson, T.; Khakimova, O.; Keleta, S.; Koch, I.; Kren, F.; Kullander, S.; Kupść, A.; Marciniewski, P.; Meier, R.; Morosov, B.; Pauly, C.; Petrén, H.; Petukhov, Y.; Povtorejko, A.; Ruber, R. J. M. Y.; Schönning, K.; Scobel, W.; Shwartz, B.; Stepaniak, J.; Thörngren-Engblom, P.; Tikhomirov, V.; Wagner, G. J.; Wolke, M.; Yamamoto, A.; Zabierowski, J.; Zlomanczuk, J.

    2009-08-01

    The two-pion production in pp-collisions has been investigated at CELSIUS in exclusive measurements from threshold up to Tp = 1.36 GeV. Total and differential cross sections have been obtained for the channels pnπ+π0, ppπ+π-, ppπ0π0 and also nnπ+π+. For intermediate incident energies Tp > 1 GeV, i.e. in the region which is beyond the Roper excitation but at the onset of ΔΔ excitation, the total ppπ0π0 cross section falls behind theoretical predictions by as much as an order of magnitude near 1.2 GeV, whereas the nnπ+π+ cross section is a factor of five larger than predicted. An isospin decomposition of the total cross sections exhibits a s-channel-like energy dependence in the region of the Roper excitation as well as a significant contribution of an isospin 3/2 resonance other than the Δ (1232). As possible candidates the Δ (1600) and the Δ (1700) are discussed.

  13. Two-pion production in proton-proton collisions - experimental total cross sections and their isospin decomposition

    Energy Technology Data Exchange (ETDEWEB)

    Skorodko, T.; Bashkanov, M. [Physikalisches Institut der Universitaet Tuebingen, D-72076 Tuebingen (Germany); Bogoslawsky, D. [Joint Institute for Nuclear Research, Dubna (Russian Federation); Calen, H. [Svedberg Laboratory, Uppsala (Sweden); Clement, H. [Physikalisches Institut der Universitaet Tuebingen, D-72076 Tuebingen (Germany)], E-mail: Clement@pit.physik.uni-tuebingen.de; Doroshkevich, E. [Physikalisches Institut der Universitaet Tuebingen, D-72076 Tuebingen (Germany); Demiroers, L. [Hamburg University, Hamburg (Germany); Ekstroem, C.; Fransson, K. [The Svedberg Laboratory, Uppsala (Sweden); Gustafsson, L.; Hoeistad, B. [Uppsala University, Uppsala (Sweden); Ivanov, G. [Joint Institute for Nuclear Research, Dubna (Russian Federation); Jacewicz, M. [Uppsala University, Uppsala (Sweden); Jiganov, E. [Joint Institute for Nuclear Research, Dubna (Russian Federation); Johansson, T. [Uppsala University, Uppsala (Sweden); Khakimova, O. [Physikalisches Institut der Universitaet Tuebingen, D-72076 Tuebingen (Germany); Keleta, S.; Koch, I. [Uppsala University, Uppsala (Sweden); Kren, F. [Physikalisches Institut der Universitaet Tuebingen, D-72076 Tuebingen (Germany); Kullander, S. [Uppsala University, Uppsala (Sweden)] (and others)

    2009-08-10

    The two-pion production in pp-collisions has been investigated at CELSIUS in exclusive measurements from threshold up to T{sub p}=1.36 GeV. Total and differential cross sections have been obtained for the channels pn{pi}{sup +}{pi}{sup 0}, pp{pi}{sup +}{pi}{sup -}, pp{pi}{sup 0}{pi}{sup 0} and also nn{pi}{sup +}{pi}{sup +}. For intermediate incident energies T{sub p}>1 GeV, i.e. in the region which is beyond the Roper excitation but at the onset of {delta}{delta} excitation, the total pp{pi}{sup 0}{pi}{sup 0} cross section falls behind theoretical predictions by as much as an order of magnitude near 1.2 GeV, whereas the nn{pi}{sup +}{pi}{sup +} cross section is a factor of five larger than predicted. An isospin decomposition of the total cross sections exhibits a s-channel-like energy dependence in the region of the Roper excitation as well as a significant contribution of an isospin 3/2 resonance other than the {delta}(1232). As possible candidates the {delta}(1600) and the {delta}(1700) are discussed.

  14. The use of FAMACHA in estimation of gastrointestinal nematodes and total worm burden in Damara and Barbados Blackbelly cross sheep.

    Science.gov (United States)

    Mohammed, Konto; Abba, Yusuf; Ramli, Nur Syairah Binti; Marimuthu, Murugaiyah; Omar, Mohammed Ariff; Abdullah, Faez Firdaus Jesse; Sadiq, Muhammad Abubakar; Tijjani, Abdulnasir; Chung, Eric Lim Teik; Lila, Mohammed Azmi Mohammed

    2016-06-01

    The prevalence of gastrointestinal (GI) nematodes and total worm burden of Damara and Barbados Blackbelly cross sheep was investigated among smallholder farms in Salak Tinggi district of Selangor, Malaysia. A total of 50 sheep raised in smallholder farms comprising of 27 Damara cross and 23 Barbados Blackbelly cross were categorized based on their age into young and adults. Fecal samples were collected and examined for strongyle egg count by using modified McMaster technique. Severity of infection was categorized into mild, moderate, and heavy, based on egg per gram (EPG). Five sheep were randomly selected and slaughtered to examine the presence of adult gastrointestinal (GI) nematodes through total worm count (TWC). Faffa Malan Chart (FAMACHA) score was used for investigation of worm load based on the degree of anemia. The study revealed an overall EPG prevalence of 88 %, of which 84.1 % had mild infection. There was a significant difference (p = 0.002) in EPG among the two breeds. Based on age, significant difference (p = 0. 004) in EPG was observed among Barbados Blackbelly cross, but not for Damara cross (p = 0.941). The correlation between severity of infection and the FAMACHA score was significant (r = 0.289; p = 0.042). Haemonchus spp. were the most predominant nematode found in the gastrointestinal tract, followed by Trichostrongylus and Oesophagostomum spps. EPG and TWC for Haemonchus were positively correlated, but not significant (r = 0.85, p = 0.066). From regression analysis, 73 % of the variability in TWC for Haemonchus could be explained by EPG. Thus, it can be concluded that FAMACHA score correlates well with severity of infection of a nematode and can be used to assess the strongyle nematode burden in the different sheep crosses.

  15. Direct measurement of the 15N(p,gamma)16O total cross section at novae energies

    CERN Document Server

    Bemmerer, D; Bonetti, R; Broggini, C; Confortola, F; Corvisiero, P; Costantini, H; Elekes, Z; Formicola, A; Fülöp, Z; Gervino, G; Guglielmetti, A; Gustavino, C; Gyurky, Gy; Junker, M; Limata, B; Marta, M; Menegazzo, R; Prati, P; Roca, V; Rolfs, C; Alvarez, C Rossi; Somorjai, E; Straniero, O

    2009-01-01

    The 15N(p,gamma)16O reaction controls the passage of nucleosynthetic material from the first to the second carbon-nitrogen-oxygen (CNO) cycle. A direct measurement of the total 15N(p,gamma)16O cross section at energies corresponding to hydrogen burning in novae is presented here. Data have been taken at 90-230 keV center-of-mass energy using a windowless gas target filled with nitrogen of natural isotopic composition and a bismuth germanate summing detector. The cross section is found to be a factor two lower than previously believed.

  16. Total projectile electron loss cross sections of U^{28+} ions in collisions with gaseous targets ranging from hydrogen to krypton

    Directory of Open Access Journals (Sweden)

    G. Weber

    2015-03-01

    Full Text Available Beam lifetimes of stored U^{28+} ions with kinetic energies of 30 and 50  MeV/u, respectively, were measured in the experimental storage ring of the GSI accelerator facility. By using the internal gas target station of the experimental storage ring, it was possible to obtain total projectile electron loss cross sections for collisions with several gaseous targets ranging from hydrogen to krypton from the beam lifetime data. The resulting experimental cross sections are compared to predictions by two theoretical approaches, namely the CTMC method and a combination of the DEPOSIT code and the RICODE program.

  17. Factors influencing observed and self-reported functional ability in women with chronic widespread pain: A cross-sectional study

    DEFF Research Database (Denmark)

    Amris, Kirstine; Wæhrens, Eva Ejlersen; Stockmarr, Anders

    2014-01-01

    -sectional with systematic data collection in a clinical setting. Subjects: A total of 257 consecutively enrolled women with chronic widespread pain. Methods: Multidimensional assessment using self-report and observation-based assessment tools identified to cover ICF categories included in the brief ICF Core Set for chronic...

  18. Calculations of elastic, ionization and total cross sections for inert gases upon electron impact: threshold to 2 keV

    Energy Technology Data Exchange (ETDEWEB)

    Vinodkumar, Minaxi [V P and R P T P Science College, Vallabh Vidyanagar 388 120, Gujarat (India); Limbachiya, Chetan [P S Science College, Kadi 382 715, Gujarat (India); Antony, Bobby [Department of Environmental, Earth and Atmospheric Sciences, University of Massachusetts Lowell, 265 Riverside Street, Lowell, MA 01854-5045 (United States); Joshipura, K N [Department of Physics, Sardar Patel University, Vallabh Vidyanagar 388 120, Gujarat (India)

    2007-08-28

    In this paper we report comprehensive calculations of total elastic (Q{sub el}), total ionization (Q{sub ion}) and total (complete) cross sections (Q{sub T}) for the impact of electrons on inert gases (He, Ne, Ar, Kr and Xe) at energies from about threshold to 2000 eV. We have employed the spherical complex optical potential (SCOP) formalism to evaluate Q{sub el} and Q{sub T} and used the complex spherical potential-ionization contribution (CSP-ic) method to derive Q{sub ion}. The dependence of Q{sub T} on polarizability and incident energy is presented for these targets through an analytical formula. Mutual comparison of various cross sections is provided to show their relative contribution to the total cross sections Q{sub T}. Comparison of Q{sub T} for all these targets is carried out to present a general theoretical picture of collision processes. The present calculations also provide information, hitherto sparse, on the excitation processes of these atomic targets. These results are compared with available experimental and other theoretical data and overall good agreement is observed.

  19. Glutathione S-Transferase activity and total thiol status in chronic alcohol abusers before and 30 days after alcohol abstinence

    Directory of Open Access Journals (Sweden)

    Manjunatha S Muttigi

    2009-05-01

    Full Text Available Background: Glutathione S Transferase (GST has been involved in detoxification process in the liver and its activity has been shown to be increased in alcohol abusers. In the current work we measured the GST activity, total thiol status, AST, ALT, and direct bilirubin in chronic alcohol abusers before and 30 days after alcohol abstinence and lifestyle modification. Methods: Serum and urine GST activity and total thiol status were determined using spectrophotometric methods and serum transaminases were determined using clinical chemistry analyzer. Results: We found,significant increase in serum and urine GST (p<0.001, AST (p<0.001, ALT (p<0.001, and decrease in total thiol status (p<0.001 in chronic alcohol abusers. GST activity significantly decreased (p<0.001 and total thiol status were improved significantly (p<0.001 30 days after alcohol abstinence and lifestyle modification. Conclusion: This study provides preliminary data to suggest the role of GST as prognostic indicator of alcohol abstinence with possible trend towards an improvement in liver function.

  20. Totally inverted cervix due to a huge prolapsed cervical myoma simulating chronic non-puerperal uterine inversion.

    Science.gov (United States)

    Turhan, Nilgun; Simavli, Serap; Kaygusuz, Ikbal; Kasap, Burcu

    2014-01-01

    Inversion of the uterus is an extremely rare complication of the non-puerperal period and is commonly caused by benign submucous, especially fundal, leiomyomas. A case of a totally inverted cervix due to a prolapsed huge cervical leiomyoma mimicking chronic non-puerperal uterine inversion in a perimenopausal woman is presented. A 52-year-old perimenopausal woman was admitted to our clinic with an ulcerated, necrotic, infected and swollen prolapsed mass. Gynecologic history revealed that she was advised myomectomy because of her cervical myoma 2 years ago but she refused to have an operation as she believed that her positive thoughts would shrink the myoma. Presumed diagnosis before surgery was chronic non-puerperal uterine inversion. An intraoperative diagnosis was totally inverted cervix due to a huge cervical leiomyoma. Vaginal hysterectomy without adnexectomy, was performed. This is the first case in the literature which a totally inverted cervix due to a prolapsed huge cervical leiomyoma. Cervical fibroids can grow in perimenopausal period and in extremely rare cases can cause total cervical inversion. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  1. Moderate hypothermia technique for chronic implantation of a total artificial heart in calves.

    Science.gov (United States)

    Karimov, Jamshid H; Grady, Patrick; Sinkewich, Martin; Sunagawa, Gengo; Dessoffy, Raymond; Byram, Nicole; Moazami, Nader; Fukamachi, Kiyotaka

    2017-02-25

    The benefit of whole-body hypothermia in preventing ischemic injury during cardiac surgical operations is well documented. However, application of hypothermia during in vivo total artificial heart implantation has not become widespread because of limited understanding of the proper techniques and restrictions implied by constitutional and physiological characteristics specific to each animal model. Similarly, the literature on hypothermic set-up in total artificial heart implantation has also been limited. Herein we present our experience using hypothermia in bovine models implanted with the Cleveland Clinic continuous-flow total artificial heart.

  2. Psychophysiological Associations between Chronic Tinnitus and Sleep: A Cross Validation of Tinnitus and Insomnia Questionnaires

    Directory of Open Access Journals (Sweden)

    Martin Schecklmann

    2015-01-01

    Full Text Available Background. The aim of the present study was to assess the prevalence of insomnia in chronic tinnitus and the association of tinnitus distress and sleep disturbance. Methods. We retrospectively analysed data of 182 patients with chronic tinnitus who completed the Tinnitus Questionnaire (TQ and the Regensburg Insomnia Scale (RIS. Descriptive comparisons with the validation sample of the RIS including exclusively patients with primary/psychophysiological insomnia, correlation analyses of the RIS with TQ scales, and principal component analyses (PCA in the tinnitus sample were performed. TQ total score was corrected for the TQ sleep items. Results. Prevalence of insomnia was high in tinnitus patients (76% and tinnitus distress correlated with sleep disturbance (r=0.558. TQ sleep subscore correlated with the RIS sum score (r=0.690. PCA with all TQ and RIS items showed one sleep factor consisting of all RIS and the TQ sleep items. PCA with only TQ sleep and RIS items showed sleep- and tinnitus-specific factors. The sleep factors (only RIS items were sleep depth and fearful focusing. The TQ sleep items represented tinnitus-related sleep problems. Discussion. Chronic tinnitus and primary insomnia are highly related and might share similar psychological and neurophysiological mechanisms leading to impaired sleep quality.

  3. Assessment of total and soluble fluoride content in commercial dentifrices in Davangere: A cross sectional survey

    OpenAIRE

    D J Veeresh; Umesh Wadgave

    2014-01-01

    Introduction: The major reason for decline in dental caries across globe is because of widespread use of fluoride dentifrices. For a fluoride dentifrice to be effective in the control of dental caries, an adequate concentration of the fluoride must be soluble. Objective: To assess soluble fluoride and total fluoride content in selected commercial dentifrices in Davangere. Materials and Methods: The soluble fluoride and total fluoride content in six selected commercial dentifrices in Davangere...

  4. Assessment of total and soluble fluoride content in commercial dentifrices in Davangere: A cross sectional survey

    Directory of Open Access Journals (Sweden)

    D J Veeresh

    2014-01-01

    Full Text Available Introduction: The major reason for decline in dental caries across globe is because of widespread use of fluoride dentifrices. For a fluoride dentifrice to be effective in the control of dental caries, an adequate concentration of the fluoride must be soluble. Objective: To assess soluble fluoride and total fluoride content in selected commercial dentifrices in Davangere. Materials and Methods: The soluble fluoride and total fluoride content in six selected commercial dentifrices in Davangere were assessed and expressed as ppm of fluoride (F (mgF/g. Total fluoride and soluble fluoride was determined using an ion-specific electrode. Descriptive statistics applied to assess the mean total fluoride and soluble fluoride. Results: The total fluoride and soluble fluoride concentrations were approximately near to 1,000 ppm. Among the six dentifrices evaluated, four contained sodium fluoride (NaF and two contained sodium monofluorophosphate (Na MFP as fluoride compound. Conclusions: All the fluoridated dentifrices evaluated in this study contain adequate amount of soluble and total fluoride.

  5. Low free to total PSA ratio is not a good discriminator of chronic prostatitis and prostate cancer: An Indian experience

    Directory of Open Access Journals (Sweden)

    V Thakur

    2014-01-01

    Full Text Available Aims: To find out the utility of free to total PSA ratio in discriminating chronic prostatitis and prostate cancer. Setting and design: The patients visited urology clinics at Batra Hospital and Medical Research Center, New Delhi. Background: The use of serum free to total PSA as a diagnostic tool for prostate cancer has led to early detection of prostate cancer; however, the effect of inflammation on f/t PSA ratio restricts its use in early detection of cancer. Materials and Methods: The study was conducted in age related 101 patients which include 27 carcinoma patients (group I, 34 BPH patients (group II and 40 chronic prostatitis patients (group III. Serum total PSA (tPSA and free PSA (fPSA were analyzed on Elecsys 2010. These were compared with histological reports of biopsy specimen. Other biochemistry tests were done on Randox Imola. P Value was calculated using one way ANOVA with posthoc Bonferroni analysis. Results: Serum total PSA levels were comparable in group I and III and were higher than group II (P < 0.049. Serum fPSA in group I was not significantly different from group II and III, However, group II has higher levels than group III (P < 0.035. Difference was significant for f/t PSA ratio in group I and II (P < 0.00 and group II and III (P < 0.000.Group I and III were with comparable levels (P < 0.807. Conclusions: f/t PSA ratio is not a good discriminator for malignancy and chronic prostatitis. This limitation of f/t PSA ratio must be taken into consideration while interpreting the results clinically.

  6. Optical coherence tomography findings after chronic total occlusion interventions: Insights from the "AngiographiC evaluation of the everolimus-eluting stent in chronic Total occlusions" (ACE-CTO) study (NCT01012869).

    Science.gov (United States)

    Sherbet, Daniel P; Christopoulos, Georgios; Karatasakis, Aris; Danek, Barbara Anna; Kotsia, Anna; Navara, Rachita; Michael, Tesfaldet T; Roesle, Michele; Rangan, Bavana V; Haagen, Donald; Garcia, Santiago; Maniu, Calin; Pershad, Ashish; Abdullah, Shuaib M; Hastings, Jeffrey L; Kumbhani, Dharam J; Luna, Michael; Addo, Tayo; Banerjee, Subhash; Brilakis, Emmanouil S

    There is limited information on optical coherence tomography (OCT) findings after percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs). OCT allows high resolution imaging that can enhance understanding of the vascular response after stenting of chronically occluded vessels. The Angiographic Evaluation of the Everolimus-Eluting Stent in Chronic Total Occlusions (ACE-CTO) study collected angiographic and clinical outcomes from 100 patients undergoing CTO PCI with the everolimus-eluting stent (EES). OCT was performed 8-months post stenting in 62 patients. Every third frame was analyzed throughout the course of the stented arterial segment. Lumen contours were semi-automatically traced and stent struts were manually delineated, with automatic measurement of the strut to lumen distance. Struts on the luminal side of the lumen contour were classified as malapposed if the distance to the lumen contour exceeded 0.108mm. A total of 44,450 struts in 6047 frames were analyzed, of which 4113 9.3%, 95% confidence intervals [CI] 9.0% to 9.5%) were malapposed and 1230 (2.8%, 95% CI 2.6% to 2.9%) were uncovered. Fifty-five of 62 patients (88.7%, 95% CI 78.5% to 98.4%) had at least one malapposed stent strut and 50 patients (80.7%, 95% CI 69.2% to 88.6%) had at least one uncovered stent strut. Mean strut-intimal thickness of the apposed and malapposed struts was 0.126±0.140mm and -0.491±0.440mm, respectively. High rates of stent strut malapposition and incomplete stent strut coverage were observed after CTO PCI using EES, highlighting unique challenges associated with stent implantation in CTOs. Published by Elsevier Inc.

  7. Development and Validation of a Novel Scoring System for Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Interventions: The PROGRESS CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) Score.

    Science.gov (United States)

    Christopoulos, Georgios; Kandzari, David E; Yeh, Robert W; Jaffer, Farouc A; Karmpaliotis, Dimitri; Wyman, Michael R; Alaswad, Khaldoon; Lombardi, William; Grantham, J Aaron; Moses, Jeffrey; Christakopoulos, Georgios; Tarar, Muhammad Nauman J; Rangan, Bavana V; Lembo, Nicholas; Garcia, Santiago; Cipher, Daisha; Thompson, Craig A; Banerjee, Subhash; Brilakis, Emmanouil S

    2016-01-11

    This study sought to develop a novel parsimonious score for predicting technical success of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) performed using the hybrid approach. Predicting technical success of CTO PCI can facilitate clinical decision making and procedural planning. We analyzed clinical and angiographic parameters from 781 CTO PCIs included in PROGRESS CTO (Prospective Global Registry for the Study of Chronic Total Occlusion Intervention) using a derivation and validation cohort (2:1 sampling ratio). Variables with strong association with technical success in multivariable analysis were assigned 1 point, and a 4-point score was developed from summing all points. The PROGRESS CTO score was subsequently compared with the J-CTO (Multicenter Chronic Total Occlusion Registry in Japan) score in the validation cohort. Technical success was 92.9%. On multivariable analysis, factors associated with technical success included proximal cap ambiguity (beta coefficient [b] = 0.88), moderate/severe tortuosity (b = 1.18), circumflex artery CTO (b = 0.99), and absence of "interventional" collaterals (b = 0.88). The resulting score demonstrated good calibration and discriminatory capacity in the derivation (Hosmer-Lemeshow chi-square = 2.633; p = 0.268, and receiver-operator characteristic [ROC] area = 0.778) and validation (Hosmer-Lemeshow chi-square = 5.333; p = 0.070, and ROC area = 0.720) subset. In the validation cohort, the PROGRESS CTO and J-CTO scores performed similarly in predicting technical success (ROC area 0.720 vs. 0.746, area under the curve difference = 0.026, 95% confidence interval = -0.093 to 0.144). The PROGRESS CTO score is a novel useful tool for estimating technical success in CTO PCI performed using the hybrid approach. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  8. New data on cross sections for partial and total photoneutron reactions on the isotopes {sup 91,94}Zr

    Energy Technology Data Exchange (ETDEWEB)

    Varlamov, V. V., E-mail: Varlamov@depni.sinp.msu.ru [Moscow State University, Skobeltsyn Institute of Nuclear Physics (Russian Federation); Makarov, M. A. [Moscow State University, Faculty of Physics (Russian Federation); Peskov, N. N.; Stepanov, M. E. [Moscow State University, Skobeltsyn Institute of Nuclear Physics (Russian Federation)

    2015-07-15

    Experimental data on {sup 91,94}Zr photodisintegration that were obtained in a beam of quasimonoenergetic annihilation photons by the method of neutron multiplicity sorting are analyzed. It is found that the cross sections for the (γ, 1n), (γ, 2n), and (γ, 3n) reactions on both isotopes do not meet the objective data-reliability criteria formulated earlier. Within the experimental–theoretical method for evaluating partial-reaction cross sections that satisfy these criteria, new data on the cross sections for the aforementioned partial reactions, as well as for the (γ, sn) = (γ, 1n) + (γ, 2n) + (γ, 3n) +... total photoneutron reaction, are obtained for the isotopes {sup 91,94}Zr.

  9. Measurement of the total neutron cross-section of germanium at energies below 2 eV

    Energy Technology Data Exchange (ETDEWEB)

    Salama, M.

    1983-01-01

    The total neutron cross-section of germanium has been measured at room temperature as a function of neutron energy in the range between 2.2 eV and 7 meV for randomly distributed crystals of germanium by transmission method using a chopper time-of-flight spectrometer at ET-RR-1 research reactor. The measured cross-section showed an evidence of 1/..nu.. thermal slope in the energy range 1.20 eV to 0.20 eV. Crystal structure effects were also observed. Calculations were performed giving values for the coherent scattering amplitude as well as the coherent scattering cross-section. The results obtained showed also the absence of scattering nuclear spin dependence in case of germanium.

  10. Self-management skills in adolescents with chronic rheumatic disease: A cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Lawson Erica F

    2011-12-01

    Full Text Available Abstract Background For adolescents with a diagnosis of lifelong chronic illness, mastery of self-management skills is a critical component of the transition to adult care. This study aims to examine self-reported medication adherence and self-care skills among adolescents with chronic rheumatic disease. Methods Cross-sectional survey of 52 adolescent patients in the Pediatric Rheumatology Clinic at UCSF. Outcome measures were self-reported medication adherence, medication regimen knowledge and independence in health care tasks. Predictors of self-management included age, disease perception, self-care agency, demographics and self-reported health status. Bivariate associations were assessed using the Student's t-test, Wilcoxon rank sum test and Fisher exact test as appropriate. Independence in self-management tasks were compared between subjects age 13-16 and 17-20 using the chi-squared test. Results Subjects were age 13-20 years (mean 15.9; 79% were female. Diagnoses included juvenile idiopathic arthritis (44%, lupus (35%, and other rheumatic conditions (21%. Mean disease duration was 5.3 years (SD 4.0. Fifty four percent reported perfect adherence to medications, 40% reported 1-2 missed doses per week, and 6% reported missing 3 or more doses. The most common reason for missing medications was forgetfulness. Among health care tasks, there was an age-related increase in ability to fill prescriptions, schedule appointments, arrange transportation, ask questions of doctors, manage insurance, and recognize symptoms of illness. Ability to take medications as directed, keep a calendar of appointments, and maintain a personal medical file did not improve with age. Conclusions This study suggests that adolescents with chronic rheumatic disease may need additional support to achieve independence in self-management.

  11. Total neutron cross-sections of /sup 151/Eu, /sup 153/Eu and Eu below 1 eV

    Energy Technology Data Exchange (ETDEWEB)

    Adib, M.; Maayouf, R.M.A.; Abdel-Kawy, A.; Ashry, A.; Hamouda, I.

    1981-01-01

    Total neutron cross-section measurements have been carried out for natural Eu and its stable isotopes in the energy range from 3 meV to 1 eV. The measurements were performed using two time-of-flight spectrometers installed in front of two of the horizontal channels of the ET-RR-1 reactor. The following results have been obtained: sigmasub(a) (/sup 151/Eu) = (9180 +- 150) b at 0.0253 eV, sigmasub(s) (/sup 153/Eu) = (375 +- 20) b at 0.0253 eV, sigmasub(d) (Eu) = (4600 +- 120) b at 0.0253 eV. The contribution of the resonance to the total neutron cross-sections, in the thermal region, was calculated using the single-level Breit-Wigner formula.

  12. First measurements of the total and partial stellar cross section to the $s$-process branching-point $^{79}$Se

    CERN Document Server

    Dillmann, I; Käppeler, F; Fästermann, T; Knie, K; Korschinek, G; Poutivtsev, M; Rugel, G; Wallner, A; Rauscher, T

    2008-01-01

    Although $^{79}$Se represents an important branching in the weak s process, the stellar neutron capture cross sections to this isotope have not yet been measured experimentally. In this case, experimental data is essential for evaluating the important branching in the s-process reaction path at $^{79}$Se. The total cross section of $^{78}$Se at a stellar energy of kT = 25 keV has been investigated with a combination of the activation technique and accelerator mass spectrometry (AMS), since offline decay counting is prohibitive due to the long terrestrial half life of $^{79}$Se (2.80$\\pm$0.36 $\\times10^5$ y) as well as the absence of suitable $\\gamma$-ray transitions. The preliminary result for the total Maxwellian averaged cross section is $_{30 keV}$= 60.1$\\pm$9.6 mbarn, significantly lower than the previous recommended value. In a second measurement, also the partial cross section to the 3.92 min-isomer was determined via $\\gamma$-spectroscopy and yielded $_{30 keV}$(part.)= 42.0$\\pm$2.0 mbarn.

  13. Gender differences of oligomers and total adiponectin during puberty: a cross-sectional study of 859 Danish school children

    DEFF Research Database (Denmark)

    Andersen, Kristian Kjaer; Frystyk, Jan; Wolthers, Ole D

    2007-01-01

    levels and the distribution of ADPN isomers. DESIGN: This is a cross-sectional study. PATIENTS: The study included 859 children and adolescents (396 males) aged 6-20 yr. MAIN OUTCOME MEASURES: Total ADPN and ADPN isomers were measured using a validated in-house immunofluorometric assay. Fractioning...... of the ADPN into the three major molecular fractions was performed in representative subgroups of pre- and postpubertal males and females (n = 40, 10 in each group) using a validated fast protein liquid chromatography method. RESULTS: Total ADPN levels before puberty were 13.4 (11.1-15.9) mg/liter (median...

  14. Uncertainties in evaluated total cross-section data for 14 nuclides contained in JENDL-3.2

    Energy Technology Data Exchange (ETDEWEB)

    Nakamura, Masahiro; Shibata, Keiichi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1995-10-01

    Variances and covariances of total cross sections have been estimated for 14 nuclides contained in JENDL-3.2. Least-squares analyses using the GMA code were performed to obtain them. Information on the uncertainties of those measurements, which the JENDL-3.2 evaluation was based on, was derived from the associated references and fed into the GMA code system. The results obtained from the present analysis are illustrated. (author).

  15. Recanalization strategy of retrograde angioplasty in patients with coronary chronic total occlusion -analysis of 24 cases, focusing on technical aspects and complications.

    Science.gov (United States)

    Lee, Nae-Hee; Seo, Hye-Sun; Choi, Jae-Hyuk; Suh, Jon; Cho, Yoon Haeng

    2010-10-08

    Retrograde approach through collateral channels was recently proposed to increase the success rate of percutaneous coronary intervention (PCI) for coronary chronic total occlusion (CTO), but this approach is still an incompletely described technique. We analyzed 24 cases of retrograde PCI for CTO, which were done from July 2006 to April 2008. Septal collaterals were more frequently used than epicardial collaterals (75% vs. 25%), without showing statistical differences in wire passage rate according to the size or location of the collaterals. Once the retrograde wire successfully crossed collateral (18/24 cases), CTO lesion was successfully crossed in all cases by using 4 different kinds of techniques: retrograde wire crossing (44%), kissing wire (22%), controlled antegrade and retrograde subintimal tracking (22%), and reverse controlled antegrade and retrograde subintimal tracking (11%). Among them, successful recanalization was achieved in 17 cases, yielding 71% retrograde PCI success rate. In failed cases with retrograde approach, 4 cases were recanalized by switching to antegrade approach. Thus, total PCI success rate was 88% (21/24 cases). There were several cases of unexpected complications mainly related to collateral-donor artery without in-hospital major adverse cardiac events (MACE). During clinical follow-up (median 10.3 months), overall MACE rate was 18% in the successful retrograde PCI group. The retrograde approach can improve the success rate with PCI for CTO. However, strict case selection with systemized approach is essential due to the technical complexities accompanied by the potential risk of unexpected complications. Copyright © 2009 Elsevier B.V. All rights reserved.

  16. Prediction of Maize Single Cross Hybrids Using the Total Effects of Associated Markers Approach Assessed by Cross-Validation and Regional Trials

    Directory of Open Access Journals (Sweden)

    Wagner Mateus Costa Melo

    2014-01-01

    Full Text Available The present study aimed to predict the performance of maize hybrids and assess whether the total effects of associated markers (TEAM method can correctly predict hybrids using cross-validation and regional trials. The training was performed in 7 locations of Southern Brazil during the 2010/11 harvest. The regional assays were conducted in 6 different South Brazilian locations during the 2011/12 harvest. In the training trial, 51 lines from different backgrounds were used to create 58 single cross hybrids. Seventy-nine microsatellite markers were used to genotype these 51 lines. In the cross-validation method the predictive accuracy ranged from 0.10 to 0.96, depending on the sample size. Furthermore, the accuracy was 0.30 when the values of hybrids that were not used in the training population (119 were predicted for the regional assays. Regarding selective loss, the TEAM method correctly predicted 50% of the hybrids selected in the regional assays. There was also loss in only 33% of cases; that is, only 33% of the materials predicted to be good in training trial were considered to be bad in regional assays. Our results show that the predictive validation of different crop conditions is possible, and the cross-validation results strikingly represented the field performance.

  17. Low-lying electric-dipole strengths of Ca, Ni, and Sn isotopes imprinted on total reaction cross sections

    Science.gov (United States)

    Horiuchi, W.; Hatakeyama, S.; Ebata, S.; Suzuki, Y.

    2017-08-01

    Low-lying electric-dipole (E 1 ) strength of a neutron-rich nucleus contains information on neutron-skin thickness, deformation, and shell evolution. We discuss the possibility of making use of total reaction cross sections on 40Ca, 120Sn, and 208Pb targets to probe the E 1 strength of neutron-rich Ca, Ni, and Sn isotopes. They exhibit large enhancement of the E 1 strength at neutron number N >28 , 50, and 82, respectively, due to a change of the single-particle orbits near the Fermi surface participating in the transitions. The density distributions and the electric-multipole strength functions of those isotopes are calculated by the Hartree-Fock+BCS and the canonical-basis-time-dependent-Hartree-Fock-Bogoliubov methods, respectively, using three kinds of Skyrme-type effective interaction. The nuclear and Coulomb breakup processes are respectively described with the Glauber model and the equivalent photon method in which the effect of finite-charge distribution is taken into account. The three Skyrme interactions give different results for the total reaction cross sections because of different Coulomb breakup contributions. The contribution of the low-lying E 1 strength is amplified when the low-incident energy is chosen. With an appropriate choice of the incident energy and target nucleus, the total reaction cross section can be complementary to the Coulomb excitation for analyzing the low-lying E 1 strength of unstable nuclei.

  18. Theoretical state-selective and total cross sections for electron capture from helium atoms by fully stripped ions

    Science.gov (United States)

    Mančev, I.; Milojević, N.; Belkić, Dž.

    2015-03-01

    The four-body boundary-corrected first Born (CB1-4B) approximation is used to compute cross sections for single electron capture from helium targets by fully stripped ions. The projectile ions are H+, He2+, Li3+, Be4+, B5+, C6+, N7+, O8+, and F9+. An extensive list of theoretical state-to-state cross sections in these collisions at energies ranging from 20 to 10 000 keV/amu is given. This list includes the state-selective cross sections Qnlm for each individual triple of the usual quantum numbers { n , l , m } of the final hydrogen-like states alongside Qnl and Qn for the pertinent sub-shells and shells where the respective summations over m and { l , m } have been carried out. The maximal value of the principal quantum number n was chosen to vary from 4 (H+) to 10 (F9+) so as to satisfy the condition n ≥ZP, where ZP is the nuclear charge of the projectile. Usually, the largest cross sections stem from those values of n that match the projectile charge (n =ZP) . The total cross sections for capture summed over all the quantum numbers { n , l , m } are also tabulated. The overall goal of this study is to fill in lacunae in the existing databases of charge exchange cross sections that are needed in several inter-disciplinary fields. For example, in particle transport physics, which is of utmost importance in such emerging branches as hadron therapy, these cross sections constitute a part of the multifaceted input data for stochastic simulations of energy losses of multiply charged ions in matter, including tissue. Other significant uses of the present data are anticipated in charge exchange diagnostics within thermonuclear research project as well as in applications covering the relevant parts of plasma physics and astrophysics.

  19. Multifunctional Hydrogels Prepared by Dual Ion Cross-Linking for Chronic Wound Healing.

    Science.gov (United States)

    Li, Yonghui; Han, Yan; Wang, Xiaoya; Peng, Jinliang; Xu, Yuhong; Chang, Jiang

    2017-05-17

    The creation of a moist environment and promotion of blood vessel formation are critical for wound healing. Sodium alginate (SA) hydrogel, which has good biocompatibility and is able to provide a moist environment, has been widely used as a wound dressing. However, it lacks antibacterial ability and bioactivities, which would facilitate chronic wound healing. On the basis of the gelation characteristics of SA and the bioactive hardystonite (HS) bioceramic, we designed a unique, bioactive, injectable composite hydrogel through double ion cross-linking, in which divalent ions, such as Ca(2+) and Zn(2+) function as cross-linkers; Zn(2+) also functions as an antibacterial component and as nutrition for wound healing, and Si ions play a key role in determining the bioactivity of the hydrogel. With the controlled release of divalent ions, such as Ca(2+) and Zn(2+) from HS, the gelation process of the composite hydrogel could be efficiently controlled. In addition, in vitro results reveal that the composite hydrogel stimulated proliferation and migration of both human dermal fibroblasts and human umbilical vein endothelial cells, and the in vivo results show that the wound-healing process is obviously enhanced, and the formation of epithelium and blood vessels are evidently advanced. This study indicates the potential of the SA/HS hydrogel as a multifunctional injectable wound dressing with the ability to inhibit bacterial growth and stimulate angiogenesis and wound healing.

  20. Chronic pre-operative opioid use and acute pain after fast-track total knee arthroplasty

    DEFF Research Database (Denmark)

    Aasvang, E K; Lunn, T H; Hansen, T B;

    2016-01-01

    BACKGROUND: Pre-operative opioid use has been suggested to increase post-operative pain and opioid consumption after total knee arthroplasty (TKA), but previous studies are either retrospective or inhomogeneous with regard to surgical procedures or control of analgesic regimes, or with few opioid...

  1. Cardiac tamponade arising from a venous source following anterograde dissection re-entry coronary angioplasty to a chronic total occlusion.

    Science.gov (United States)

    Danson, E; Arena, F; Sapontis, J; Ward, M; Bhindi, R

    2016-10-01

    Cardiac tamponade is a rare complication of coronary intervention to chronic total occlusions (CTO PCI). We report a case of persistent bleeding from a venous source following successful anterograde dissection-reentry (ADR) CTO PCI. Pericardiocentesis was performed 1 h post-procedure for tamponade. Persistent bleeding was investigated with contrast transesophageal echocardiography, pericardial manometry and blood analysis. Coronary venography revealed subtle extravasation from a cardiac vein adjacent to the site of luminal re-entry. Coronary venous perforation using ADR CTO PCI has not previously been described; however, the volume of blood loss may be significant and surgical exploration may be appropriate.

  2. Percutaneous reconstruction of chronic total occlusion of brachiocephalic vein using transseptal needle in dialysis-dependent patient.

    Science.gov (United States)

    Malik, Amit Kumar; Bhalla, Neeraj; Goel, Ashwani; Prakash, Sunil

    2016-04-01

    Placement of a dialysis catheter substantially increases the risk of central vein stenosis. 52-year-old female with end-stage renal disease and a right brachial-cephalic hemodialysis access presented with right arm swelling. The chronic total occlusion of right brachiocephalic vein was refractory to wire traversal. Sharp recanalization of the central venous occlusion was done with transseptal needle retrogradely. The track was balloon dilated and stented. When the conventional catheters and guide wires options fail, sharp recanalization technique may be used to salvage a precious dialysis access.

  3. Chronic asymptomatic dislocation of a total hip replacement: a case report

    Directory of Open Access Journals (Sweden)

    Lidder Surjit

    2009-08-01

    Full Text Available Abstract Introduction Dislocation of a prosthetic hip is the second most common complication after thromboembolic disease in patients undergoing total hip arthroplasty, with an incidence reported as 0.5 to 20%. Although the period of greatest risk for dislocation has been reported to be within the first few months after surgery, late dislocation occurs more commonly then previously thought. Case presentation A 60-year-old man underwent a right Exeter cemented total hip replacement and was subsequently discharged after appropriate follow-up. He next presented 8 years later complaining of pain in the left groin. An anterioposterior radiograph of the pelvis revealed degenerative changes in the left hip and a dislocated right total hip replacement. The dislocated femoral component had formed a neoacetabulum within the ilium, in which it was freely articulating. He remained pain-free on this side, had 5 cm of true leg length shortening with a good range of movement and was very pleased with his hip replacement. He was later placed on the waiting list for a left total hip replacement. Conclusion This case illustrates that a dislocated total hip replacement may occasionally not cause symptoms that cause significant discomfort or reduction in range of movement. The prosthetic femoral head can form a neoacetabulum allowing a full range of pain-free movement. Furthermore it emphasises that with an increased trend to earlier hospital discharge and shorter follow-up, potential complications may be missed. We urge a low index of suspicion for potential complications and suggest that regular review with radiographic follow-up should be made.

  4. Associations between lifetime traumatic events and subsequent chronic physical conditions: a cross-national, cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Kate M Scott

    Full Text Available BACKGROUND: Associations between lifetime traumatic event (LTE exposures and subsequent physical ill-health are well established but it has remained unclear whether these are explained by PTSD or other mental disorders. This study examined this question and investigated whether associations varied by type and number of LTEs, across physical condition outcomes, or across countries. METHODS: Cross-sectional, face-to-face household surveys of adults (18+ were conducted in 14 countries (n = 38, 051. The Composite International Diagnostic Interview assessed lifetime LTEs and DSM-IV mental disorders. Chronic physical conditions were ascertained by self-report of physician's diagnosis and year of diagnosis or onset. Survival analyses estimated associations between the number and type of LTEs with the subsequent onset of 11 physical conditions, with and without adjustment for mental disorders. FINDINGS: A dose-response association was found between increasing number of LTEs and odds of any physical condition onset (OR 1.5 [95% CI: 1.4-1.5] for 1 LTE; 2.1 [2.0-2.3] for 5+ LTEs, independent of all mental disorders. Associations did not vary greatly by type of LTE (except for combat and other war experience, nor across countries. A history of 1 LTE was associated with 7/11 of the physical conditions (ORs 1.3 [1.2-1.5] to 1.7 [1.4-2.0] and a history of 5+ LTEs was associated with 9/11 physical conditions (ORs 1.8 [1.3-2.4] to 3.6 [2.0-6.5], the exceptions being cancer and stroke. CONCLUSIONS: Traumatic events are associated with adverse downstream effects on physical health, independent of PTSD and other mental disorders. Although the associations are modest they have public health implications due to the high prevalence of traumatic events and the range of common physical conditions affected. The effects of traumatic stress are a concern for all medical professionals and researchers, not just mental health specialists.

  5. Cost-effectiveness models for chronic obstructive pulmonary disease : cross-model comparison of hypothetical treatment scenarios

    NARCIS (Netherlands)

    Hoogendoorn, Martine; Feenstra, Talitha L; Asukai, Yumi; Borg, Sixten; Hansen, Ryan N; Jansson, Sven-Arne; Samyshkin, Yevgeniy; Wacker, Margarethe; Briggs, Andrew H; Lloyd, Adam; Sullivan, Sean D; Rutten-van Mölken, Maureen P M H

    2014-01-01

    OBJECTIVES: To compare different chronic obstructive pulmonary disease (COPD) cost-effectiveness models with respect to structure and input parameters and to cross-validate the models by running the same hypothetical treatment scenarios. METHODS: COPD modeling groups simulated four hypothetical inte

  6. INFLUENCE OF CHRONIC EXERCISE ON RED CELL ANTIOXIDANT DEFENSE, PLASMA MALONDIALDEHYDE AND TOTAL ANTIOXIDANT CAPACITY IN HYPERCHOLESTEROLEMIC RABBITS

    Directory of Open Access Journals (Sweden)

    Mohsen Alipour

    2006-12-01

    Full Text Available Despite the knowledge on the antiatherogenic effects of exercise, the mechanism by which exercise reduces atherogenic risk remains unknown. In this study, we investigated the hypothesis that chronic exercise-induced oxidative stress may increase plasma total antioxidant capacity and antioxidant defense in the red cells. For 8 weeks, 60 male Dutch rabbits were fed rabbit chow with or without the addition of 2% cholesterol. The animals were further divided into rest and exercise groups (n = 15 for each group. Animals in exercise groups ran on a rodent treadmill at 15 m/min for 10 to 60 minutes gradually for 5 days per week for a total of 8 weeks. At the end of experiments, blood samples were collected and glutathione peroxidase (GPX, superoxide dismutase (SOD, and catalase (CAT activities were determined in red blood cells. Total antioxidant capacity (TAC, malondialdehyde (MDA and total thiol (T-SH levels were measured in plasma. Thoracic aorta and carotid arteries were isolated for histological examination to evaluate atherosclerosis. Eight weeks of chronic exercise reduced atherogenic diet-induced atherosclerotic lesions in all the arteries studied, along with positive changes in cholesterol profile, especially increase of serum HDL-C level. Plasma MDA, TAC and T-SH concentrations were enhanced by exercise in both control and hypercholesterolemic diet groups. Erythrocyte catalase activity was significantly increased by chronic exercise (p < 0.05, whereas total SOD activity rose with exercise only in the control group. Surprisingly, GPX activity was significantly reduced (P < 0.05 in response to exercise in the control group and also in the high cholesterol diet group. Exercise is a useful tool for the prevention and regression of atherosclerosis which is evident by our findings of the enhancement of plasma TAC and positive change in serum cholesterol profile. However, the effect of exercise on red cell antioxidant activities is limited in the

  7. Mechanistic studies on gold mediated cross-coupling reactions and total synthesis of (_+ )-epiglobulol

    OpenAIRE

    Livendahl, Madeleine

    2013-01-01

    Tras la activación con complejos catiónicos de oro(I), los 1,6-eninos conteniendo alcoholes o éteres se pueden atrapar intra- o intermolecularmente con alquenos o éteres bencílicos. Esta reacción estereospecífica da lugar a compuestos tricíclicos relacionados con los sesquiterpenos 4-epiglobulol y 4-aromadendreno. La síntesis racémica del 4-epiglobulol se comenzó a partir del geranyl acetona que es comercial. Hemos cumplido la síntesis total del producto natural (±)-epiglobulol en 5 pasos c...

  8. Differential and total cross sections of mutual neutralization in low-energy collisions of isotopes of H++H-

    Science.gov (United States)

    Nkambule, Sifiso M.; Elander, Nils; Larson, Åsa; Lecointre, Julien; Urbain, Xavier

    2016-03-01

    Mutual neutralization in the collisions of H+ and H- is studied both theoretically and experimentally. The quantum-mechanical ab initio model includes covalent states associated with the H (1 )+H (n ≤3 ) limits and the collision energy ranges from 1 meV to 100 eV. The reaction is theoretically studied for collisions between different isotopes of the hydrogen ions. From the partial wave scattering amplitude, the differential and total cross sections are computed. The differential cross section is analyzed in terms of forward- and backward-scattering events, showing a dominance of backward scattering which can be understood by examining the phase of the scattering amplitudes for the gerade and ungerade set of states. The isotope dependence of the total cross section is compared with the one obtained using a semiclassical multistate Landau-Zener model. The final state distribution analysis emphasizes the dominance of the n =3 channel for collisions below 10 eV, while at higher collision energies, the n =2 channel starts to become important. For collisions of ions forming a molecular system with a larger reduced mass, the n =2 channel starts to dominate at lower energies. Using a merged ion-beam apparatus, the branching ratios for mutual neutralization in H+ and H- collisions in the energy range from 11 to 185 eV are measured with position- and time-sensitive particle detectors. The measured and calculated branching ratios satisfactorily agree with respect to state contributions.

  9. The power of cross-functional teams in driving total quality

    Science.gov (United States)

    Mcclung, Tim M.; Mcmaster, Tom J.

    1992-01-01

    Garrett Canada, a Division of Allied-Signal Aerospace Canada, has been a member of the Canadian aerospace industry for 40 years. Although Garrett Canada has always been a profitable division with a solid market share, the changing and turbulent business environment and globalization of the aerospace industry has created new demands and challenges. The marketplace is demanding faster introduction of new products, as well as shorter leadtimes for repairs and spares. It was recognized that reducing cycle times for new products and for ongoing production would not only satisfy our customers, it would also enhance our business performance through reduced inventories, lower past due, and more responsiveness to change. It was evident that drastic function changes were required if we were to maintain our position as a premier aerospace supplier. The challenge was to convert a stable, somewhat slow-paced work environment with strong functional boundaries into a boundaryless world class team functioning in a total quality environment and focused on customer satisfaction. Complete and uncompromised customer satisfaction has become our driving force, with Total Quality being our engine to continuously improve our processes and increase our speed. The way in which this transition has been brought about is the subject of this presentation.

  10. The power of cross-functional teams in driving total quality

    Science.gov (United States)

    McClung, Tim M.; McMaster, Tom J.

    Garrett Canada, a Division of Allied-Signal Aerospace Canada, has been a member of the Canadian aerospace industry for 40 years. Although Garrett Canada has always been a profitable division with a solid market share, the changing and turbulent business environment and globalization of the aerospace industry has created new demands and challenges. The marketplace is demanding faster introduction of new products, as well as shorter leadtimes for repairs and spares. It was recognized that reducing cycle times for new products and for ongoing production would not only satisfy our customers, it would also enhance our business performance through reduced inventories, lower past due, and more responsiveness to change. It was evident that drastic function changes were required if we were to maintain our position as a premier aerospace supplier. The challenge was to convert a stable, somewhat slow-paced work environment with strong functional boundaries into a boundaryless world class team functioning in a total quality environment and focused on customer satisfaction. Complete and uncompromised customer satisfaction has become our driving force, with Total Quality being our engine to continuously improve our processes and increase our speed. The way in which this transition has been brought about is the subject of this presentation.

  11. Absolute Total Photoionization Cross Section of C60 in the Range of 25-120 eV: Revisited

    Science.gov (United States)

    Kafle, Bhim P.; Katayanagi, Hideki; Prodhan, Md. Serajul I.; Yagi, Hajime; Huang, Chaoqun; Mitsuke, Koichiro

    2008-01-01

    The absolute total photoionization cross section σabs,I of gaseous C60 is measured in the photon energy hν range from 25 to 120 eV by photoionization mass spectrometry with synchrotron radiation. The absolute detection efficiencies of photoions in different charge states are evaluated. The present σabs,I curve is combined with the photoabsorption cross section curves of C60 at hν=3.5--26 eV in the literature, after appropriate alterations of the vapor pressure are taken into account. The oscillator strengths are computed from the composite curve to be 178.5 and 230.5 for the hν ranges from 3.5 to 40.8 eV and from 3.5 to 119 eV, respectively. These oscillator strengths agree well with those expected from the Thomas-Kuhn-Reiche sum rule and 60 times the photoabsorption cross section of a carbon atom. Moreover, the present σabs,I curve behaves similarly to the relative photoionization cross section curve reported by Reinköster et al.

  12. Evaluation of antiinflammatory activity of the total flavonoids of Laggera pterodonta on acute and chronic inflammation models.

    Science.gov (United States)

    Wu, Yihang; Zhou, Changxin; Li, Xiangping; Song, Liyan; Wu, Xiumei; Lin, Wenyan; Chen, Haiyong; Bai, Hua; Zhao, Jun; Zhang, Rongping; Sun, Handong; Zhao, Yu

    2006-07-01

    The antiinflammatory effect of the total flavonoids of Laggera pterodonta (TFLP) was evaluated with various in vivo models of both acute and chronic inflammation. In the acute inflammation tests, TFLP significantly inhibited xylene-induced mouse ear oedema, carrageenan-induced rat paw oedema and acetic acid-induced mouse vascular permeability. In the carrageenan-induced rat pleurisy model, TFLP efficiently suppressed inflammatory exudate and leukocyte migration, reduced the serum levels of lysozyme (LZM) and malondialdehyde (MDA), increased the activity of serum superoxide dismutase (SOD), and also decreased the contents of total protein, nitric oxide (NO) and prostaglandin E2 (PGE2) in the pleural exudates. No marked effect of TFLP on the activity of serum glutathione peroxidase (GSH-PX) was observed. In the chronic inflammation experiment, TFLP inhibited cotton pellet-induced rat granuloma. The antiinflammatory mechanisms of TFLP are probably associated with the inhibition of prostaglandin formation, influence on the antioxidant systems and the suppression of LZM release. The acute toxicity study revealed that TFLP was nontoxic in mice up to an oral dose of 7.5 g/kg body weight.

  13. Lipid peroxidation and total radical-trapping potential of the lungs of rats submitted to chronic and sub-chronic stress

    Directory of Open Access Journals (Sweden)

    Torres R.L.

    2004-01-01

    Full Text Available Exposure to stress induces a cluster of physiological and behavioral changes in an effort to maintain the homeostasis of the organism. Long-term exposure to stress, however, has detrimental effects on several cell functions such as the impairment of antioxidant defenses leading to oxidative damage. Oxidative stress is a central feature of many diseases. The lungs are particularly susceptible to lesions by free radicals and pulmonary antioxidant defenses are extensively distributed and include both enzymatic and non-enzymatic systems. The aim of the present study was to determine lipid peroxidation and total radical-trapping potential (TRAP changes in lungs of rats submitted to different models of chronic stress. Adult male Wistar rats weighing 180-230 g were submitted to different stressors (variable stress, N = 7 or repeated restraint stress for 15 (N = 10 or 40 days (N = 6 and compared to control groups (N = 10 each. Lipid peroxidation levels were assessed by thiobarbituric acid reactive substances (TBARS, and TRAP was measured by the decrease in luminescence using the 2-2'-azo-bis(2-amidinopropane-luminol system. Chronic variable stress induced a 51% increase in oxidative stress in lungs (control group: 0.037 ± 0.002; variable stress: 0.056 ± 0.007, P < 0.01. No difference in TBARS was observed after chronic restraint stress, but a significant 57% increase in TRAP was presented by the group repeatedly restrained for 15 days (control group: 2.48 ± 0.42; stressed: 3.65 ± 0.16, P < 0.05. We conclude that different stressors induce different effects on the oxidative status of the organism.

  14. Limited knowledge of chronic kidney disease among primary care patients – a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Chow Wai

    2012-07-01

    Full Text Available Abstract Background Kidney disease is the 9th leading cause of death in Singapore. While preventive effects have focused on early detection and education, little is known about the knowledge level of chronic kidney disease (CKD locally. We seek to evaluate the knowledge of CKD among primary care patients. Methods We conducted a cross-sectional survey of a convenience sample of 1520 patients from 3 primary care centers. Those with existing CKD or on dialysis were excluded. Knowledge was assessed based on 7 questions on CKD in the self-administered questionnaire. One point was given for each correct answer with a maximum of 7 points. Results 1435 completed all 7 questions on CKD. Mean age was 48.9 ±15.0 (SD years. 50.9% were male. 62.3% had a secondary and below education and 52.4% had a monthly household income of ≤ $2000. 43.7% had chronic diseases. Mean score was 3.44 ± 1.53 (out of a maximum of 7. Median score was 4. In multivariate logistic regression, being older {>60 years [Odds Ratio (OR 0.50, 95% Confidence Interval (CI 0.32-0.79]; 40–60 years (OR 0.62, 95% CI 0.43,0.89}, less educated [up to primary education (OR 0.33, 95% CI 0.22-0.49], having a lower monthly household income [ Conclusion This suggests that CKD education should be targeted at older patients with lower education and lower socioeconomic status.

  15. Menopausal Age and Chronic Diseases in Elderly Women: A Cross-Sectional Study in Northeast China

    Directory of Open Access Journals (Sweden)

    Yingli Fu

    2016-09-01

    Full Text Available Many factors affect menopausal age, and early or late onset of menopause may be associated with many chronic health problems. However, limited data are available regarding this phenomenon in the Northeast China population. For this study, 2011 elderly women were selected as a sample from participants in a cross-sectional survey performed using stratified, clustered multistage, and random sampling methods. Early menopause was more prevalent in subjects born from 1943 to 1947 (OR = 1.708, 95% CI = 1.205, 2.420 and 1933 to 1937 (OR = 2.445, 95% CI: 1.525, 3.921 and in physical laborers (OR = 1.413, 95% CI = 1.021, 1.957. Women with less than nine years of education (OR = 0.515, 95% CI: 0.327, 0.812 and who were current smokers (OR = 0.577, 95% CI: 0.347, 0.959 were less likely to have late menopause. BMIs between 25 and 30 (OR = 1.565, 95% CI: 1.152, 2.125 and greater than 30 (OR = 2.440, 95% CI: 1.482, 4.016 were associated with later menopausal age. Late menopause was positively associated with diabetes (OR = 1.611, 95% CI: 1.142, 2.274 but protective against chronic gastroenteritis/peptic ulcers (OR = 0.533, 95% CI: 0.333, 0.855. Results showed that (1 Being born in an earlier year, having a lower education, and engaging in physical labor were associated with an earlier menopausal age, while a higher BMI was associated with a later menopausal age; and that (2 menopausal age was associated with diabetes and gastroenteritis in elderly women living in Northeast China.

  16. Additivity Rule for Electron-Molecule Total Cross Section Calculations at 50-5000 eV: A Geometrical Approach

    Institute of Scientific and Technical Information of China (English)

    SHI De-Heng; SUN Jin-Feng; MA Heng; ZHU Zun-Lue; YANG Xiang-Dong

    2007-01-01

    To quantify the changes of the geometric shielding effect in a molecule as the incident electron energy varies,we present an empirical fraction, which represents the total cross section (TCS) contributions of shielded atoms in a molecule at different energies. Using this empirical fraction, a new formulation of the additivity rule is proposed. Using this new additivity rule, the TCSs for electron scattering by CO2, C2H2, C6H12 (cyclo-hexane) and CsH16 (cyclo-octane) are calculated in the range 50-5000 eV. Here the atomic cross sections are derived from the experimental TCS results of simple molecules (H2, O2, CO). The quantitative TCSs are compared with those obtained by experiments and other theories, and good agreement is attained over a wide energy range.

  17. On the angular dependence of differential and total M-shell X-ray production cross-sections

    Energy Technology Data Exchange (ETDEWEB)

    Mainardi, Raul T. [Facultad de Matematica, Astronomia y Fisica, Universidad Nacional de Cordoba, 5000 Cordoba (Argentina)], E-mail: mainardi@famaf.unc.edu.ar

    2009-06-01

    The article 'Differential and total M-shell X-ray production cross-sections of some selected elements between Au and U at 5.96 keV', published in NIMB 256 (2007) 581 claims that the measured data of differential photoelectric cross-sections for inner atomic shells has an angular dependence with the scattering angle. It is not possible to demonstrate the existence of a physical dependence on the angle between the paths of the incident and exiting X-ray beams from a sample based on this data with large experimental errors. A rigorous analysis of the article reveals that the description of the experimental set-up is deficient and incomplete, many assumptions are based on dubious grounds and the data reported is not statistically evaluated with the appropriate tools.

  18. Attenuated Total Reflection-Fourier transform infrared microspectroscopic mapping for the characterisation of paint cross-sections.

    Science.gov (United States)

    Mazzeo, Rocco; Joseph, Edith; Prati, Silvia; Millemaggi, Aldo

    2007-09-05

    Paint cross-sections have been analysed using the attenuated total reflection technique combined with FTIR mapping microspectroscopy in order to characterise the nature of the compounds present and map their localisation in the stratigraphy. The study reveals the possibilities offered by micro-ATR devices for obtaining informations about the organic substances employed in painting techniques and in particular their distribution in the different layers, showing a real improvement over traditional analytical investigations in use for the detection of organic substances. Limitations, such as the contamination of the embedding resin and the typical spectral resolution (20 microm) are presented and alternative methods were proposed to obtain better results. In particular, the use of an infrared transparent salt (KBr) as embedding material for the cross-sections is evaluated and seems to be very promising. Furthermore, ATR mapping represent a useful non-destructive analytical technique complementary to others molecular and elemental analyses to be performed afterwards such as SEM-EDX.

  19. Quasielastic and fission total cross sections for /sup 16/O on /sup 181/Ta and /sup 208/Pb. [80 to 102 MeV

    Energy Technology Data Exchange (ETDEWEB)

    Videbaek, F.; Goldstein, R.B.; Grodzins, L.; Steadman, S.G.; Belote, T.A.; Garrett, J.D.

    1976-01-01

    The total quasielastic (inelastic plus few nucleon transfer) and fission cross sections were measured for /sup 16/O + /sup 208/Pb at incident energies of 80, 83, 88, 90, 96, and 102 MeV and for /sup 16/O + /sup 181/Ta at incident energies of 83, 90 and 96 MeV. The total quasielastic cross sections account for about 50 percent of the total /sup 16/O + /sup 208/Pb reaction cross section at the lowest incident energy which is near the Coulomb barrier. At the highest incident energy the /sup 16/O + /sup 208/Pb quasielastic cross section still accounts for 25 percent of the total cross section. The measured ratio of quasielastic to total cross section for /sup 16/0 + /sup 181/Ta is less than for /sup 16/O + /sup 208/Pb; however, in the case of the /sup 181/Ta target the inelastic transitions to the low lying levels in /sup 181/Ta were not resolved from elastic scattering. Within the uncertainties of the measurements the sum of the measured quasielastic and fission cross sections for /sup 16/O on /sup 208/Pb accounts for the total reaction cross section, indicating that the probability of fission of the /sup 224/Th compound and Th daughter systems is large. In contrast for /sup 16/O + /sup 181/Ta (/sup 197/Tl compound system) the fission and quasielastic channels account for only a small fraction of the total reaction cross section.

  20. Predicting total fat mass from skinfold thicknesses in Japanese prepubertal children: a cross-sectional and longitudinal validation.

    Science.gov (United States)

    Midorikawa, Taishi; Ohta, Megumi; Hikihara, Yuki; Torii, Suguru; Bemben, Michael G; Sakamoto, Shizuo

    2011-01-01

    The present study was performed to develop regression based prediction equations for fat mass from skinfold thickness in Japanese children, and to investigate the cross-sectional and longitudinal validity of these equations. A total of 127 healthy Japanese prepubertal children aged 6-12 years were randomly separated into two groups: the model development group (54 boys and 44 girls) and the cross-sectional validation group (18 boys and 11 girls). Fat mass was initially determined by using DXA (Hologic Delphi A-QDR whole-body scanner) to provide reference data. Then, fat thickness was measured at triceps and subscapular using an Eiken-type skinfold calipers. Multiple anthropometric and DXA measures were obtained one year later for 28 of the original 127 subjects (longitudinal validation group: 14 boys and 14 girls). Strong significant correlations were observed between total fat mass by DXA measurement and the skinfold thickness × height measures by caliper in the model development group of boys and girls (R2=0.91-0.92, pSkinfold-derived prediction equations underestimate for obese children but are generally useful for estimating total fat mass in field research.

  1. Measurement of Elastic Scattering and of Total Cross-Section at the CERN $\\bar{p}p$ Collider

    CERN Multimedia

    2002-01-01

    The aim of the experiment is to measure elastic scattering and the total cross-section at the $\\bar{p}p$ collider. \\\\ \\\\ Up to 1983 the experimental apparatus was composed of two parts : \\item 1) Telescopes of high accuracy drift and proportional chambers and counters inserted into vertically moveable sections of the vacuum chamber ('Roman pots'), detect elastic scattering in the angular region from .5 mrad up to about 3 mrad. \\item 2) The total inelastic rate is measured with a forward/backward system of drift chambers and counter hodoscopes and the UA2 central detector covering together @= 4@p solid angle. \\end{enumerate}\\\\ \\\\ With these two set-ups, the measured value of the total cross-section confirms extrapolation with (ln s)|2 behaviour. Elastic scattering and diffraction dissociation were measured in the range .03~$<$~-t~$<$~1.6~GeV|2. \\\\ \\\\ From 1984 on, six horizontally moveable ``Roman Pots'' have been installed farther away from the intersection region (up to 100~m). Using an especially desi...

  2. A cross-sectional study of chronic wound-related pain and itching.

    Science.gov (United States)

    Paul, Julia

    2013-07-01

    Persons with chronic wounds may experience wound-related itch (pruritus) and pain. A cross-sectional study was conducted to examine the occurrence of itch and pain in chronic wounds and the relationship of the intensity between these factors. Patients in an outpatient wound care center, 18 years and older with an open wound, were recruited consecutively over a 5-month period. The 199 participants (112 [56%] men) had a mean age of 67 years (range 21-98 years); one wound per person was addressed and included venous (31), arterial (23), neuropathic (31), pressure-related (33), traumatic (37), and "other" (41) wounds. Wound-related pain and itch data were obtained using a modified Paul-Pieper Itching Questionnaire and Characteristics of Itch Questionnaire. Responses were hand-recorded and coded without personal identifiers and analyzed using descriptive statistics, and associations among data were assessed using Pearson chi-square, Mantel-Haenszel chi-square, and Cochran-Armitage trend tests. Wound-related itch was significantly associated with participant age (P = 0.011) and employment status (P = 0.003). Wound-related pain was significantly associated only with education level (P = 0.048). Persons with venous wounds had both the largest proportion with wound-related itch (45.2%) and the largest proportion with wound-related pain (61.2%) out of all of the wound types. Persons with diabetic neuropathy had both the smallest proportion with wound-related itch (16.1%) and the smallest proportion with wound-related pain (35.4%) among all of the wound types. Associations between wound type and wound-related itch or pain were not significant. When venous wounds were compared to all other wound types combined, wound-related itch was significantly associated (P = 0.021) with wound type - ie, venous wound type and itch was statistically significant when venous wounds were compared to a combination of all other wound types. Wound-related pain and itch occurred together in 35

  3. Association between type 2 diabetes and chronic arsenic exposure in drinking water: A cross sectional study in Bangladesh

    Directory of Open Access Journals (Sweden)

    Islam Md

    2012-06-01

    Full Text Available Abstract Background Chronic exposure to high level of inorganic arsenic in drinking water has been associated with Type 2 Diabetes (T2D. Most research has been ecological in nature and has focused on high levels of arsenic exposure with few studies directly measuring arsenic levels in drinking water as an index of arsenic exposure. The effect of low to moderate levels of arsenic exposure on diabetes risk is largely unknown thus our study is adding further knowledge over previous works. Methods This cross sectional study was conducted in 1004 consenting women and men from 1682 eligible participants yielding a participation rate of 60%. These participants are aged >30 years and were living in Bangladesh and had continuously consumed arsenic-contaminated drinking water for at least 6 months. T2D cases were diagnosed using glucometer following the new diagnostic criteria (Fasting Blood Glucose > 126 mg/dl from the WHO guideline (WHO 2006, or a self-reported physician diagnosis of type 2 diabetes. Association between T2D and chronic arsenic exposure was estimated by multiple logistic regression with adjustment for age, sex, education, Body Mass Index (BMI and family history of T2D. Results A total of 1004 individuals participated in the study. The prevalence of T2D was 9% (95% CI 7-11%. After adjustment for diabetes risk factors, an increased risk of type 2 diabetes was observed for arsenic exposure over 50 μg/L with those in the highest category having almost double the risk of type 2 diabetes (OR=1.9 ; 95% CI 1.1-3.5. For most levels of arsenic exposure, the risk estimates are higher with longer exposure; a dose–response pattern was also observed. Conclusions These findings suggest an association between chronic arsenic exposure through drinking water and T2D. Risks are generally higher with longer duration of arsenic exposure. The risk of T2D is highest among those who were exposed to the highest concentration of arsenic for more than 10 years.

  4. The effects of long-acting bronchodilators on total mortality in patients with stable chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Kliber Agnes

    2010-05-01

    Full Text Available Abstract Background Chronic obstructive pulmonary disease (COPD is the 4th leading cause of mortality worldwide. Long-acting bronchodilators are considered first line therapies for patients with COPD but their effects on mortality are not well known. We performed a comprehensive systematic review and meta-analysis to evaluate the effects of long-acting bronchodilators on total mortality in stable COPD. Methods Using MEDLINE, EMBASE and Cochrane Systematic Review databases, we identified high quality randomized controlled trials of tiotropium, formoterol, salmeterol, formoterol/budesonide or salmeterol/fluticasone in COPD that had a follow-up of 6 months or longer and reported on total mortality. Two reviewers independently abstracted data from the original trials and disagreements were resolved by iteration and consensus. Results Twenty-seven trials that included 30,495 patients were included in the review. Relative risk (RR for total mortality was calculated for each of the study and pooled together using a random-effects model. The combination of inhaled corticosteroid (ICS and long-acting beta-2 agonist (LABA therapy was associated with reduced total mortality compared with placebo (RR, 0.80; p = 0.005. Neither tiotropium (RR, 1.08; p = 0.61 nor LABA by itself (RR, 0.90; p = 0.21 was associated with mortality. Conclusions A combination of ICS and LABA reduced mortality by approximately 20%. Neither tiotropium nor LABA by itself modifies all-cause mortality in COPD.

  5. In-hospital outcomes of contemporary percutaneous coronary intervention in patients with chronic total occlusion insights from the J-CTO Registry (Multicenter CTO Registry in Japan)

    National Research Council Canada - National Science Library

    Morino, Yoshihiro; Kimura, Takeshi; Hayashi, Yasuhiko; Muramatsu, Toshiya; Ochiai, Masahiko; Noguchi, Yuichi; Kato, Kenichi; Shibata, Yoshisato; Hiasa, Yoshikazu; Doi, Osamu; Yamashita, Takehiro; Morimoto, Takeshi; Abe, Mitsuru; Hinohara, Tomoaki; Mitsudo, Kazuaki

    2010-01-01

    ...) of chronic total occlusion (CTO) using contemporary techniques. Despite its increasing popularity and technical complexity, clinical outcomes of PCI for CTO using contemporary techniques have not been adequately evaluated...

  6. Chronic pain in the pelvic area or lower extremities after rectal cancer treatment and its impact on quality of life: a population-based cross-sectional study.

    Science.gov (United States)

    Feddern, Marie-Louise; Jensen, Troels Staehelin; Laurberg, Søren

    2015-09-01

    The aim of this investigation was to examine the prevalence of and factors associated with chronic pain in the pelvic area or lower extremities after rectal cancer treatment and its impact on quality of life (QoL). This is a population-based cross-sectional study of chronic pain and QoL in patients treated for rectal cancer from 2001 to 2007. A modified version of the Brief Descriptive Danish Pain Questionnaire and the European Organization for Research and Treatment of Cancer QLQ-C30 questionnaire were mailed to 1713 Danish patients. Informative answers were obtained from 1369 patients (80%). A total of 426 patients (31%) reported chronic pain in the pelvic area or lower extremities, 173 (41%) of whom had daily pain. Pain in other parts of the body was associated with the presence of pain in the pelvic region (odds ratio [OR] 4.81 [3.63-6.38], P pain in female patients (OR 1.91 [1.51-2.43], P pelvic pain. Chronic pain in the pelvic region or lower extremities after rectal cancer treatment is a common but largely neglected problem that is associated with female gender, type of surgery, radio(chemo)therapy, and young age, all of which impact the patient's QoL.

  7. Management of Chronic Diseases in Sub-Saharan Africa: Cross-Fertilisation between HIV/AIDS and Diabetes Care

    Science.gov (United States)

    van Olmen, Josefien; Schellevis, François; Van Damme, Wim; Kegels, Guy; Rasschaert, Freya

    2012-01-01

    There is growing attention for chronic diseases in sub-Saharan Africa (SSA) and for bridges between the management of HIV/AIDS and other (noncommunicable) chronic diseases. This becomes more urgent with increasing numbers of people living with both HIV/AIDS and other chronic conditions. This paper discusses the commonalities between chronic diseases by reviewing models of care, focusing on the two most dominant ones, diabetes mellitus type 2 (DM2) and HIV/AIDS. We argue that in order to cope with care for HIV patients and diabetes patients, health systems in SSA need to adopt new strategies taking into account essential elements of chronic disease care. We developed a “chronic dimension framework,” which analyses the “disease dimension,” the “health provider dimension,” the patient or “person dimension,” and the “environment dimension” of chronic diseases. Applying this framework to HIV/AIDS and DM2 shows that it is useful to think about management of both in tandem, comparing care delivery platforms and self-management strategies. A literature review on care delivery models for diabetes and HIV/AIDS in SSA revealed potential elements for cross-fertilisation: rapid scale-up approaches through the public health approach by simplification and decentralisation; community involvement, peer support, and self-management strategies; and strengthening health services. PMID:23209477

  8. Total and Partial Fragmentation Cross-Section of 500 MeV/nucleon Carbon Ions on Different Target Materials

    CERN Document Server

    Alpat, Behcet; Blasko, Sandor; Caraffini, Diego; Di Capua, Francesco; Postolache, Vasile; Saltanocchi, Giorgio; Menichelli, Mauro; Desorgher, Laurent; Durante, Marco; Pleskac, Radek; La Tessa, Chiara

    2014-01-01

    By using an experimental setup based on thin and thick double-sided microstrip silicon detectors, it has been possible to identify the fragmentation products due to the interaction of very high energy primary ions on different targets. Here we report total and partial cross-sections measured at GSI (Gesellschaft fur Schwerionenforschung), Darmstadt, for 500 MeV/n energy $^{12}C$ beam incident on water (in flasks), polyethylene, lucite, silicon carbide, graphite, aluminium, copper, iron, tin, tantalum and lead targets. The results are compared to the predictions of GEANT4 (v4.9.4) and FLUKA (v11.2) Monte Carlo simulation programs.

  9. Calculation of Total Reaction Cross Sections Induced by Intermediate Energy α-Particles with the Boltzmann-Uehling-Uhlenbeck Model

    Institute of Scientific and Technical Information of China (English)

    钟晨; 蔡翔舟; 沈文庆; 张虎勇; 魏义彬; 陈金根; 马余刚; 郭威; 方德清

    2003-01-01

    The Boltzmann-Uehling-Uhlenbeck (BUU) model, which includes the Fermi motion, the mean field, individual nucleon-nucleon (N-N) interactions and the Pauli blocking effect, etc., is used to calculate the total reaction cross section σR induced by α-particles on different targets in the incident energy range from 17.4 to 48.1 MeV/u. The calculation result can well reproduce the experimental data. The nucleus-nucleus interaction radius parameterγ0 was extracted from experimental σR. It is found that γ0 becomes constant with the increasing mass number of target.

  10. Total and positronium formation cross sections for positron scattering from H{sub 2}O and HCOOH

    Energy Technology Data Exchange (ETDEWEB)

    Makochekanwa, Casten; Tattersall, Wade; Jones, Adric; Caradonna, Peter; Slaughter, Daniel S; Sullivan, James P; Buckman, Stephen J [ARC Centre for Antimatter-Matter Studies, Research School of Physics and Engineering, Australian National University, Canberra, ACT 0200 (Australia); Bankovic, Ana; Petrovic, Zoran [Institute of Physics Belgrade, University of Belgrade, Pregrevica 118, POB 68, 11080 Zemun (Serbia); Nixon, Kate; Brunger, Michael J [ARC Centre for Antimatter-Matter Studies, School of Chemistry, Physics and Earth Sciences, Flinders University, GPO Box 2100, Adelaide, SA 5001 (Australia)], E-mail: cxm107@physics.anu.edu.au

    2009-10-15

    Total and positronium formation cross sections have been measured for positron scattering from H{sub 2}O and HCOOH using a positron beam with an energy resolution of 60 meV (full-width at half-maximum (FWHM)). The energy range covered is 0.5-60 eV, including an investigation of the behavior of the onset of the positronium formation channel using measurements with a 50 meV energy step, the result of which shows no evidence of any channel coupling effects or scattering resonances for either molecule.

  11. Calculations on various total cross-sections of electron impact on group VA - atoms-threshold to 2000 eV

    Energy Technology Data Exchange (ETDEWEB)

    Joshipura, K N; Gangopadhyay, Sumona; Kothari, Harshit N [Department of Physics, Sardar Patel University, Vallabh Vidyanagar - 388 120 (India); Shelat, Foram A, E-mail: knjoshipura@yahoo.co, E-mail: sumona_013@yahoo.co.i [GCET Engineering college, Sardar Patel University, Vallabh Vidyanagar - 388 120 (India)

    2009-11-01

    In this paper we have calculated various total cross-sections of Nitrogen, Phosphorus, Arsenic, Antimony and Bismuth (Group VA-atoms) in the energy range of 15 to 2000 eV. Spherical Complex potential formalism is used to derive total as well as inelastic cross-sections. We have developed CSP-ic method by which we can extract ionization cress-section from the inelastic cross-section. Our results are compared with available theoretical and experimental data.

  12. Tissue-specific effects of aldose reductase inhibition on fluorescence and cross-linking of extracellular matrix in chronic galactosemia. Relationship to pentosidine cross-links.

    Science.gov (United States)

    Richard, S; Tamas, C; Sell, D R; Monnier, V M

    1991-08-01

    Chronic experimental hyperglycemia mediated by galactose has been shown to induce browning and cross-linking of rat tail tendon collagen that could be duplicated in vitro by nonenzymatic galactosylation. To investigate the nature of these changes, Sprague-Dawley rats were placed on a 33% galactose diet without and with sorbinil for 6 and 12 mo. Collagen-linked fluorescence and pentosidine cross-links increased with age and galactosemia in tail tendons (P less than 0.001) and skin but were essentially unresponsive to aldose reductase inhibition (ARI). In contrast, tendon breaking time in urea, a likely parameter of cross-linking, was markedly improved (P less than 0.001) by ARI. Fluorescence that was inhibited by sorbinil treatment was increased in pepsin and proteinase K digest of aortic tissue from galactosemic rats (P less than 0.001), but impaired enzymatic digestibility was not observed. Systolic blood pressure as potential consequence of aortic stiffening was not increased in galactosemia. These data suggest that fluorescence in skin and tendon might be in part due to advanced glycosylation and pentosidine formation because these were not decreased by ARI. However, they also suggest that nonfluorescent cross-links may also be forming because, in contrast to fluorescence, tail tendon breaking time was partly corrected by ARI. Thus, it appears that extracellular matrix changes in chronic galactosemia are complex, being partly attributable to advanced glycosylation and partly to polyol-pathway activation.

  13. Cross cultural adaptation of the Achilles tendon Total Rupture Score with reliability, validity and responsiveness evaluation.

    Science.gov (United States)

    Carmont, Michael R; Silbernagel, Karin Grävare; Nilsson-Helander, Katarina; Mei-Dan, Omer; Karlsson, Jon; Maffulli, Nicola

    2013-06-01

    The Achilles tendon Total Rupture Score (ATRS) was developed because of the need for a reliable, valid and sensitive instrument to evaluate symptoms and their effects on physical activity in patients following either conservative or surgical management of an Achilles tendon rupture. Prior to using the score in larger randomized trial in an English-speaking population, we decided to perform reliability, validity and responsiveness evaluations of the English version of the ATRS. Even though the score was published in English, the actual English version has not be validated and compared to the results of the Swedish version. From 2009 to 2010, all patients who received treatment for Achilles tendon rupture were followed up using the English version of the ATRS. Patients were asked to complete the score at 3, 6 and 12 months following treatment for Achilles tendon rupture. The ATRS was completed on arrival in the outpatient clinic and again following consultation. The outcomes of 49 (13 female and 36 male) patients were assessed. The mean (SD) age was 49 (12) years, and 27 patients had treatment for a left-sided rupture, 22 the right. All patients received treatment for ruptured Achilles tendons: 38 acute percutaneous repair, 1 open repair, 5 an Achilles tendon reconstruction using a Peroneus Brevis tendon transfer for delayed presentation, 1 gracilis augmented repair for re-rupture and 4 non-operative treatment for mid-portion rupture. The English version of ATRS was shown to have overall excellent reliability (ICC = 0.986). There was no significant difference between the results with the English version and the Swedish version when compared at the 6-month- or 12-month (n.s.) follow-up appointments. The effect size was 0.93. The minimal detectable change was 6.75 points. The ATRS was culturally adapted to English and shown to be a reliable, valid and responsive method of testing functional outcome following an Achilles tendon rupture.

  14. Safety and Effectiveness of Everolimus-Eluting Stents in Chronic Total Coronary Occlusion Revascularization: Results From the EXPERT CTO Multicenter Trial (Evaluation of the XIENCE Coronary Stent, Performance, and Technique in Chronic Total Occlusions).

    Science.gov (United States)

    Kandzari, David E; Kini, Annapoorna S; Karmpaliotis, Dimitri; Moses, Jeffrey W; Tummala, Pradyumna E; Grantham, J Aaron; Orr, Charles; Lombardi, William; Nicholson, William J; Lembo, Nicholas J; Popma, Jeffrey J; Wang, Jin; Larracas, Cristina; Rutledge, David R

    2015-05-01

    This study sought to evaluate procedural and clinical outcomes among patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) using contemporary methods and everolimus-eluting stents (EES). Limited studies have detailed the procedural and late-term safety and efficacy of CTO revascularization among multiple centers applying modern techniques and with newer-generation drug-eluting stents. Among 20 centers, 250 consecutive patients were enrolled for attempted CTO PCI. Procedural and in-hospital clinical outcomes were examined in addition to the 1-year primary endpoint of death, myocardial infarction, and target lesion revascularization (major adverse cardiac events [MACE]). Demographic, lesion, and procedural characteristics included prior bypass surgery: 9.9%; diabetes: 40.1%; lesion length: 36.1 ± 18.5 mm; and stent length: 51.7 ± 27.2 mm. Procedural success, defined as guidewire recanalization with no in-hospital MACE, was 96.4%. Success with antegrade-only methods was 97.9% and 86.2% by retrograde/combined methods, respectively. Compared with a pre-specified performance goal derived from 6 prior CTO drug-eluting stent trials (1-year MACE: 24.4%), treatment with EES was associated with significantly lower composite adverse events for both intent-to-treat (18.5%, 1-sided upper confidence interval: 23.4%, p = 0.025) and per-protocol populations (8.2%, 1-sided upper confidence interval: 12.3%, p CTO PCI in a patient population with high lesion complexity. (EXPERT CTO: Evaluation of the XIENCE PRIME LL and XIENCE Nano Everolimus Eluting Coronary Stent Coronary Stents, Performance, and Technique in Chronic Total Occlusions; NCT01435031). Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  15. Development and Validation of a Scoring System for Predicting Periprocedural Complications During Percutaneous Coronary Interventions of Chronic Total Occlusions: The Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (PROGRESS CTO) Complications Score.

    Science.gov (United States)

    Danek, Barbara Anna; Karatasakis, Aris; Karmpaliotis, Dimitri; Alaswad, Khaldoon; Yeh, Robert W; Jaffer, Farouc A; Patel, Mitul P; Mahmud, Ehtisham; Lombardi, William L; Wyman, Michael R; Grantham, J Aaron; Doing, Anthony; Kandzari, David E; Lembo, Nicholas J; Garcia, Santiago; Toma, Catalin; Moses, Jeffrey W; Kirtane, Ajay J; Parikh, Manish A; Ali, Ziad A; Karacsonyi, Judit; Rangan, Bavana V; Thompson, Craig A; Banerjee, Subhash; Brilakis, Emmanouil S

    2016-10-11

    High success rates are achievable for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) using the hybrid approach, but periprocedural complications remain of concern. Although scores estimating success and efficiency in CTO PCI have been developed, there is currently no available score for estimation of the risk for periprocedural complications. We sought to develop a scoring tool for prediction of periprocedural complications during CTO PCI. We analyzed data from 1569 CTO PCIs in the Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (PROGRESS CTO) using a derivation and validation sampling ratio of 2:1. Variables independently associated with periprocedural complications in multivariable analysis in the derivation set were assigned points based on their respective odds ratios. Forty-four (2.8%) patients experienced complications. Three factors were independent predictors of complications and were included in the score: patient age >65 years, +3 points (odds ratio, OR=4.85, CI 1.82-16.77); lesion length ≥23 mm, +2 points (OR=3.22, CI 1.08-13.89); and use of the retrograde approach +1 point (OR=2.41, CI 1.04-6.05). The resulting score showed good calibration and discriminatory capacity in the derivation (Hosmer-Lemeshow χ(2) 6.271, P=0.281, receiver-operating characteristic [ROC] area=0.758) and validation (Hosmer-Lemeshow χ(2) 4.551, P=0.473, ROC area=0.793) sets. Score values of 0 to 2, 3 to 4, and ≥5 were defined as low, intermediate, and high risk of complications (derivation cohort 0.4%, 1.8%, 6.5%, PCTO complication score is a useful tool for prediction of periprocedural complications in CTO PCI. URL: http://www.clinicaltrials.gov. Unique identifier: NCT02061436. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

  16. Comparison of total body irradiation vs chlorambucil and prednisone for remission induction of active chronic lymphocytic leukemia: an ECOG study. Part I: total body irradiation-response

    Energy Technology Data Exchange (ETDEWEB)

    Rubin, P.I. (Univ. of Rochester Cancer Center, NY); Bennett, J.M.; Begg, C.; Bozdech, M.J.; Silber, R.

    1981-12-01

    Twenty-six evaluable patients were entered into two fractionated total body irradiation (TBI) programs; 11 patients received a course of 150 rad TBI (x 3 if tolerated) and 15 patients received a lower dose course of 50 rad (x 3 if tolerated). Complete remissions (CR) were not produced by either course; however, the higher dose course (Plan I) yielded a partial response (PR) rate of 73%, while the lower dose course yielded a PR of 47%. Although fraction size seemed trivial in both TBI plans, an unexpected high degree of hematologic toxicity was encountered, and was parallel to the response rates: in Plan I 73% of patients experienced severe to life-threatening depression of platelets or granulocytes, whereas in Plan II this rate was 47%. This was of short duration with rapid return of blood counts to normal levels. One death can be attributed to TBI. The chemotherapy arm of the study demonstrated superiority in terms of complete responses. Twenty-three percent of patients treated by cholrambucil and prednisone attained CR, in contrast to 0% of TBI patients. PR for chemotherapy was similar to that obtained with TBI. Chemotherapy also proved superior in terms of overall response rate, number of patients in remission, and in the median duration of response, but not in the median duration of survival. Fractional TBI techniques for active chronic lymphocytic leukemia (CLL) should be interrupted when the platelet count dips below 100,000 and the granulocyte count is lower than 2,000. Future studies should combine TBI radiation therapy and chemotherapy.

  17. [Care as a cross-cutting element in the health care of complex chronic patients].

    Science.gov (United States)

    Rico-Blázquez, Milagros; Sánchez Gómez, Sheila; Fuentelsaz Gallego, Carmen

    2014-01-01

    The care of people who live with chronic diseases is currently a priority on the roadmaps of all health care services. Within these strategies, there needs to be a specific approach required for a population group that is defined by having multiple diseases and the associated comorbidity. This group is especially vulnerable, fragile, and require very complex care, which uses up a high quantity of social health resources. The estimated prevalence in Spain is 1.4% in the general population, and approximately 5% in people over 64 years. The social and healthcare of this population requires a person-centered approach, as a paradigm of caring for the patients and not of the diseases. The models must leap from the segmented approach to diseases to a holistic and integrated vision, taking into account the social and psycho-affective situation, the experience of the patient, the family context, and the approach of human experience/response that these processes produce. The health professionals need support tools that can guide them and help in making clinical decisions in this population group. The clinical practice guidelines for the approach of patients with co-morbidity and multiple diseases have numerous limitations. Expert recommendations in this sense, lead us to a multidisciplinary approach, with self-care and self-health management as a cross-cutting element of healthcare.

  18. Prevalence of chronic cardiovascular and metabolic diseases in Senegalese workers: a cross-sectional study, 2010.

    Science.gov (United States)

    Seck, Sidy Mohamed; Guéye, Serigne; Tamba, Kéba; Ba, Issa

    2013-01-01

    Noncommunicable diseases (NCDs) are a major public health threat, particularly in developing countries. In sub-Saharan Africa, the scarcity of reliable data on NCDs in the general population makes it difficult to develop efficient prevention strategies. The objective of this cross-sectional study was to assess the prevalence of 4 cardiometabolic NCDs among 402 private-sector workers in Dakar, Senegal: high blood pressure (HBP), diabetes, obesity, and chronic kidney disease (CKD). We collected demographic, clinical, and biological data for each worker during routine occupational health visits between September 1 and November 30, 2010. Multivariate analyses were performed to identify risk factors associated with NCDs. Among the 402 study participants, 24.1% had HBP, 9.7% had diabetes, 16.7% were obese, and 22.4% had CKD. About half of participants (48.5%) were not aware of their diseases before the screening. Univariate analysis showed that age was significantly associated with blood pressure, fasting blood glucose, and renal function. After adjusting for age and sex, systolic blood pressure was correlated with renal function, and physical inactivity was significantly associated with obesity. Despite its small sample size, our study provides a perspective on the extent of cardiometabolic NCDs in Senegalese workers. Our study also suggests that targeted screening activities focusing on socio-professional groups may be helpful in the absence of national integrated prevention programs.

  19. Chronic osteomyelitis management in austere environments: the International Committee of the Red Cross experience.

    Science.gov (United States)

    Baldan, Marco; Gosselin, Richard A; Osman, Zaher; Barrand, Kenneth G

    2014-07-01

    Chronic osteomyelitis (COM) causes major physical disability. In situations of limited resources and war zones, western world treatments are neither affordable nor sustainable. The International Committee of the Red Cross has established a COM treatment project in the Democratic Republic of Congo, with emphasis on affordability and sustainability. One hundred and sixty-eight patients were treated for COM. The protocol focused on surgical excision of necrotic bone, physiotherapy and an open wound dressing method using granulated brown sugar. Seventy-one patients could be reviewed with a mean follow-up of 13.7 months (5-28 months). 46 patients (63.4%, 95% CI 52.5-75.6) had excellent/good results in terms of clinical cure of the infection, and 36 patients (50.7%, 95% CI 38.7-62.7) had seen excellent/good improvement in their functional status compared with before treatment. The above-mentioned treatment protocol has shown encouraging results: almost two-thirds of the patients had their infection clinically cured, and half the patients saw significant functional improvement. © 2014 John Wiley & Sons Ltd.

  20. Total cross sections for double-electron detachment in intermediate energy H{sup {minus}}+ neon collisions

    Energy Technology Data Exchange (ETDEWEB)

    Kvale, T.J.; Sen, A.; Fang, X. [Univ. of Toledo, OH (United States)] [and others

    1993-05-01

    Absolute total cross sections for the double electron detachment {sigma}{sub {minus}1,1} in collisions between H{sup {minus}} and Ne have been measured in the 5 - 50 keV energy range. A well-collimated H{sup {minus}} beam components of the collision products (i.e, H{sup O}, H{sup +} and H{sup {minus}}) are magnetically analyzed and directed into appropriately-biased Faraday cups for detection. The cross sections are determined by a quadratic least squares fit of the H{sup =} fraction as a function of the target thickness in the growth curve analysis of the data. The double-electron detachment cross sections increase monotonically with impact energy over the energy region covered in this experiment. The values of {sigma}{sub {minus}1,1} range from 1.02 x 10{sup {minus}17}cm{sup 2} at 5.0 keV to 5.54 x 10{sup {minus}17} cm{sup 2} at 50 keV.

  1. Gender Difference in Associations between Chronic Temporomandibular Disorders and General Quality of Life in Koreans: A Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Tae-Yoon Kim

    Full Text Available Chronic temporomandibular disorder (TMD is known to have strong correlations with psychological factors and to display gender disparity. However, while chronic TMD is known to affect quality of life, large-scale studies investigating the influence on quality of life by gender are scarce.This cross-sectional study assessed the data of 17,198 participants aged ≥19 years who completed chronic TMD and EuroQol-5 Dimension sections in the 4th Korean National Health and Nutrition Examination Survey (2007-2009. We adjusted for covariates (health behavior, sociodemographic factors in regression analysis for complex sampling design to calculate regression coefficients and 95% CIs for gender difference in the association between chronic TMD and quality of life. We also evaluated which covariates of somatic health, mental health, health behavior, and sociodemographic factors weakened the relationship between TMD and EQ-5D.Prevalence of chronic TMD was 1.6% (men 1.3%, women 1.8%, and chronic TMD persisted to negatively impact quality of life even after adjusting for confounding variables. Low sociodemographic factors and health behavior had a negative effect on quality of life. Somatic health and mental health were most affected by chronic TMD. As for quality of life, women were affected to a greater extent than men by TMD. Women were more affected by osteoarthritis and general mental health (stress, depressive symptoms, and thoughts of suicide, and men by employment.These results imply that chronic diseases and psychological factors are important in chronic TMD, and that there may be physiological and pathological gender differences in TMD.

  2. Health-related quality of life among general practice patients with differing chronic diseases in Germany: Cross sectional survey

    Directory of Open Access Journals (Sweden)

    Gensichen Jochen

    2008-07-01

    Full Text Available Abstract Background This study was carried out to compare the HRQoL of patients in general practice with differing chronic diseases with the HRQoL of patients without chronic conditions, to evaluate the HRQoL of general practice patients in Germany compared with the HRQoL of the general population, and to explore the influence of different chronic diseases on patients' HRQoL, independently of the effects of multiple confounding variables. Methods A cross-sectional questionnaire survey including the SF-36, the EQ-5D and demographic questions was conducted in 20 general practices in Germany. 1009 consecutive patients aged 15–89 participated. The SF-36 scale scores of general practice patients with differing chronic diseases were compared with those of patients without chronic conditions. Differences in the SF-36 scale/summary scores and proportions in the EQ-5D dimensions between patients and the general population were analyzed. Independent effects of chronic conditions and demographic variables on the HRQoL were analyzed using multivariable linear regression and polynomial regression models. Results The HRQoL for general practice patients with differing chronic diseases tended to show more physical than mental health impairments compared with the reference group of patients without. Patients in general practice in Germany had considerably lower SF-36 scores than the general population (P P P Conclusion General practice patients with differing chronic diseases in Germany had impaired quality of life, especially in terms of physical health. The independent impacts on the HRQoL were different depending on the type of chronic disease. Findings from this study might help health professionals to concern more influential diseases in primary care from the patient's perspective.

  3. Chronic symptoms in a representative sample of community-dwelling older people: a cross-sectional study in Switzerland

    Science.gov (United States)

    Büla, Christophe; Guessous, Idris; Rodondi, Nicolas; Goy, René; Demont, Maurice; Santos-Eggimann, Brigitte

    2017-01-01

    Objectives The burden of multiple diagnoses is well documented in older people, but less is known about chronic symptoms, many of which are even not brought to medical attention. This study aimed to determine the prevalence of chronic symptoms, their relationships with disability in basic activities of daily living (BADL) and quality of life (QoL), and their public health impact. Design A large cross-sectional population-based study. Setting Community in 2 regions of French-speaking Switzerland. Participants Community-dwelling older adults aged 68 years and older in 2011 (N=5300). Outcomes Disability in BADL defined as difficulty or help needed with any of dressing, bathing, eating, getting in/out of bed or an arm chair, and using the toilet. Overall QoL dichotomised as favourable (ie, excellent or very good) or unfavourable (ie, good, fair or poor). Disturbance by any of the following 14 chronic symptoms for at least 6 months: joint pain, back pain, chest pain, dyspnoea, persistent cough, swollen legs, memory gaps, difficulty concentrating, difficulty making decisions, dizziness/vertigo, skin problems, stomach/intestine problems, urinary incontinence and impaired sexual life. Results Only 17.1% of participants did not report being disturbed by any of these chronic symptoms. Weighted prevalence ranged from 3.1% (chest pain) to 47.7% (joint pain). Most chronic symptoms were significantly associated with disability in BADL or unfavourable QoL, with substantial gender differences. The number of chronic symptoms was significantly associated with disability in BADL and unfavourable QoL, with gradients suggesting dose–response relationships. Joint pain and back pain had the highest population attributable fractions. Conclusions Chronic symptoms are highly prevalent in older people, and are associated with disability in BADL and unfavourable QoL, particularly when multiple chronic symptoms co-occur. Owing to their high public health impact, musculoskeletal chronic

  4. Total Charge Changing Cross-Sections of 300 MeV/A Fe26+ Ion Beam in Different Target Media

    Science.gov (United States)

    Gupta, Renu; Kumar, Ashavani

    Total charge changing cross-sections of 300 MeV/A Fe26+ ion beam in Al and combined media of CH2, CR39 and Al were calculated by CR39 track etch detectors using an image analysing system; DM6000 M optical microscope attached with a personal computer installed with Leica QWin Plus software. The CR39 nuclear track detectors were used to identify the incident charged particles and their fragments. Exposed CR39 detectors were etched in 6N NaOH solution + 1% ethyl alcohol at 70 ˚C to visualize the tracks produced by primary ion beam and its fragmentations under optical microscope. The temperature was kept constant throughout the etching within ± 0.1˚C. The present work shows better response of the CR39 track etch detector up to an improved threshold Z/β ˜ 4.6. The cone-diameter distributions were fitted by multiple Gaussians using ROOT software analysis toolkit. The numbers of incident and survived ions were determined within 99.7% confidence levels. The calculated values of total charge changing cross-section were (1663 ± 236) mb in Al target, (1219 ± 29) mb in combined target CH2+CR39+Al and (1020 ± 121) mb in combined target CH2+CR39.

  5. Reveal of small alkanes and isomers using calculated core and valence binding energy spectra and total momentum cross sections

    CERN Document Server

    Yang, Zejin

    2013-01-01

    The present study revealed quantum mechanically that the C1s binding energy spectra of the small alkanes (upto six carbons) provide a clear picture of isomeric chemical shift in linear alkanes and branched isomers, whereas the valence binding energy spectra contain more sensitive information regarding the length of the carbon chains. Total momentum cross sections of the alkanes exhibit the information of the chain length as well as constitutional isomers of the small alkanes. The C1s binding energies of small alkanes (including isomers) are position specific and the terminal carbons have the lowest energies. The length of an alkane chain does not apparently affect the C1s energies so that the terminal carbons (289.11 eV) of pentane are almost the same as those of hexane. The valence binding energy spectra of the alkanes are characterized by inner valence and outer valence regions which are separated by an energy gap at approximately 17 eV. The intensities of the total momentum cross sections of the alkanes ar...

  6. Sociodemographic factors and health conditions associated with the resilience of people with chronic diseases: a cross sectional study 1

    Science.gov (United States)

    Böell, Julia Estela Willrich; da Silva, Denise Maria Guerreiro Vieira; Hegadoren, Kathleen Mary

    2016-01-01

    ABSTRACT Objective: to investigate the association between resilience and sociodemographic variables and the health of people with chronic kidney disease and / or type 2 diabetes mellitus. Method: a cross-sectional observational study performed with 603 people with chronic kidney disease and / or type 2 diabetes mellitus. A tool to collect socio-demographic and health data and the Resilience Scale developed by Connor and Davidson were applied. A descriptive and multivariate analysis was performed. Results: the study participants had on average 61 years old (SD= 13.2), with a stable union (52.24%), religion (96.7%), retired (49.09%), with primary education (65%) and income up to three minimum wages. Participants with kidney disease showed less resilience than people with diabetes. Conclusion: the type of chronic illness, disease duration, body mass index and religious beliefs influenced the resilience of the study participants. PMID:27598377

  7. Sociodemographic factors and health conditions associated with the resilience of people with chronic diseases: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Julia Estela Willrich Böell

    Full Text Available ABSTRACT Objective: to investigate the association between resilience and sociodemographic variables and the health of people with chronic kidney disease and / or type 2 diabetes mellitus. Method: a cross-sectional observational study performed with 603 people with chronic kidney disease and / or type 2 diabetes mellitus. A tool to collect socio-demographic and health data and the Resilience Scale developed by Connor and Davidson were applied. A descriptive and multivariate analysis was performed. Results: the study participants had on average 61 years old (SD= 13.2, with a stable union (52.24%, religion (96.7%, retired (49.09%, with primary education (65% and income up to three minimum wages. Participants with kidney disease showed less resilience than people with diabetes. Conclusion: the type of chronic illness, disease duration, body mass index and religious beliefs influenced the resilience of the study participants.

  8. Population preference values for treatment outcomes in chronic lymphocytic leukaemia: a cross-sectional utility study

    Directory of Open Access Journals (Sweden)

    Meiklejohn David

    2010-05-01

    Full Text Available Abstract Background Given that treatments for chronic lymphocytic leukaemia (CLL are palliative rather than curative, evaluating the patient-perceived impacts of therapy is critical. To date, no utility (preference studies from the general public or patient perspective have been conducted in CLL. The objective of this study was to measure preferences for health states associated with CLL treatment. Methods This was a cross-sectional study of 89 members of the general population in the UK (England and Scotland. Using standard gamble, each participant valued four health states describing response status, six describing treatment-related toxicities based on Common Toxicity Criteria, and two describing line of treatment. The health states incorporated standardized descriptions of treatment response (symptoms have "improved," "stabilized," or "gotten worse", swollen glands, impact on daily activities, fatigue, appetite, and night sweats. Utility estimates ranged from 0.0, reflecting dead, to 1.0, reflecting full health. Results Complete response (CR was the most preferred health state (mean utility, 0.91, followed by partial response (PR, 0.84; no change (NC, 0.78; and progressive disease (PD, 0.68. Among the toxicity states, grade I/II nausea and nausea/vomiting had the smallest utility decrements (both were -0.05, and grade III/IV pneumonia had the greatest decrement (-0.20. The utility decrements obtained for toxicity states can be subtracted from utilities for CR, PR, NC, and PD, as appropriate. The utilities for second- and third-line treatments, which are attempted when symptoms worsen, were 0.71 and 0.65, respectively. No significant differences in utilities were observed by age, sex, or knowledge/experience with leukaemia. Conclusions This study reports UK population utilities for a universal set of CLL health states that incorporate intended treatment response and unintended toxicities. These utilities can be applied in future cost

  9. Clinical trade-offs in cross-linked ultrahigh-molecular-weight polyethylene used in total joint arthroplasty.

    Science.gov (United States)

    Pruitt, Lisa A; Ansari, Farzana; Kury, Matt; Mehdizah, Amir; Patten, Elias W; Huddlestein, James; Mickelson, Dayne; Chang, Jennifer; Hubert, Kim; Ries, Michael D

    2013-04-01

    Highly cross-linked formulations of ultrahigh-molecular-weight polyethylene (XLPE) offer exceptional wear resistance for total joint arthroplasty but are offset with a reduction in postyield and fatigue fracture properties in comparison to conventional ultrahigh-molecular-weight polyethylene (UHMWPE). Oxidation resistance is also an important property for the longevity of total joint replacements (TJRs) as formulations of UHMWPE or XLPE utilizing radiation methods are susceptible to free radical generation and subsequent embrittlement. The balance of oxidation, wear, and fracture properties is an enduring concern for orthopedic polymers used as the bearing surface in total joint arthroplasty. Optimization of material properties is further challenged in designs that make use of locking mechanisms, notches, or other stress concentrations that can render the polymer susceptible to fracture due to elevated local stresses. Clinical complications involving impingements, dislocations, or other biomechanical overloads can exacerbate stresses and negate benefits of improved wear resistance provided by XLPE. This work examines trade-offs that factor into the use of XLPE in TJR implants.

  10. Do patients with chronic pain diseases believe in guardian angels: even in a secular society? A cross-sectional study among German patients with chronic diseases.

    Science.gov (United States)

    Büssing, Arndt; Reiser, Franz; Michalsen, Andreas; Zahn, Anne; Baumann, Klaus

    2015-02-01

    We intended to analyze whether patients with chronic diseases believe in guardian angels (GdA) as a coping resource. In a cross-sectional survey, we analyzed data from 576 German patients with chronic diseases (mean age 51.3 ± 15.4 years). We found that 56 % of the patients often or even regularly believed in GdA, with significantly more women than men believing. Particularly interesting was the fact that 38 % of patients who were identified as neither religious nor spiritual (R-S-) believed in GdAs. This belief may indicate that patients are interested in bridging the gap between the concrete struggle to manage illness and non-rational/transcendent realms.

  11. Duration of dual antiplatelet therapy in patients treated with percutaneous coronary intervention for coronary chronic total occlusion.

    Science.gov (United States)

    Lee, Seung Hwa; Yang, Jeong Hoon; Choi, Seung-Hyuk; Park, Taek Kyu; Jang, Woo Jin; Song, Young Bin; Hahn, Joo-Yong; Choi, Jin-Ho; Gwon, Hyeon-Cheol

    2017-01-01

    The duration of dual antiplatelet therapy (DAPT) after drug-eluting stent implantation in coronary chronic total occlusion (CTO) remains unclear. We retrospectively analyzed a total of 512 patients treated with percutaneous coronary intervention (PCI) in the Samsung Medical Center CTO registry. Patients were separated into ≤ 12-month (199, 38.9%) vs. > 12 month (313, 61.1%) based on DAPT duration with aspirin and clopidogrel. The primary outcome was major adverse cardiac and cerebrovascular event (MACCE) during follow-up. Median follow-up duration was 67 (interquartile range: 51-84) months. MACCE occurred in 43 patients (21.6%) in the ≤ 12-month and 55 patients (17.6%) in the > 12-month groups. In the propensity-matched population, the rate of MACCE did not differ significantly between the ≤ 12-month and > 12-month group (19.4% vs. 18.8%; hazard ratio [HR], 0.95; 95% confidential interval [CI], 0.52-1.76, p = 0.88). Moreover, moderate or severe bleeding according to BARC criteria (type 2, 3 or 5) was also similar between the ≤ 12-month and > 12-month group (2.5% vs. 1.9%; HR, 1.00; 95% CI, 0.20-4.96, p = 0.99). Among patients treated with PCI for CTO, DAPT with durations of ≤ 12-month showed similar long-term clinical outcomes compared to > 12-month DAPT.

  12. Impact of diabetes on long term follow-up of elderly patients with chronic total occlusion post percutaneous coronary intervention

    Institute of Scientific and Technical Information of China (English)

    Wei Liu; Kenji Wagatsuma; Hideo Nii; Mikihito Toda; Hideo Amano; Yasuto Uchida

    2013-01-01

    Background The prognosis of elderly patients with chronic total occlusion (CTO) and diabetes mellitus (DM) treated with percutaneous coronary intervention (PCI) is not known. Objective To investigate the effect of diabetes on long-term follow-up of CTO after PCI in elderly patients. Methods A total of 153 elderly patients (age > 65 years old) with CTO lesions which were successfully treated with PCI were enrolled. Fifty one patients with diabetes and 102 without diabetes were compared for long-term outcomes (mean follow up: 36 ± 12 months). Major adverse cardiac events (MACE) which include death, myocardial infarction or target lesion revascularization (TLR) were considered as a combined endpoint. Results The combined endpoint occurred in 29.4% of diabetes patients, and 11.3% of the patients without diabetes (P < 0.05). The Cox proportional hazards model identified: drug eluting stent (DES) or bare metal stent (BMS) (HR: 0.13, follow-up. Conclusions The study demonstrates that DM is a predictive factor for MACE in elderly CTO patients treated with PCI, type of stent, final minimal lumen diameter and DM with renal impairment, and HBA1C level on admission are predictors of MACE.

  13. The Prognostic Value of Residual Volume/Total Lung Capacity in Patients with Chronic Obstructive Pulmonary Disease.

    Science.gov (United States)

    Shin, Tae Rim; Oh, Yeon-Mok; Park, Joo Hun; Lee, Keu Sung; Oh, Sunghee; Kang, Dae Ryoung; Sheen, Seungsoo; Seo, Joon Beom; Yoo, Kwang Ha; Lee, Ji-Hyun; Kim, Tae-Hyung; Lim, Seong Yong; Yoon, Ho Il; Rhee, Chin Kook; Choe, Kang-Hyeon; Lee, Jae Seung; Lee, Sang-Do

    2015-10-01

    The prognostic role of resting pulmonary hyperinflation as measured by residual volume (RV)/total lung capacity (TLC) in chronic obstructive pulmonary disease (COPD) remains poorly understood. Therefore, this study aimed to identify the factors related to resting pulmonary hyperinflation in COPD and to determine whether resting pulmonary hyperinflation is a prognostic factor in COPD. In total, 353 patients with COPD in the Korean Obstructive Lung Disease cohort recruited from 16 hospitals were enrolled. Resting pulmonary hyperinflation was defined as RV/TLC ≥ 40%. Multivariate logistic regression analysis demonstrated that older age (P = 0.001), lower forced expiratory volume in 1 second (FEV1) (P hyperinflation. Multivariate Cox regression model that included age, gender, dyspnea scale, SGRQ, RV/TLC, and 6-min walking distance revealed that an older age (HR = 1.07, P = 0.027), a higher RV/TLC (HR = 1.04, P = 0.025), and a shorter 6-min walking distance (HR = 0.99, P hyperinflation in COPD. RV/TLC is an independent risk factor for all-cause mortality in COPD.

  14. Mechanisms of plastic deformation in highly cross-linked UHMWPE for total hip components--the molecular physics viewpoint.

    Science.gov (United States)

    Takahashi, Yasuhito; Shishido, Takaaki; Yamamoto, Kengo; Masaoka, Toshinori; Kubo, Kosuke; Tateiwa, Toshiyuki; Pezzotti, Giuseppe

    2015-02-01

    Plastic deformation is an unavoidable event in biomedical polymeric implants for load-bearing application during long-term in-vivo service life, which involves a mass transfer process, irreversible chain motion, and molecular reorganization. Deformation-induced microstructural alterations greatly affect mechanical properties and durability of implant devices. The present research focused on evaluating, from a molecular physics viewpoint, the impact of externally applied strain (or stress) in ultra-high molecular weight polyethylene (UHMWPE) prostheses, subjected to radiation cross-linking and subsequent remelting for application in total hip arthroplasty (THA). Two different types of commercial acetabular liners, which belong to the first-generation highly cross-linked UHMWPE (HXLPE), were investigated by means of confocal/polarized Raman microprobe spectroscopy. The amount of crystalline region and the spatial distribution of molecular chain orientation were quantitatively analyzed according to a combined theory including Raman selection rules for the polyethylene orthorhombic structure and the orientation distribution function (ODF) statistical approach. The structurally important finding was that pronounced recrystallization and molecular reorientation increasingly appeared in the near-surface regions of HXLPE liners with increasing the amount of plastic (compressive) deformation stored in the microstructure. Such molecular rearrangements, occurred in response to external strains, locally increase surface cross-shear (CS) stresses, which in turn trigger microscopic wear processes in HXLPE acetabular liners. Thus, on the basis of the results obtained at the molecular scale, we emphasize here the importance of minimizing the development of irrecoverable deformation strain in order to retain the pristine and intrinsically high wear performance of HXLPE components.

  15. Dose effects of cross-linking polyethylene for total knee arthroplasty on wear performance and mechanical properties.

    Science.gov (United States)

    Asano, Taiyo; Akagi, Masao; Clarke, Ian C; Masuda, Shingo; Ishii, Tsunehiro; Nakamura, Takashi

    2007-11-01

    Wear performance and mechanical properties of cross-linking polyethylene (XLPE) tibial inserts were investigated using a knee simulator, scanning electron microscopy (SEM), and a small punch test (SPT). Ultrahigh molecular weight PE made from GUR1050 resin was irradiated at doses ranging from 0 to 200 kGy and then machined into tibial inserts followed by annealing. The knee simulator was run for up to four million cycles. As the radiation dose increased from 0 to 100 kGy, the wear rate decreased dramatically, yielding 95% wear reduction at 100 kGy. The microwear features observed by SEM supported the dose-dependent wear reduction. The SPT for XLPE after the simulation test showed that, as the radiation dose increased from 0 to 200 kGy, the ultimate displacement decreased dose-dependently, while the ultimate load increased from 0 to 75 kGy and decreased from 75 to 200 kGy. The resulting toughness of the PE increased to its maximum at a dose of 50 kGy and then decreased with higher doses up to 200 kGy. PE cross-linked with radiation doses from 25 to 75 kGy had greater toughness than virgin, nonirradiated PE. However, PE irradiated with 100 kGy or more had lower toughness than virgin PE. These data suggest that a certain amount of irradiation enhances both wear performance and toughness of PE tibial inserts. Although a certain amount of cross-linking would be effective for clinical application of PE tibial inserts, an optimal radiation dose should be much smaller than that used in current XLPE in total hip arthroplasty.

  16. Prevalence of Porphyromonas gingivalis and its relationship with herpesvirus in Indian subjects with chronic periodontitis: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Vinayak M Joshi

    2016-01-01

    Full Text Available Background: Porphyromonas gingivalis (P. gingivalis is a periodontal pathogen that is commonly harbored in the dental plaque of humans. The aim of this study was to look into the prevalence of P. gingivalis and its association with herpesvirus in Indian subjects. This is probably the first study on the association of this bacterium with herpesvirus in Indians. Materials and Methods: This cross-sectional study consists of 200 subjects, with 100 subjects each in the healthy group and the chronic periodontitis (CP group. Upon plaque collection, one portion of the samples was immediately plated, on culture media that is selective for P. gingivalis. Total colony-forming units (CFU/mL from each plate was recorded. The remaining plaque sample was subjected to DNA extraction and polymerase chain reaction (PCR was performed using specific primers for Cytomegalovirus (CMV and Epstein–Barr virus (EBV. The data are analyzed using the chi-square test, Spearman's rho correlation coefficient, and Mann–Whitney U test. Results: P. gingivalis was detected in 66% of the subjects with CP and in 40% in the healthy group, and this difference was statistically significant (P = 0.00023. The correlation of clinical parameters with P. gingivalis showed a significant positive correlation, indicating that higher levels of clinical parameters were associated with higher CFUs of P. gingivalis in culture. The comparison of the presence of P. gingivalis between herpesvirus-negative and -positive cases showed that CMV-positive cases had significantly higher levels of this bacterium. Conclusions: The results of this study confirmed the earlier finding of P. gingivalis presence in significantly higher levels in CP subjects and in CMV-positive sites. In addition, there was a positive association of the bacterium with clinical parameters.

  17. Magnetic field-free measurements of the total cross section for positrons scattering from helium and krypton

    Science.gov (United States)

    Fayer, S. E.; Loreti, A.; Andersen, S. L.; Kövér, Á.; Laricchia, G.

    2016-04-01

    An electrostatic beam has been used to perform scattering measurements with an angular-discrimination of ≲ 2^\\circ . The total cross sections of positrons scattering from helium and krypton have been determined in the energy range (10-300) eV. This work was initially stimulated by the investigations of Nagumo et al (2011 J. Phys. Soc. Japan 80 064301), the first positron field-free measurements performed with a similarly high resolution, which found significant discrepancies at low energies with most other experiments and theories. The present results show good agreement with theories and several other measurements, even those characterized by a much poorer angular discrimination, implying a small contribution from particles elastically scattered at forward angles, as theoretically predicted for He but not for Kr.

  18. Quark, Gluon, Odderon Contributions to Total Cross Section of Proton-Proton Elastic Scattering at High Energies

    Institute of Scientific and Technical Information of China (English)

    TAN Jia-Jin; LU Juan; CHENG Yan; ZHOU Li-Huan; ZHU Wen-Jun; MA Wei-Xing; GOU Qing-Quan

    2008-01-01

    Based on the quark-gluon structure of nucleon and the existence of Odderon in nucleon via gluon self-interaction, the elastic scattering of pp at high energies is studied. Our theoretical predictions reproduce experimental data perfectly. The contributions from individual terms of quark-quark, gluon-gluon interactions, quark-gluon interfer-ence and the Odderon terms to total cross section are analyzed. In addition to the leading quark-quark contribution, the Odderon contribution is quite important. In particular, the Odderon plays an essential role in fitting to data. Therefore, We may claim that the high energy lap and pp elastic scattering may be good processes to search for the Odderon, the three Reggeized gluon bound states.

  19. Measurement of the total and differential b cross sections at HERA and CMS tracker alignment at LHC

    CERN Document Server

    Stefaniuk, Nazar; Gallo, Elisabetta

    2017-01-01

    This thesis is logically divided into two main parts. The first part present a ZEUS analysis which was performed on the data obtained from electron-proton collisions measured by the ZEUS detector for the 2003-2007 running period. The full HERA-II integrated luminosity of 376 $pb^{−1}$ is used. The ZEUS detector is sensitive to the full phase space of beauty production, since it has cylindrical geometry, covers a wide rapidity range and was able to measure low transverse momentum muons. In this part a measurement of beauty production was studied via the process $ep \\rightarrow {e}'b \\bar{b} \\rightarrow {e}'\\mu \\mu X$. Making full use of the HERA-II detector upgrade, $bX$ secondary vertex information was used to constrain the beauty and charm contribution to this process. The result of this analysis is the measurement of the total, visible and differential cross sections for beauty production. The cross sections are compared to next-to-leading order QCD calculations. Similar to the beauty events, instanton ...

  20. Highly Cross-Linked Polyethylene in Total Hip and Knee Replacement: Spatial Distribution of Molecular Orientation and Shape Recovery Behavior

    Directory of Open Access Journals (Sweden)

    Yasuhito Takahashi

    2014-01-01

    Full Text Available The present study investigated effects of processing procedures on morphology of highly cross-linked and re-melted UHMWPE (XLPE in total hip and knee arthroplasty (THA, TKA. The shape recovery behavior was also monitored via uniaxial compression test at room temperature after non-destructive characterizations of the in-depth microstructure by confocal/polarized Raman spectroscopy. The goal of this study was to relate the manufacturing-induced morphology to the in vivo micromechanical performance, and ultimately to explore an optimal structure in each alternative joint bearing. It was clearly confirmed that the investigated XLPE hip and knee implants, which were produced from different orthopaedic grade resins (GUR 1050 and GUR 1020, consisted of two structural regions in the as-received states: the near-surface transitional anisotropic layer (≈100 μm thickness and the bulk isotropic structural region. These XLPEs exhibited a different crystalline anisotropy and molecular texture within the near-surface layers. In addition, the knee insert showed a slightly higher efficiency of shape recovery against the applied strain over the hip liner owing to a markedly higher percentage of the bulk amorphous phase with intermolecular cross-linking. The quantitative data presented in this study might contribute to construct manufacturing strategies for further rationalized structures as alternative bearings in THA and TKA.

  1. Total (elastic plus inelastic) cross sections for positron-methane (helium) collisions at low, intermediate, and high energies

    Science.gov (United States)

    Jain, Ashok

    1987-06-01

    Theoretical calculations on the total (elastic plus inelastic) cross sections σt for positron (e+)-methane collisions are reported at 2-600 eV. We evaluate a complex optical potential (COP) for the e+-CH4 system and treat it exactly in a partial-wave analysis to obtain the S matrix. The real part is composed of an accurate repulsive static potential plus a parameter-free attractive correlation polarization potential. The imaginary part of the COP, Vabs(r), is derived semiempirically in order to reproduce the sharp rise in σt just above the positronium-formation threshold (EPs). This form of Vabs is a function of target charge density, static plus polarization potential, local kinetic energy of the projectile, Fermi momentum, and the mean excitation energy of the system. Our final e+-CH4 σt compare very well with measurements in the EPs-600-eV region. Below EPs, the present results are in good accord with close-coupling calculations of Jain and Thompson and the measurements of Charlton and co-workers. We also test this absorption potential for the e+-He system and find qualitative agreement with measurements. It is also possible from this model to extract approximate values of the Ps-formation cross sections in the ore gap.

  2. Highly cross-linked polyethylene in total hip and knee replacement: spatial distribution of molecular orientation and shape recovery behavior.

    Science.gov (United States)

    Takahashi, Yasuhito; Masaoka, Toshinori; Pezzotti, Giuseppe; Shishido, Takaaki; Tateiwa, Toshiyuki; Kubo, Kosuke; Yamamoto, Kengo

    2014-01-01

    The present study investigated effects of processing procedures on morphology of highly cross-linked and re-melted UHMWPE (XLPE) in total hip and knee arthroplasty (THA, TKA). The shape recovery behavior was also monitored via uniaxial compression test at room temperature after non-destructive characterizations of the in-depth microstructure by confocal/polarized Raman spectroscopy. The goal of this study was to relate the manufacturing-induced morphology to the in vivo micromechanical performance, and ultimately to explore an optimal structure in each alternative joint bearing. It was clearly confirmed that the investigated XLPE hip and knee implants, which were produced from different orthopaedic grade resins (GUR 1050 and GUR 1020), consisted of two structural regions in the as-received states: the near-surface transitional anisotropic layer (≈100 μm thickness) and the bulk isotropic structural region. These XLPEs exhibited a different crystalline anisotropy and molecular texture within the near-surface layers. In addition, the knee insert showed a slightly higher efficiency of shape recovery against the applied strain over the hip liner owing to a markedly higher percentage of the bulk amorphous phase with intermolecular cross-linking. The quantitative data presented in this study might contribute to construct manufacturing strategies for further rationalized structures as alternative bearings in THA and TKA.

  3. Estimation of arterial and cardiopulmonary total peripheral resistance baroreflex gain values: validation by chronic arterial baroreceptor denervation.

    Science.gov (United States)

    Mukkamala, Ramakrishna; Kim, Jong-Kyung; Li, Ying; Sala-Mercado, Javier; Hammond, Robert L; Scislo, Tadeusz J; O'Leary, Donal S

    2006-05-01

    Feedback control of total peripheral resistance (TPR) by the arterial and cardiopulmonary baroreflex systems is an important mechanism for short-term blood pressure regulation. Existing methods for measuring this TPR baroreflex mechanism typically aim to quantify only the gain value of one baroreflex system as it operates in open-loop conditions. As a result, the normal, integrated functioning of the arterial and cardiopulmonary baroreflex control of TPR remains to be fully elucidated. To this end, the laboratory of Mukkamala et al. (Mukkamala R, Toska K, and Cohen RJ. Am J Physiol Heart Circ Physiol 284: H947-H959, 2003) previously proposed a potentially noninvasive technique for estimating the closed-loop (dimensionless) gain values of the arterial TPR baroreflex (GA) and the cardiopulmonary TPR baroreflex (GC) by mathematical analysis of the subtle, beat-to-beat fluctuations in arterial blood pressure, cardiac output, and stroke volume. Here, we review the technique with additional details and describe its experimental evaluation with respect to spontaneous hemodynamic variability measured from seven conscious dogs, before and after chronic arterial baroreceptor denervation. The technique was able to correctly predict the group-average changes in GA and GC that have previously been shown to occur following chronic arterial baroreceptor denervation. That is, reflex control by the arterial TPR baroreflex was virtually abolished (GA = -2.1 +/- 0.6 to 0.3 +/- 0.2; P TPR baroreflex more than doubled (GC = -0.7 +/- 0.4 to -1.8 +/- 0.2; P TPR baroreflex functioning in both humans and animals in health and disease.

  4. Renin–angiotensin–aldosterone system related gene polymorphisms and urinary total arsenic is related to chronic kidney disease

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Wei-Jen [School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China); Huang, Ya-Li [Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); Shiue, Horng-Sheng [Department of Chinese Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan (China); Chen, Tzen-Wen [Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan (China); Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); Lin, Yuh-Feng [Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China); Division of Nephrology, Department of Internal Medicine, Shuang Ho Hospital, New Taipei, Taiwan (China); Huang, Chao-Yuan [Department of Urology, National Taiwan University Hospital, College of Medicine National Taiwan University, Taipei, Taiwan (China); Lin, Ying-Chin [Department of Family Medicine, Shung Ho Hospital, Taipei Medical University, New Taipei, Taiwan (China); Department of Health Examination, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan (China); Division of Family Medicine, School of Medicine, Taipei Medical University, Taipei, Taiwan (China); Han, Bor-Cheng [School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China); Hsueh, Yu-Mei, E-mail: ymhsueh@tmu.edu.tw [School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan (China); Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (China)

    2014-09-01

    A recent study demonstrated that an increased risk of chronic kidney disease (CKD) was associated with high urinary total arsenic levels. However, whether genomic instability is related to CKD remains unclear. An association between CKD and genetic polymorphisms of regulation enzymes of the renin–angiotensin–aldosterone system (RAAS), such as angiotensin-converting enzyme (ACE), angiotensinogen (AGT), angiotensin II type I receptor (AT1R), and aldosterone synthase (CYP11B2) has not been shown. The aim of the present study was to investigate the relationship between arsenic, genetic polymorphisms of RAAS enzymes and CKD. A total of 233 patients and 449 age- and gender-matched controls were recruited from the Taipei Medical University Hospital, Taipei Municipal Wan Fang Hospital and the Shin Kong Wu Ho-Su Memorial Hospital. Concentrations of urinary arsenic were determined by a high-performance liquid chromatography-linked hydride generator, and atomic absorption spectrometry. Polymorphisms of ACE(I/D), AGT(A[− 20]C), (T174M), (M235T), AT1R(A1166C) and CYP11B2(C[− 344]T) were examined by polymerase chain reaction and restriction fragment length polymorphism. Subjects carrying the CYP11B2 TT genotype had a higher odds ratio (OR), 1.39 (0.96–2.01), of CKD; while those with the AGT(A[− 20]C) CC genotype had an inverse OR of CKD (0.20 (0.05–0.81)), and a high-risk genotype was defined as A/A + A/C for AGT(A[− 20C]) and T/T for CYP11B2(C[− 344]T). The trend test showed a higher OR for CKD in patients who had either high urinary total arsenic levels or carried the high-risk genotype, or both, compared to patients with low urinary total arsenic levels, who carried the low-risk genotype, and could also be affected by the hypertension or diabetes status. - Highlights: • AGT(− 20 C) and CYP11B2(− 344 T) genotypes were significantly associated with CKD. • Combined effect of high-risk genotypes and high urinary total arsenic on OR of CKD. • Combined

  5. Chronic illness and multimorbidity among problem drug users: a comparative cross sectional pilot study in primary care.

    LENUS (Irish Health Repository)

    Cullen, Walter

    2009-01-01

    BACKGROUND: Although multimorbidity has important implications for patient care in general practice, limited research has examined chronic illness and health service utilisation among problem drug users. This study aimed to determine chronic illness prevalence and health service utilisation among problem drug users attending primary care for methadone treatment, to compare these rates with matched \\'controls\\' and to develop and pilot test a valid study instrument. METHODS: A cross-sectional study of patients attending three large urban general practices in Dublin, Ireland for methadone treatment was conducted, and this sample was compared with a control group matched by practice, age, gender and General Medical Services (GMS) status. RESULTS: Data were collected on 114 patients. Fifty-seven patients were on methadone treatment, of whom 52(91%) had at least one chronic illness (other then substance use) and 39(68%) were prescribed at least one regular medication. Frequent utilisation of primary care services and secondary care services in the previous six months was observed among patients on methadone treatment and controls, although the former had significantly higher chronic illness prevalence and primary care contact rates. The study instrument facilitated data collection that was feasible and with minimal inter-observer variation. CONCLUSION: Multimorbidity is common among problem drug users attending general practice for methadone treatment. Primary care may therefore have an important role in primary and secondary prevention of chronic illnesses among this population. This study offers a feasible study instrument for further work on this issue. (238 words).

  6. Chronic illness and multimorbidity among problem drug users: a comparative cross sectional pilot study in primary care.

    LENUS (Irish Health Repository)

    Cullen, Walter

    2012-02-01

    BACKGROUND: Although multimorbidity has important implications for patient care in general practice, limited research has examined chronic illness and health service utilisation among problem drug users. This study aimed to determine chronic illness prevalence and health service utilisation among problem drug users attending primary care for methadone treatment, to compare these rates with matched \\'controls\\' and to develop and pilot test a valid study instrument. METHODS: A cross-sectional study of patients attending three large urban general practices in Dublin, Ireland for methadone treatment was conducted, and this sample was compared with a control group matched by practice, age, gender and General Medical Services (GMS) status. RESULTS: Data were collected on 114 patients. Fifty-seven patients were on methadone treatment, of whom 52(91%) had at least one chronic illness (other then substance use) and 39(68%) were prescribed at least one regular medication. Frequent utilisation of primary care services and secondary care services in the previous six months was observed among patients on methadone treatment and controls, although the former had significantly higher chronic illness prevalence and primary care contact rates. The study instrument facilitated data collection that was feasible and with minimal inter-observer variation. CONCLUSION: Multimorbidity is common among problem drug users attending general practice for methadone treatment. Primary care may therefore have an important role in primary and secondary prevention of chronic illnesses among this population. This study offers a feasible study instrument for further work on this issue. (238 words).

  7. $J/\\psi$ and $\\psi'$ total cross sections and formation times from data for charmonium suppression in $pA$ collisions

    CERN Document Server

    He, Y B; Kopeliovich, V B

    2000-01-01

    The recent data for E866 experiment on the x_F dependence for charmonium suppressio` in pA collisions at 800 GeV are analyzed using a time- and energy-dependent preform` charmonium absorption cross section produced premeson has an absorption cross section of \\sigma_` At the same energy but for \\tau -> \\infty one deduces for the total cross sections The ` compatible with a formation time \\tau_{1/2}=0.6 fm/c.

  8. Acute Total and Chronic Partial Sleep Deprivation: Effects on Neurobehavioral Functions, Waking EEG and Renin-Angiotensin System

    Science.gov (United States)

    Dijk, Derk-Jan

    1999-01-01

    protocol of the Quantitative EEG and Waking Neurobehavioral Function project. This will allow us to investigate two additional specific aims: 1) Test the hypothesis that chronic partial sleep deprivation during a 17 day bed rest experiment results in deterioration of neurobehavioral function during waking and increases in EEG power density in the theta frequencies, especially in frontal areas of the brain, as well as the nonREM- REM cycle dependent modulation of heart-rate variability. 2) Test the hypothesis that acute total sleep deprivation modifies the circadian rhythm of the renin-angiotensin system, changes the acute responsiveness of this system to posture beyond what a microgravity environment alone does and affects the nonREM-REM cycle dependent modulation of heart-rate variability.

  9. Lifestyle predictors of oxidant and antioxidant enzyme activities and total antioxidant capacity in healthy women: a cross-sectional study.

    Science.gov (United States)

    Mahasneh, Amjad A; Zhang, Yali; Zhao, Hua; Ambrosone, Christine B; Hong, Chi-Chen

    2016-12-01

    The aim of this study was to identify demographic and modifiable lifestyle factors that may be related to endogenous oxidant and antioxidant activity measured in blood specimens from putatively healthy women recruited at the Roswell Park Cancer Institute (Buffalo, NY, USA). Total glutathione (TGSH), catalase (CAT), CuZn-superoxide dismutase (CuZn-SOD), glutathione peroxidase (GPx), glutathione reductase (GR), and myeloperoxidase (MPO) activity, and total antioxidant capacity (TAC) were measured in 124 healthy women, and associations with epidemiological factors were tested using general linear models. There were significant differences in oxidant and antioxidant enzyme activities according to lifestyle factors, after adjusting for duration of blood storage and season of blood draw. Compared to women who consumed ≤2.8 servings of fruits and vegetables daily, those consuming >5.3 servings had on average 31 % lower MPO activity (p-trend = 0.02), as a marker of oxidative stress, 16 % higher antioxidant GPx activity (p-trend = 0.08), and 9 % higher TAC (p-trend = 0.05). Obese women (body mass index, BMI ≥ 30) in contrast showed 17 % lower antioxidant GPx activity, 44 % higher MPO activity (p-trend = 0.03), and 10 % higher TAC (p-trend = 0.03) compared to women with normal BMI levels were most strongly associated with increasing age (standardized β = 0.40, p levels, multivitamin use, and alcohol intake were not associated with TAC. Our data indicate that endogenous oxidant and antioxidant enzyme activities are associated with lifestyle factors and, therefore, may be potentially modifiable, with implications for risk reduction of chronic conditions related to oxidative stress.

  10. NUTRITIONAL STATUS IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE : A CROSS SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Rabindra Kumar

    2015-10-01

    Full Text Available INTRODUCTION : Changes in nutritional status, such as weight loss and malnutrition, are a very common complication in patients with chronic obstructive pulmonary disease (COPD.These changes primarily affect the patients' quality of life and functional capacity and they are also independent prognostic indicators of both morbidity and mortality. The above information inspired us to evaluate the nutritional status in these patients by measuring daily oral intake and anthropom etric measures. METHOD : This cross - sectional study was conducted during the period October 2008 to April 2009. Seventy two COPD patients in the age group of 40 - 65 years, with an FEV (1 < 65% of predicted and an FEV (1/FVC ratio < 70% were included in the study. All the patients were assessed for anthropometric parameters such as height, body weight (BW, Body Mass Index (BMI, Hip Circumference, waist circumference and mid upper arm circumference (MUAC. Daily dietary intakes were calculated by 24 hour re call method with the help of cups, spoons, and glasses which were standardized with commonly consumed recipes. Standardized models of chapatti, rice, fruits, and snacks items were used for accurate data. Energy and nutrient intakes were derived using the N utritive value of Indian foods. RESULTS : The prevalence of under nutrition were (30/72 41.6% based on body mass index (<18.5 kg/m(2 and (46/72 63.8% based on mid - upper arm circumference (<24 cm.More number of patients was above 60 years of age in the income grouping 3000 - 5000 INR / month living with family members of more than 3 per house. The daily intake of food as compared to reference RDA is as follows energy 54.51%, carbohydrates 84.85%, protein60.52% and Fats 71.2%. CONCLUSION : The prevalence of u nder nutrition were (30/72 41.6% based on body mass index (<18.5 kg/m2 and (46/72 63.8% based on mid - upper arm circumference (<24 cm . Nutritional assessment should be made mandatory in order to recognize

  11. Bioresorbable everolimus-eluting vascular scaffold for the treatment of chronic total occlusions: CTO-ABSORB pilot study.

    Science.gov (United States)

    Vaquerizo, Beatriz; Barros, Antonio; Pujadas, Sandra; Bajo, Ester; Estrada, Darlene; Miranda-Guardiola, F; Rigla, Juan; Jiménez, Marcelo; Cinca, Juan; Serra, Antonio

    2015-09-01

    We sought to assess the safety and performance of the Absorb everolimus-eluting bioresorbable vascular scaffold (BVS) in percutaneous chronic total occlusion (CTO) revascularisation guided by intracoronary imaging. The feasibility of using the BVS in CTO lesions is unknown. Thirty-five consecutive true CTO lesions (EuroCTO Club definition) were included in this prospective registry. After mandatory predilatation and IVUS analysis, all target lesions were treated with BVS and no other stents were deployed. Optical coherence tomography (OCT) was performed after BVS implantation. Multislice computed tomography (MSCT) was performed at baseline and at six to eight months. The mean age was 60.7±9.7 years; 80% were male; 20% were diabetic; 37% had a previous PCI. The most frequently treated vessel was the RCA (46%). According to the Japanese-CTO (J-CTO) complexity score, most lesions were classified as intermediate (49%) or difficult-very difficult (26%); 34% were moderate-severely calcified. Most cases (86%) were treated with an anterograde strategy, 60% by radial or biradial approach. In 71% a cutting balloon was used. The total scaffold length implanted per lesion was 52.5±22.9 mm. All scaffolds were successfully delivered and deployed. Post-dilatation was undertaken in 63%. By OCT, final minimum scaffold area and lumen stenosis were 7.1±1.5 mm2 and 11.7±6.6%, without areas of significant strut malapposition. At complete six-month follow-up, no major adverse events were observed. MSCT identified two cases of scaffold reocclusion. BVS for CTO recanalisation demonstrates excellent feasibility and safety as well as midterm efficacy. Appropriate lesion preparation is key to aiding adequate expansion of these scaffolds in this setting.

  12. Procedural and Early Outcomes of Two Re-entry Devices for Subintimal Recanalization of Aortoiliac and Femoropopliteal Chronic Total Occlusions.

    Science.gov (United States)

    Vuruskan, Ertan; Saracoglu, Erhan

    2017-01-01

    Subintimal angioplasty is a common treatment choice for chronic total occlusions (CTO) in the iliac and femoropopliteal arteries. This article describes the technical aspects and early outcomes of two different re-entry devices and comparison with manual re-entry technique. A retrospective review of 61 patients (re-entry group) treated with Outback or Pioneer Plus catheters was carried out. A matched cohort of patients (n=62) who underwent lower extremity interventions without the use of re-entry devices (manual re-entry group) were also analyzed (overall 123 patients were analyzed). Procedural success, procedural durations, patency estimates, ankle-brachial indices, and complications were analyzed. Sixty-one patients underwent Outback or Pioneer Plus guided subintimal recanalization. After the procedure, ankle-brachial indices significantly increased in all patients during follow-up. Primary patency for the entire cohort was 83% in the first month. When the re-entry device group was compared with manual re-entry group, no difference was found with respect to success, complication, and patencies between the two groups during follow-up. However, procedure duration and the amount of contrast agent used was significantly decreased in re-entry groups (pCTO using re-entry devices for aortoiliac or femoropopliteal arteries is safe and effective. These devices shorten the procedure time, the re-entry time, reduce radiation risk, and reduce the amount of contrast agent employed.

  13. Impact of smoking status on clinical outcomes after successful chronic total occlusion intervention: Korean national registry of CTO intervention.

    Science.gov (United States)

    Lee, Min-Ho; Park, Jin Joo; Yoon, Chang-Hwan; Cha, Myung-Jin; Park, Sang-Don; Oh, Il-Young; Suh, Jung-Won; Cho, Young-Seok; Youn, Tae-Jin; Rha, Seung-Woon; Yu, Cheol Woong; Gwon, Hyeon-Cheol; Jang, Yangsoo; Kim, Hyo-Soo; Chae, In-Ho; Choi, Dong-Ju

    2016-05-01

    We sought to evaluate the effect of cigarette smoking on long-term outcomes after successful percutaneous coronary intervention for chronic total occlusion (CTO) lesions. Cigarette smoking promotes the progression of atherosclerosis but enhances the antiplatelet effect of clopidogrel. The Korea National Registry of CTO Intervention included 2,167 patients with CTO lesions from 26 centers who were successfully revascularized with drug-eluting stents from 2007 to 2009. Thrombotic events were defined as the composite of cardiac death, nonfatal myocardial infarction, and stent thrombosis. Current-smokers had more favorable baseline characteristics such as a younger age and lower prevalence of hypertension and diabetes mellitus. At 1 year, current-smokers had a significantly lower thrombotic event rate (1.1% vs. 2.7%, P = 0.034), but a significantly higher target vessel revascularization (TVR) rate (7.2% vs. 4.2%, P = 0.017) compared with never-smokers. After adjustment, current-smoking was independently associated with a 72% decreased risk for thrombotic events, and 73% increased risk for TVR. In patients with a revascularized CTO lesion, cigarette smoking is associated with fewer thrombotic events but with a higher incidence of TVR. Patients with CTO may benefit from smoking cessation to reduce TVR in conjunction with the use of new more potent antiplatelet agents whose effect is independent of cigarette smoking to improve thrombotic events. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  14. Does total body irradiation conditioning improve outcomes of myeloablative human leukocyte antigen-identical sibling transplantations for chronic lymphocytic leukemia?

    Science.gov (United States)

    Sabloff, Mitchell; Sobecks, Ronald M; Ahn, Kwang Woo; Zhu, Xiaochun; de Lima, Marcos; Brown, Jennifer R; Inamoto, Yoshihiro; Holland, H Kent; Aljurf, Mahmoud D; Laughlin, Mary J; Kamble, Rammurti T; Hsu, Jack W; Wirk, Baldeep M; Seftel, Matthew; Lewis, Ian D; Arora, Mukta; Alyea, Edwin P; Kalaycio, Matt E; Cortes, Jorge; Maziarz, Richard T; Gale, Robert Peter; Saber, Wael

    2014-03-01

    An allogeneic hematopoietic cell transplantation from an HLA-identical donor after high-dose (myeloablative) pretransplantation conditioning is an effective therapy for some people with chronic lymphocytic leukemia (CLL). Because CLL is a highly radiosensitive cancer, we hypothesized that total body irradiation (TBI) conditioning regimens may be associated with better outcomes than those without TBI. To answer this, we analyzed data from 180 subjects with CLL receiving myeloablative doses of TBI (n = 126) or not (n = 54), who received transplants from an HLA-identical sibling donor between 1995 and 2007 and reported to the Center for International Blood & Marrow Transplant Research. At 5 years, treatment-related mortality was 48% (95% confidence interval [CI], 39% to 57%) versus 50% (95% CI, 36% to 64%); P = NS. Relapse rates were 17% (95% CI, 11% to 25%) versus 22% (95% CI, 11% to 35%); P = NS. Five-year progression-free survival and overall survival were 34% (95% CI, 26% to 43%) versus 28% (95% CI, 15% to 42%); P = NS and 42% (95% CI, 33% to 51%) versus 33% (95% CI, 19% to 48%); P = NS, respectively. The single most common cause of death in both cohorts was recurrent/progressive CLL. No variable tested in the multivariate analysis was found to significantly affect these outcomes, including having failed fludarabine. Within the limitations of this study, we found no difference in HLA-identical sibling transplantation outcomes between myeloablative TBI and chemotherapy pretransplantation conditioning in persons with CLL.

  15. Efficacy of Multidetector Computed Tomography to Predict Periprocedural Myocardial Injury After Percutaneous Coronary Intervention for Chronic Total Occlusion.

    Science.gov (United States)

    Usui, Eisuke; Lee, Tetsumin; Murai, Tadashi; Kanaji, Yoshihisa; Matsuda, Junji; Araki, Makoto; Yonetsu, Taishi; Yamakami, Yosuke; Kimura, Shigeki; Kakuta, Tsunekazu

    2017-02-07

    Specific signatures of culprit lesions detected on multidetector computed tomography (MDCT) were identified as predictors of periprocedural myocardial injury (PMI) after percutaneous coronary intervention (PCI) in patients with stable angina; PMI has been shown to be associated with a worse prognosis. We investigated the association between preprocedural culprit lesion characteristics, assessed by MDCT, and PMI after PCI for chronic total occlusion (CTO). From three medical centers, 81 patients who underwent pre-PCI MDCT and CTO PCI, and systematic cardiac troponin (cTn) sampling before and after PCI, were included. Patients were divided into two groups according to the presence or absence of post-PCI cTn elevation. Patient characteristics, MDCT findings, and procedural variables were compared between the two groups. Procedure success was observed in 65 patients (80.2%) and was not associated with PMI. The incidence of PMI was higher in patients treated with the retrograde versus the antegrade approach. On MDCT, lesion length and the presence of the napkin-ring sign were significantly associated with PMI. Multivariate analysis revealed that the lesion length (odds ratio [OR]: 1.04; 95% confidence interval [CI]: 1.01-1.08; P PMI. PMI is not uncommon in patients undergoing elective CTO PCI, regardless of procedure success or failure. Pre-PCI MDCT may help identify patients at high risk for PMI after CTO PCI.

  16. Real-time fusion of coronary CT angiography with X-ray fluoroscopy during chronic total occlusion PCI

    Energy Technology Data Exchange (ETDEWEB)

    Ghoshhajra, Brian B.; Takx, Richard A.P. [Harvard Medical School, Cardiac MR PET CT Program, Massachusetts General Hospital, Department of Radiology and Division of Cardiology, Boston, MA (United States); Stone, Luke L.; Yeh, Robert W.; Jaffer, Farouc A. [Harvard Medical School, Cardiac Cathetrization Laboratory, Cardiology Division, Massachusetts General Hospital, Boston, MA (United States); Girard, Erin E. [Siemens Healthcare, Princeton, NJ (United States); Brilakis, Emmanouil S. [Cardiology Division, Dallas VA Medical Center and UT Southwestern Medical Center, Dallas, TX (United States); Lombardi, William L. [University of Washington, Cardiology Division, Seattle, WA (United States)

    2017-06-15

    The purpose of this study was to demonstrate the feasibility of real-time fusion of coronary computed tomography angiography (CTA) centreline and arterial wall calcification with X-ray fluoroscopy during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Patients undergoing CTO PCI were prospectively enrolled. Pre-procedural CT scans were integrated with conventional coronary fluoroscopy using prototype software. We enrolled 24 patients who underwent CTO PCI using the prototype CT fusion software, and 24 consecutive CTO PCI patients without CT guidance served as a control group. Mean age was 66 ± 11 years, and 43/48 patients were men. Real-time CTA fusion during CTO PCI provided additional information regarding coronary arterial calcification and tortuosity that generated new insights into antegrade wiring, antegrade dissection/reentry, and retrograde wiring during CTO PCI. Overall CTO success rates and procedural outcomes remained similar between the two groups, despite a trend toward higher complexity in the fusion CTA group. This study demonstrates that real-time automated co-registration of coronary CTA centreline and calcification onto live fluoroscopic images is feasible and provides new insights into CTO PCI, and in particular, antegrade dissection reentry-based CTO PCI. (orig.)

  17. Factors associated with self-esteem in persons with morbid obesity and in persons with chronic obstructive pulmonary disease: a cross-sectional study.

    Science.gov (United States)

    Bonsaksen, Tore; Fagermoen, May Solveig; Lerdal, Anners

    2015-01-01

    Living with chronic illnesses can be stressful and may negatively impact persons' self-esteem. Personal factors, like self-efficacy and illness perceptions, and also factors related to the environment, activity, and participation may be associated with self-esteem in chronic illness populations. This cross-sectional comparative study explored sociodemographic variables, work, physical activity, illness perceptions, and general self-efficacy in relation to self-esteem in persons with morbid obesity and in persons with chronic obstructive pulmonary disease (COPD). The study had a cross-sectional design. A total of 223 eligible participants were recruited from patient education courses, and data were collected at baseline. Self-esteem was measured with The Rosenberg self-esteem scale; the general self-efficacy scale was used to measure self-efficacy, and brief illness perception questionnaire was also used. This is an instrument assessing cognitions about the illness and emotional responses towards it. Multivariate linear regression was used in the statistical analyses. In obese participants (n = 134), higher self-esteem was associated with lower emotional response, a shorter timeline, and higher general self-efficacy. In COPD participants (n = 89), higher self-esteem was associated with higher general self-efficacy. The independent variables accounted for 42.9% (morbid obesity) and 49.4% (COPD) of the self-esteem variance. In participants in both illness groups, higher self-efficacy was associated with increased self-esteem. A shorter timeline and lower emotional response to illness was related to higher self-esteem only for the obese participants. The results indicate that believing in one's capacity to cope with everyday challenges is important for self-esteem in persons with morbid obesity and in persons with COPD, whereas illness perceptions related to the duration of illness and the coping with emotions also is important for self-esteem in persons with morbid

  18. Total (complete) and ionization cross-sections of argon and krypton by positron impact from 15 to 2000 eV – Theoretical investigations

    Indian Academy of Sciences (India)

    Harshit N Kothari; K N Joshipura

    2012-09-01

    Considering interactions and scattering of positrons with argon (Ar) and krypton (Kr) atoms, we have calculated total cross-sections $(Q_{T} = Q_{el} + Q_{inel})$ using complex spherical potentials for these systems. In positron–atom scattering it is difficult to bifurcate the ionization and cumulative excitation contained in the total inelastic cross-section. An approximate method called CSP-ic (complex scattering potential-ionization contribution) similar to electron–atom scattering has been applied to bifurcate ionization and cumulative excitation cross-sections at energies from the threshold to 2000 eV. Adequate comparisons of the present results are made, with available data.

  19. Total photoionization cross-sections of excited electronic states by the algebraic diagrammatic construction-Stieltjes-Lanczos method

    Science.gov (United States)

    Ruberti, M.; Yun, R.; Gokhberg, K.; Kopelke, S.; Cederbaum, L. S.; Tarantelli, F.; Averbukh, V.

    2014-05-01

    Here, we extend the L2 ab initio method for molecular photoionization cross-sections introduced in Gokhberg et al. [J. Chem. Phys. 130, 064104 (2009)] and benchmarked in Ruberti et al. [J. Chem. Phys. 139, 144107 (2013)] to the calculation of total photoionization cross-sections of molecules in electronically excited states. The method is based on the ab initio description of molecular electronic states within the many-electron Green's function approach, known as algebraic diagrammatic construction (ADC), and on the application of Stieltjes-Chebyshev moment theory to Lanczos pseudospectra of the ADC electronic Hamiltonian. The intermediate state representation of the dipole operator in the ADC basis is used to compute the transition moments between the excited states of the molecule. We compare the results obtained using different levels of the many-body theory, i.e., ADC(1), ADC(2), and ADC(2)x for the first two excited states of CO, N2, and H2O both at the ground state and the excited state equilibrium or saddle point geometries. We find that the single excitation ADC(1) method is not adequate even at the qualitative level and that the inclusion of double electronic excitations for description of excited state photoionization is essential. Moreover, we show that the use of the extended ADC(2)x method leads to a substantial systematic difference from the strictly second-order ADC(2). Our calculations demonstrate that a theoretical modelling of photoionization of excited states requires an intrinsically double excitation theory with respect to the ground state and cannot be achieved by the standard single excitation methods with the ground state as a reference.

  20. Early Procedural and Health Status Outcomes After Chronic Total Occlusion Angioplasty: A Report From the OPEN-CTO Registry (Outcomes, Patient Health Status, and Efficiency in Chronic Total Occlusion Hybrid Procedures).

    Science.gov (United States)

    Sapontis, James; Salisbury, Adam C; Yeh, Robert W; Cohen, David J; Hirai, Taishi; Lombardi, William; McCabe, James M; Karmpaliotis, Dimitri; Moses, Jeffrey; Nicholson, William J; Pershad, Ashish; Wyman, R Michael; Spaedy, Anthony; Cook, Stephen; Doshi, Parag; Federici, Robert; Thompson, Craig R; Marso, Steven P; Nugent, Karen; Gosch, Kensey; Spertus, John A; Grantham, J Aaron

    2017-08-14

    This study sought to accurately describe the success rate, risks, and patient-reported benefits of contemporary chronic total occlusion (CTO) percutaneous coronary intervention (PCI). In light of the evolving techniques to successfully revascularize CTO lesions, there remains a compelling need to more accurately quantify the success rates, risks, and benefits of these complex procedures. Using a uniquely comprehensive, core-lab adjudicated, single-arm, multicenter registry of 1,000 consecutive patients undergoing CTO PCI by the hybrid approach, we evaluated the technical success rates, complication rates, and raw and adjusted health status benefits at 1 month among successfully as compared to unsuccessfully treated patients. Technical success was high (86%). In-hospital and 1-month mortality was 0.9% and 1.3%, respectively, and perforations requiring treatment occurred in 48 patients (4.8%). Among those who survived and completed the 1-month interview (n = 947), mean ± SEM Seattle Angina Questionnaire quality of life scores improved from 49.4 ± 0.9 to 75.0 ± 0.7 (p CTO PCI was 10.8 (95% confidence interval: 6.3 to 15.3; p CTO PCI will help to more accurately contextualize the informed consent process for these procedures so that patients with appropriate indications for CTO PCI can more effectively share in the decision to pursue this or other therapeutic options. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  1. Prevalence of chronic rhinosinusitis in children with dyspepsia–A cross sectional study

    Directory of Open Access Journals (Sweden)

    Mwangi Beatrice

    2016-11-01

    Conclusion: Chronic rhinosinusitis was diagnosed in more than 40% of children with dyspepsia. The odds of CRS being present in children diagnosed to have GERD increases significantly as demonstrated in this study.

  2. Quality of life is associated with chronic inflammation in schizophrenia: a cross-sectional study

    National Research Council Canada - National Science Library

    Faugere, M; Micoulaud-Franchi, J A; Alessandrini, M; Richieri, R; Faget-Agius, C; Auquier, P; Lançon, C; Boyer, L

    2015-01-01

    Inflammation may play a crucial role in the pathogenesis of schizophrenia. However, the association between chronic inflammation and health outcomes in schizophrenia remains unclear, particularly for patient-reported outcomes...

  3. Quality of life in individuals with chronic foot conditions: a cross sectional observational study.

    LENUS (Irish Health Repository)

    Groarke, Patrick

    2012-06-01

    Chronic foot conditions have been reported to be a significant cause of impairment and disability to individuals affected. However, studies to date have particularly focussed on patient satisfaction with outcomes following surgery.

  4. Prevalence of chronic rhinosinusitis in children with dyspepsia–A cross sectional study

    OpenAIRE

    Mwangi Beatrice; Ayugi John; Laving Ahmed; Mugwe Peter

    2016-01-01

    Background: Chronic rhinosinusitis (CRS) is a complex condition that has been found to affect both adults and children. Risk factors associated with CRS are allergy, asthma, immunodeficiency, GERD/Helicobacter pylori, anatomic obstruction, genetics, congenital and environmental factors and irritants. Chronic rhinosinusitis is defined as a symptomatic inflammatory condition of mucosa of the nasal cavity and paranasal sinuses, the fluids within these sinuses, and/or the underlying bone for dura...

  5. Dynamic QTL analysis for fruit lycopene content and total soluble solid content in a Solanum lycopersicum x S. pimpinellifolium cross.

    Science.gov (United States)

    Sun, Y D; Liang, Y; Wu, J M; Li, Y Z; Cui, X; Qin, L

    2012-10-11

    Fruit lycopene content and total soluble solid content are important factors determining fruit quality of tomatoes; however, the dynamic quantitative trait loci (QTL) controlling lycopene and soluble solid content have not been well studied. We mapped the chromosomal regions controlling these traits in different periods in F(2:3) families derived from a cross between the domestic and wild tomato species Solanum lycopersicum and S. pimpinellifolium. Fifteen QTLs for lycopene and soluble solid content and other related traits analyzed at three different fruit ripening stages were detected with a composite interval mapping method. These QTLs explained 7-33% of the individual phenotypic variation. QTLs detected in the color-changing period were different from those detected in the other two periods. On chromosome 1, the soluble solid content QTL was located in the same region during the color-changing and full-ripe periods. On chromosome 4, the same QTL for lycopene content was found during the color-changing and full-ripe periods. The QTL for lycopene content on chromosome 4 co-located with the QTL for soluble solid content during the full-ripe period. Co-location of lycopene content QTL and soluble solid content QTLs may be due to pleiotropic effects of a single gene or a cluster of genes via physiological relationships among traits. On chromosome 9, the same two QTLs for lycopene content at two different fruit ripening periods may reflect genes controlling lycopene content that are always expressed in tomato fruit development.

  6. The prevalence of osteoporosis in patients with chronic obstructive pulmonary disease: a cross sectional study.

    Science.gov (United States)

    Jørgensen, N R; Schwarz, P; Holme, I; Henriksen, B M; Petersen, L J; Backer, V

    2007-01-01

    Chronic obstructive pulmonary disease (COPD) is a complex disease, where the initial symptoms are often cough as a result of excessive mucus production and dyspnea. With disease progression several other symptoms may develop, and patients with moderate to severe COPD have often multiorganic disease with severely impaired respiratory dysfunction, decreased physical activity, right ventricular failure of the heart, and a decreased quality of life. In addition osteoporosis might develop possibly due to a number of factors related to the disease. We wanted to investigate the prevalence of osteoporosis in a population of patients with severe COPD as well as to correlate the use of glucocorticoid treatment to the occurrence of osteoporosis in this population. Outpatients from the respiratory unit with COPD, a history of forced expiratory volume in 1s (FEV1) less than 1.3 L, with FEV1% pred. ranging from 17.3% to 45.3% (mean 31.4%, standard deviation (sd) 7.3%). Patients between 50 and 70 years were included. Other causes of osteoporosis were excluded before inclusion. At study entry spirometry, X-ray of the spine (to evaluate presence of vertebral fractures), and bone mineral density of lumbar spine and hip were performed. Of 181 patients invited by mail, 62 patients were included (46 females and 16 males). All had symptoms of COPD such as exertional dyspnea, productive cough, limitations in physical activity etc. The mean FEV1 was 0.90 L (sd: 0.43 L) and the mean FEV1% pred. of 32.6% (sd: 14.1%). All had sufficient daily intake of calcium and vitamin D. In 15 patients, X-ray revealed compression fractures previously not diagnosed. Bone density measurements showed osteoporosis in 22 patients and osteopenia in 16. In total, 26 of the COPD patients were osteoporotic as evaluated from both X-ray and bone density determinations. Thus 68% of the participants had osteoporosis or osteopenia, but glucocorticoid use alone could not explain the increased prevalence of osteoporosis

  7. Determinants of percutaneous coronary intervention success in repeat chronic total occlusion procedures following an initial failed attempt

    Science.gov (United States)

    Cuevas, Cecilia; Ryan, Nicola; Quirós, Alicia; Del Angel, Juan Gustavo; Gonzalo, Nieves; Salinas, Pablo; Jiménez-Quevedo, Pilar; Nombela-Franco, Luis; Nuñez-Gil, Ivan; Fernandez-Ortiz, Antonio; Macaya, Carlos; Escaned, Javier

    2017-01-01

    AIM To investigate the rates and determinants of success of repeat percutaneous coronary intervention (PCI) following an initial failed attempt at recanalising the chronic total occlusions (CTO) percutaneously. METHODS In 445 consecutive first attempt CTO-PCI procedures in our institution, procedural failure occurred in 149 (33.5%). Sixty-four re-PCI procedures were performed in 58 patients (39%) all had a single CTO. Procedural and outcome data in the re-PCI population was entered into the institutional database. A retrospective analysis of clinical, angiographic and procedural data was performed. RESULTS Procedural success was achieved in 41 (64%) procedures. Univariate analysis of clinical and angiographic characteristics showed that re-PCI success was associated with intravascular ultrasound (IVUS) guidance (19.5% vs 0%, P = 0.042), while failure was associated with severe calcification (30.4% vs 9.7%, P = 0.047) and a JCTO score > 3 (56.5% vs 17.1% P = 0.003). Following multiple regression analysis the degree of lesion complexity (J-CTO score > 3), IVUS use, involvement of an experienced CTO operator and LAD CTO location were significant predictors of successful re-PCI. Overall the complication rate was low, with the only MACCE two periprocedural MI’s neither of which required intervention. CONCLUSION Re-PCI substantially increases the overall success rate of CTO revascularization. Predictors of re-PCI success included the use of IVUS, the involvement of an experienced CTO operator in the repeat attempt and the location of the CTO. PMID:28515854

  8. Clinical Utility of the J-CTO Score in Coronary Chronic Total Occlusion Interventions: Results from a Multicenter Registry

    Science.gov (United States)

    Christopoulos, Georgios; Wyman, R. Michael; Alaswad, Khaldoon; Karmpaliotis, Dimitri; Lombardi, William; Grantham, J. Aaron; Yeh, Robert W.; Jaffer, Farouc A.; Cipher, Daisha J.; Rangan, Bavana V.; Christakopoulos, Georgios E.; Kypreos, Megan A.; Lembo, Nicholas; Kandzari, David; Garcia, Santiago; Thompson, Craig A.; Banerjee, Subhash; Brilakis, Emmanouil S.

    2015-01-01

    Background The performance of the J-CTO score in predicting success and efficiency of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has received limited study. Methods and Results We examined the records of 650 consecutive patients who underwent CTO PCI between 2011 and 2014 at six experienced centers in the United States. Six hundred and fifty-seven lesions were classified as easy (J-CTO=0), intermediate (J-CTO=1), difficult (J-CTO=2), and very difficult (J-CTO≥3). The impact of the J-CTO score on technical success and procedure time was evaluated with univariable logistic and linear regression, respectively. The performance of the logistic regression model was assessed with the Hosmer-Lemeshow statistic and receiver operator characteristic curves. Antegrade wiring techniques were used more frequently in easy lesions (97%) than very difficult lesions (58%), whereas the retrograde approach became less frequent with increased lesion difficulty (41% for very difficult lesions vs. 13% for easy lesions). The logistic regression model for technical success demonstrated satisfactory calibration and discrimination (p for Hosmer-Lemeshow=0.743 and area under curve=0.705). The J-CTO score was associated with a two-fold increase in the odds of technical failure (odds ratio 2.04, 95% confidence interval [95% CI] 1.52-2.80, pCTO score (regression coefficient 22.33, 95% CI 17.45-27.22, pCTO score was strongly associated with final success and efficiency in this study, supporting its expanded use in CTO interventions. Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT02061436. PMID:26162857

  9. Outcome of Diabetic and Non-Diabetic Patients Undergoing Successful Percutaneous Coronary Intervention of Chronic Total Occlusion

    Directory of Open Access Journals (Sweden)

    Bahram Sohrabi

    2011-05-01

    Full Text Available Introduction: Diabetes mellitus is associated with an increased risk of adverse clinical outcomes after percutaneous coronary intervention (PCI. The prognosis of patients with diabetes mellitus and chronic total occlusion (CTO treated with PCI is poorly investigated. Current study evaluates outcome of successful PCI on CTO in patients with and without diabetes. Methods: One hundred and sixty three patients treated with successful PCI on CTO between January 2009 and March 2011 were prospectively identified from the PCI registry at the Madani Heart Center, Tabriz, Iran. Patients were followed for 15±3 months, were evaluated for the occurrence of major adverse cardiac events (MACE comprising death, acute myocardial infarction, and need for repeat revascularization.Results: No differences were found in baseline clinical and procedural variables between patients with (n=34 and without diabetes (n=129, unless for hypertension (p=0.03. Hospitalization period after PCI in diabetics (3.26±0.61 days and non-diabetics (2.86±0.52 days was similar. In-hospital MACE occurred in 8 (23.5% individuals of diabetics and 10 (7.8% individuals of non-diabetics (p=0.02, among them revascularization was significantly higher in diabetics (20.6% vs. 7%, p=0.04. Follow-up events in diabetic and non-diabetic groups were 12 (35.3% and 37 (28.5%, respectively (p was not significant. Conclusion: In patients undergoing successful PCI on CTO, diabetes is associated with higher in-hospital adverse events; however diabetes does not affect long term outcomes in these patients.

  10. Multimodality Imaging Evaluation of Functional and Clinical Benefits of Percutaneous Coronary Intervention in Patients with Chronic Total Occlusion Lesion

    Directory of Open Access Journals (Sweden)

    Dongdong Sun, Jing Wang, Yue Tian, Kazim Narsinh, Haichang Wang, Chengxiang Li, Xiaowei Ma, Yabing Wang, Dongjuan Wang, Chunhong Li, Joseph C Wu, Jie Tian, Feng Cao

    2012-01-01

    Full Text Available Aims: To determine the effects of percutaneous coronary intervention (PCI on cardiac perfusion, cardiac function, and quality of life in patients with chronic total occlusion (CTO lesion in left anterior descending (LAD coronary artery.Methods and Results: Patients (n=99 with CTO lesion in the LAD coronary artery who had successfully undergone PCI were divided into three groups based on the SPECT/CTCA fusion imaging: (a no severe cardiac perfusion defects (n=9; (b reversible cardiac perfusion defects (n=40; or (c fixed cardiac perfusion defects (n=50. No statistical difference of perfusion abnormality was observed at 6 months and 1 year after PCI in group (a. In group (b, SPECT/CTCA fusion imaging demonstrated that cardiac perfusion abnormality was significantly decreased 6 month and 1 year after PCI. Left ventricular ejection fraction (LVEF increased significantly at 6 months and 1 year follow up. Quality of life improved at 6 months and 1 year after PCI procedure. Moreover, patients in group (c also benefited from PCI therapy: a decrease in cardiac perfusion abnormality, an increase in LVEF, and an improvement in quality of life. PCI of coronary arteries in addition to LAD did not significantly affect cardiac function and quality of life improvement in each group.Conclusions: PCI exerts functional and clinical benefits in patients with CTO lesion in LAD coronary artery, particularly in patients with reversible cardiac perfusion defects. SPECT/CTCA fusion imaging may serve as a useful tool to evaluate the outcomes of patients with CTO lesion in LAD coronary artery.

  11. Long-term outcomes after percutaneous coronary intervention for chronic total occlusion (from the CREDO-Kyoto registry cohort-2).

    Science.gov (United States)

    Yamamoto, Erika; Natsuaki, Masahiro; Morimoto, Takeshi; Furukawa, Yutaka; Nakagawa, Yoshihisa; Ono, Koh; Mitsudo, Kazuaki; Nobuyoshi, Masakiyo; Doi, Osamu; Tamura, Takashi; Tanaka, Masaru; Kimura, Takeshi

    2013-09-15

    Despite improving success rate of percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) lesions, the clinical benefit of recanalization of CTO is still a matter of debate. Of 13,087 patients who underwent PCI in the CREDO-Kyoto registry cohort-2, 1,524 patients received PCI for CTO (CTO-PCI). Clinical outcomes were compared between 1,192 patients with successful CTO-PCI and 332 patients with failed CTO-PCI. In-hospital death tended to occur less frequently in the successful CTO-PCI group than in the failed CTO-PCI group (1.4% vs 3.0%, p = 0.053). Through 3-year follow-up, the cumulative incidence of all-cause death was not significantly different between the successful and failed CTO-PCI groups (9.0% vs 13.1%, p = 0.18), whereas the cumulative incidence of cardiac death was significantly less in the successful CTO-PCI group than in the failed CTO-PCI group (4.5% vs 8.4%, p = 0.03). However, after adjusting confounders, successful CTO-PCI was associated with lesser risk for neither all-cause death (hazard ratio 0.93, 95% confidence interval 0.64 to 1.37, p = 0.69) nor cardiac death (hazard ratio 0.71, 95% confidence interval 0.44 to 1.16, p = 0.16). The cumulative incidence of coronary artery bypass grafting (CABG) was remarkably less in patients with successful PCI compared with those with failed PCI (1.8% vs 19.6%, p <0.0001). In conclusion, successful CTO-PCI compared with failed PCI was not associated with lesser risk for 3-year mortality. However, successful CTO-PCI was associated with significantly less subsequent CABG.

  12. Electron collisions with phenol: Total, integral, differential, and momentum transfer cross sections and the role of multichannel coupling effects on the elastic channel

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Romarly F. da [Instituto de Física “Gleb Wataghin,” Universidade Estadual de Campinas, 13083-859 Campinas, São Paulo (Brazil); Centro de Ciências Naturais e Humanas, Universidade Federal do ABC, 09210-580 Santo André, São Paulo (Brazil); Oliveira, Eliane M. de; Lima, Marco A. P. [Instituto de Física “Gleb Wataghin,” Universidade Estadual de Campinas, 13083-859 Campinas, São Paulo (Brazil); Bettega, Márcio H. F. [Departamento de Física, Universidade Federal do Paraná, CP 19044, 81531-990 Curitiba, Paraná (Brazil); Varella, Márcio T. do N. [Instituto de Física, Universidade de São Paulo, CP 66318, 05315-970 São Paulo, São Paulo (Brazil); Jones, Darryl B. [School of Chemical and Physical Sciences, Flinders University, GPO Box 2100, Adelaide SA 5001 (Australia); Brunger, Michael J. [School of Chemical and Physical Sciences, Flinders University, GPO Box 2100, Adelaide SA 5001 (Australia); Institute of Mathematical Sciences, University of Malaya, 50603 Kuala Lumpur (Malaysia); Blanco, Francisco [Departamento de Fisica Atomica, Molecular y Nuclear, Universidad Complutense de Madrid, Ciudad Universitaria, 2840 Madrid (Spain); Colmenares, Rafael [Hospital Ramón y Cajal, 28034 Madrid (Spain); and others

    2015-03-14

    We report theoretical and experimental total cross sections for electron scattering by phenol (C{sub 6}H{sub 5}OH). The experimental data were obtained with an apparatus based in Madrid and the calculated cross sections with two different methodologies, the independent atom method with screening corrected additivity rule (IAM-SCAR), and the Schwinger multichannel method with pseudopotentials (SMCPP). The SMCPP method in the N{sub open}-channel coupling scheme, at the static-exchange-plus-polarization approximation, is employed to calculate the scattering amplitudes at impact energies ranging from 5.0 eV to 50 eV. We discuss the multichannel coupling effects in the calculated cross sections, in particular how the number of excited states included in the open-channel space impacts upon the convergence of the elastic cross sections at higher collision energies. The IAM-SCAR approach was also used to obtain the elastic differential cross sections (DCSs) and for correcting the experimental total cross sections for the so-called forward angle scattering effect. We found a very good agreement between our SMCPP theoretical differential, integral, and momentum transfer cross sections and experimental data for benzene (a molecule differing from phenol by replacing a hydrogen atom in benzene with a hydroxyl group). Although some discrepancies were found for lower energies, the agreement between the SMCPP data and the DCSs obtained with the IAM-SCAR method improves, as expected, as the impact energy increases. We also have a good agreement among the present SMCPP calculated total cross section (which includes elastic, 32 inelastic electronic excitation processes and ionization contributions, the latter estimated with the binary-encounter-Bethe model), the IAM-SCAR total cross section, and the experimental data when the latter is corrected for the forward angle scattering effect [Fuss et al., Phys. Rev. A 88, 042702 (2013)].

  13. Electron collisions with phenol: Total, integral, differential, and momentum transfer cross sections and the role of multichannel coupling effects on the elastic channel.

    Science.gov (United States)

    da Costa, Romarly F; de Oliveira, Eliane M; Bettega, Márcio H F; Varella, Márcio T do N; Jones, Darryl B; Brunger, Michael J; Blanco, Francisco; Colmenares, Rafael; Limão-Vieira, Paulo; García, Gustavo; Lima, Marco A P

    2015-03-14

    We report theoretical and experimental total cross sections for electron scattering by phenol (C6H5OH). The experimental data were obtained with an apparatus based in Madrid and the calculated cross sections with two different methodologies, the independent atom method with screening corrected additivity rule (IAM-SCAR), and the Schwinger multichannel method with pseudopotentials (SMCPP). The SMCPP method in the Nopen-channel coupling scheme, at the static-exchange-plus-polarization approximation, is employed to calculate the scattering amplitudes at impact energies ranging from 5.0 eV to 50 eV. We discuss the multichannel coupling effects in the calculated cross sections, in particular how the number of excited states included in the open-channel space impacts upon the convergence of the elastic cross sections at higher collision energies. The IAM-SCAR approach was also used to obtain the elastic differential cross sections (DCSs) and for correcting the experimental total cross sections for the so-called forward angle scattering effect. We found a very good agreement between our SMCPP theoretical differential, integral, and momentum transfer cross sections and experimental data for benzene (a molecule differing from phenol by replacing a hydrogen atom in benzene with a hydroxyl group). Although some discrepancies were found for lower energies, the agreement between the SMCPP data and the DCSs obtained with the IAM-SCAR method improves, as expected, as the impact energy increases. We also have a good agreement among the present SMCPP calculated total cross section (which includes elastic, 32 inelastic electronic excitation processes and ionization contributions, the latter estimated with the binary-encounter-Bethe model), the IAM-SCAR total cross section, and the experimental data when the latter is corrected for the forward angle scattering effect [Fuss et al., Phys. Rev. A 88, 042702 (2013)].

  14. First measurement of the total proton-proton cross section at the LHC energy of √s =7 TeV

    CERN Document Server

    Antchev, G.; Atanassov, I.; Avati, V.; Baechler, J.; Berardi, V.; Berretti, M.; Bossini, E.; Bozzo, M.; Brogi, P.; Brücken, E.; Buzzo, A.; Cafagna, F.; Calicchio, M.; Catanesi, M.G.; Covault, C.; Csörgõ, T.; Deile, M.; Eggert, K.; Eremin, V.; Ferretti, R.; Ferro, F.; Fiergolski, A.; Garcia, F.; Giani, S.; Greco, V.; Grzanka, L.; Heino, J.; Hilden, T.; Intonti, M.R.; Kaspar, J.; Kopal, J.; Kundrát, V.; Kurvinen, K.; Lami, S.; Latino, G.; Lauhakangas, R.; Leszko, T.; Lippmaa, E.; Lokajícek, M.; Lo Vetere, M.; Lucas Rodríguez, F.; Macrí, M.; Magaletti, L.; Mercadante, A.; Minutoli, S.; Nemes, F.; Niewiadomski, H.; Oliveri, E.; Oljemark, F.; Orava, R.; Oriunno, M.; Österberg, K.; Palazzi, P.; Procházka, J.; Quinto, M.; Radermacher, E.; Radicioni, E.; Ravotti, F.; Robutti, E.; Ropelewski, L.; Ruggiero, G.; Saarikko, H.; Sanguinetti, G.; Santroni, A.; Scribano, A.; Snoeys, W.; Sziklai, J.; Taylor, C.; Turini, N.; Vacek, V.; Vítek, M.; Welti, J.; Whitmore, J.

    2011-01-01

    TOTEM has measured the differential cross-section for elastic proton-proton scattering at the LHC energy of √s = 7TeV analyzing data from a short run with dedicated large Beta∗ optics. A single exponential fit with B = 20.1GeV**−2 (all errors are given in the text) describes the lowest range of the squared four-momentum transfer |t| from 0.02 to 0.3GeV**2. After the extrapolation to |t| = 0, a total elastic scattering cross-section of 24.8mb was obtained. Applying the Optical Theorem and using the luminosity measurement from CMS, a total proton-proton cross-section of 98.3mb was deduced which is in good agreement with the expectation from the overall fit of previously measured data over a large range of energies. From the total and elastic pp cross-section measurements, an inelastic pp cross-section of (73:5{\\pm}0:6stat +1:8 -1:3 syst) mb was inferred. PACS 13.60.Hb: Total and inclusive cross sections

  15. Lifestyle and perceived health in subjects with chronic bronchitis or emphysema: a cross-sectional study

    Science.gov (United States)

    2010-01-01

    Background The study aim was to compare lifestyle behaviors, body mass index (BMI) and perceived health in subjects with and without chronic bronchitis or emphysema, and to explore if these comparisons differed between demographic subgroups. Methods A stratified two-stage sample of the population of Serbia was used; 14.522 adults aged ≥20 years were interviewed. Results Compared with controls, respondents with chronic bronchitis or emphysema reported a 23% increased likelihood of eating fresh vegetables every day (CI 1.02-1.48), 58% increased likelihood of currently smoking (CI 1.32-1.88) and more likely to perceive their health as very bad or bad (OR 4.67, CI 3.64-5.98). After stratification for sex, education, and type of settlement, smoking was significantly associated with chronic bronchitis or emphysema in all subgroups except males. The increased likelihood of very bad or bad perceived health in respondents with chronic bronchitis or emphysema was significant in all subgroups, and was highest for respondents ≤65 years of age (adjusted OR 6.51; CI 4.87-8.72) and lowest for respondents >65 years of age (adjusted OR 3.25; CI 2.12-4.97). Conclusion Efforts to enhance perceived health and healthy lifestyle behaviors in subjects with chronic bronchitis or emphysema are necessary. Special attention should be paid to smoking cessation in almost all demographic subgroups. PMID:20828414

  16. Three-year clinical outcome after treatment of chronic total occlusions with second-generation drug-eluting stents in the TWENTE trial

    NARCIS (Netherlands)

    van Houwelingen, K. Gert; Sen, Hanim; Sen, Hanim; Lam, Ming Kai; Tandjung, Kenneth; Tandjung, K.; Löwik, Marije M.; de Man, Frits H.A.F.; Louwerenburg, J. (Hans) W.; Stoel, Martin G.; Hartmann, Marc; Linssen, Gerard C.M.; Doggen, Catharina Jacoba Maria; von Birgelen, Clemens

    2015-01-01

    Objective To compare long-term outcome of patients treated for chronic total occlusion (CTO) lesions versus patients treated for non-CTO lesions only. Background Percutaneous coronary interventions (PCI) for CTO lesions generally have a higher adverse event risk than PCI for non-CTO lesions. However

  17. Prevalence and impact of a chronic total occlusion in a non-infarct-related artery on long-term mortality in diabetic patients with ST elevation myocardial infarction

    NARCIS (Netherlands)

    Claessen, B.E.P.M.; Hoebers, L.P.; van der Schaaf, R.J.; Kikkert, W.J.; Engstrom, A.E.; Vis, M.M.; Baan, J.,Jr; Koch, K.T.; Meuwissen, M.; van Royen, N.; de Winter, R.J.; Tijssen, J.G.P.; Piek, J.J.; Henriques, J.P.S.

    2010-01-01

    Background Recently, a chronic total occlusion (CTO) in a non-infarct-related artery (non-IRA) and not multivessel disease (MVD) alone was identified as an independent predictor of mortality after ST elevation myocardial infarction (STEMI). Patients with diabetes mellitus (DM) constitute a patient g

  18. Impact of Chronic Total Occlusions on Markers of Reperfusion, Infarct Size, and Long-Term Mortality : A Substudy from the TAPAS-Trial

    NARCIS (Netherlands)

    Lexis, Chris P. H.; van der Horst, Iwan C. C.; Rahel, Braim M.; Kampinga, Marthe A.; Gu, Youlan L.; de Smet, Bart J. G. L.; Zijlstra, Felix; Lexis, Chris

    2011-01-01

    Objectives: This study evaluated the impact of a chronic total occlusion (CTO) in a non-infarct related coronary artery (IRA) on markers of reperfusion, infarct size, and long-term cardiac mortality in patients with ST-elevation myocardial infarction (STEM!). Background: A concurrent CTO in STEMI pa

  19. Impact of Chronic Total Occlusions on Markers of Reperfusion, Infarct Size, and Long-Term Mortality : A Substudy from the TAPAS-Trial

    NARCIS (Netherlands)

    Lexis, Chris P. H.; van der Horst, Iwan C. C.; Rahel, Braim M.; Kampinga, Marthe A.; Gu, Youlan L.; de Smet, Bart J. G. L.; Zijlstra, Felix; Lexis, Chris

    2011-01-01

    Objectives: This study evaluated the impact of a chronic total occlusion (CTO) in a non-infarct related coronary artery (IRA) on markers of reperfusion, infarct size, and long-term cardiac mortality in patients with ST-elevation myocardial infarction (STEM!). Background: A concurrent CTO in STEMI pa

  20. Three-year clinical outcome after treatment of chronic total occlusions with second-generation drug-eluting stents in the TWENTE trial

    NARCIS (Netherlands)

    Houwelingen, van K. Gert; Sen, Hanim; Lam, Ming Kai; Tandjung, Kenneth; Löwik, Marije M.; Man, de Frits H.A.F.; Louwerenburg, J. (Hans) W.; Stoel, Martin G.; Hartmann, Marc; Linssen, Gerard C.M.; Doggen, C.J.M.; Birgelen, von C.

    2015-01-01

    Objective To compare long-term outcome of patients treated for chronic total occlusion (CTO) lesions versus patients treated for non-CTO lesions only. Background Percutaneous coronary interventions (PCI) for CTO lesions generally have a higher adverse event risk than PCI for non-CTO lesions. Howeve

  1. Prevalence and impact of a chronic total occlusion in a non-infarct-related artery on long-term mortality in diabetic patients with ST elevation myocardial infarction

    NARCIS (Netherlands)

    Claessen, B.E.P.M.; Hoebers, L.P.; van der Schaaf, R.J.; Kikkert, W.J.; Engstrom, A.E.; Vis, M.M.; Baan, J.,Jr; Koch, K.T.; Meuwissen, M.; van Royen, N.; de Winter, R.J.; Tijssen, J.G.P.; Piek, J.J.; Henriques, J.P.S.

    2010-01-01

    Background Recently, a chronic total occlusion (CTO) in a non-infarct-related artery (non-IRA) and not multivessel disease (MVD) alone was identified as an independent predictor of mortality after ST elevation myocardial infarction (STEMI). Patients with diabetes mellitus (DM) constitute a patient g

  2. Long-term follow-up evaluation of chronic pain after endoscopic total extraperitoneal repair of primary and recurrent inguinal hernia

    NARCIS (Netherlands)

    A.E.M. van der Pool (Anne); J.J. Harlaar (Jaap); P.Th. den Hoed (Pieter); W.F. Weidema (Wibo); R.N. van Veen (Ruben)

    2010-01-01

    textabstractBackground Long-term data on chronic pain after endoscopic total extraperitoneal (TEP) hernia repair are hardly available. Methods Between January 1997 and December 1998, 416 patients with consecutive primary and recurrent inguinal hernia underwent endoscopic TEP hernia repair. Long-term

  3. Challenges and implications of routine depression screening for depression in chronic disease and multimorbidity: a cross sectional study.

    Directory of Open Access Journals (Sweden)

    Bhautesh Dinesh Jani

    Full Text Available BACKGROUND: Depression screening in chronic disease is advocated but its impact on routine practice is uncertain. We examine the effects of a programme of incentivised depression screening in chronic disease within a UK primary care setting. METHODS AND FINDINGS: Cross sectional analysis of anonymised, routinely collected data (2008-9 from family practices in Scotland serving a population of circa 1.8 million. Primary care registered patients with at least one of three chronic diseases, coronary heart disease, diabetes and stroke, underwent incentivised depression screening using the Hospital Anxiety and Depression Score (HADS. 125143 patients were identified with at least one chronic disease. 10670 (8.5% were under treatment for depression and exempt from screening. Of remaining, HADS were recorded for 35537 (31.1% patients. 7080 (19.9% of screened had raised HADS (≥8; majority had indications of mild depression with HADS between 8 and 10. Over 6 months, 572 (8% of those with raised HADS (≥8 were initiated on antidepressants, while 696 (2.4% patients with normal HADS (<8 were also initiated on antidepressants (relative risk of antidepressant initiation with raised HADS 3.3 (CI 2.97-3.67, p value <0.0001. Of those with multimorbidity who were screened, 24.3% had raised HADS (≥8. A raised HADS was more likely in females, socioeconomically deprived, multimorbid or younger (18-44 individuals. Females and 45-64 years old were more likely to receive antidepressants. LIMITATIONS: retrospective study of routinely collected data. CONCLUSIONS: Despite incentivisation, only a minority of patients underwent depression screening, suggesting that systematic depression screening in chronic disease can be difficult to achieve in routine practice. Targeting those at greatest risk such as the multimorbid or using simpler screening methods may be more effective. Raised HADS was associated with higher number of new antidepressant prescriptions which has

  4. Disability due to maternal common mental disorders (CMDs as a risk factor for chronic childhood malnutrition: cross-sectional study

    Directory of Open Access Journals (Sweden)

    Jorge Lopes Cavalcante-Neto

    Full Text Available ABSTRACT: CONTEXT AND OBJECTIVE: The disability associated with maternal common mental disorders (CMDs is among the possible explanations for the association between chronic childhood malnutrition and CMDs. CMDs may impair the mother's ability to perform her role, particularly in deprived environments. The present study aimed to evaluate whether disability relating to CMDs could be part of the pathway of the association between childhood malnutrition and maternal CMDs. DESIGN AND SETTING: Cross-sectional study conducted in two institutions: one for malnourished children and another for eutrophic children living in a low-income community in the state of Alagoas, Brazil. METHOD: The cases consisted of 55 malnourished children aged from 12 to 60 months who were attending a nutritional rehabilitation center, with height-for-age z-scores < 2. The controls were 70 eutrophic children of the same age who were attending a day care center in the same area as the cases. The Self-Report Questionnaire made it possible to identify likely cases of maternal CMD. The Sheehan Disability Scale enabled evaluation of the associated disability. RESULTS: Chronic childhood malnutrition was significantly associated with maternal disability relating to CMDs (OR = 2.28; 95% CI: 1.02-5.1. The best logistic regression model using chronic childhood malnutrition as the dependent variable included the following independent variables: higher number of people living in the household; absence of the biological father from the household; and maternal disability relating to CMDs. CONCLUSIONS: If confirmed, the association between chronic childhood malnutrition and maternal disability relating to CMDs may be useful in helping to identify the causal chain between childhood malnutrition and maternal CMDs and to indicate environmental risk factors associated with chronic childhood malnutrition.

  5. Measurement of the total cross section from elastic scattering in pp collisions at √{ s} = 8 TeV with the ATLAS detector

    Science.gov (United States)

    Aaboud, M.; Aad, G.; Abbott, B.; Abdallah, J.; Abdinov, O.; Abeloos, B.; Aben, R.; AbouZeid, O. S.; Abraham, N. L.; Abramowicz, H.; Abreu, H.; Abreu, R.; Abulaiti, Y.; Acharya, B. S.; Adachi, S.; Adamczyk, L.; Adams, D. L.; Adelman, J.; Adomeit, S.; Adye, T.; Affolder, A. A.; Agatonovic-Jovin, T.; Agricola, J.; Aguilar-Saavedra, J. A.; Ahlen, S. P.; Ahmadov, F.; Aielli, G.; Akerstedt, H.; Åkesson, T. P. A.; Akimov, A. V.; Alberghi, G. L.; Albert, J.; Albrand, S.; Alconada Verzini, M. J.; Aleksa, M.; Aleksandrov, I. N.; Alexa, C.; Alexander, G.; Alexopoulos, T.; Alhroob, M.; Ali, B.; Aliev, M.; Alimonti, G.; Alison, J.; Alkire, S. P.; Allbrooke, B. M. M.; Allen, B. W.; Allport, P. P.; Aloisio, A.; Alonso, A.; Alonso, F.; Alpigiani, C.; Alshehri, A. A.; Alstaty, M.; Alvarez Gonzalez, B.; Álvarez Piqueras, D.; Alviggi, M. G.; Amadio, B. T.; Amako, K.; Amaral Coutinho, Y.; Amelung, C.; Amidei, D.; Amor Dos Santos, S. P.; Amorim, A.; Amoroso, S.; Amundsen, G.; Anastopoulos, C.; Ancu, L. S.; Andari, N.; Andeen, T.; Anders, C. F.; Anders, G.; Anders, J. K.; Anderson, K. J.; Andreazza, A.; Andrei, V.; Angelidakis, S.; Angelozzi, I.; Anger, P.; Angerami, A.; Anghinolfi, F.; Anisenkov, A. V.; Anjos, N.; Annovi, A.; Antel, C.; Antonelli, M.; Antonov, A.; Anulli, F.; Aoki, M.; Aperio Bella, L.; Arabidze, G.; Arai, Y.; Araque, J. P.; Arce, A. T. H.; Arduh, F. A.; Arguin, J.-F.; Argyropoulos, S.; Arik, M.; Armbruster, A. J.; Armitage, L. J.; Arnaez, O.; Arnold, H.; Arratia, M.; Arslan, O.; Artamonov, A.; Artoni, G.; Artz, S.; Asai, S.; Asbah, N.; Ashkenazi, A.; Åsman, B.; Asquith, L.; Assamagan, K.; Astalos, R.; Atkinson, M.; Atlay, N. B.; Augsten, K.; Avolio, G.; Axen, B.; Ayoub, M. K.; Azuelos, G.; Baak, M. A.; Baas, A. E.; Baca, M. J.; Bachacou, H.; Bachas, K.; Backes, M.; Backhaus, M.; Bagiacchi, P.; Bagnaia, P.; Bai, Y.; Baines, J. T.; Baker, O. K.; Baldin, E. M.; Balek, P.; Balestri, T.; Balli, F.; Balunas, W. K.; Banas, E.; Banerjee, Sw.; Bannoura, A. A. E.; Barak, L.; Barberio, E. L.; Barberis, D.; Barbero, M.; Barillari, T.; Barisits, M.-S.; Barklow, T.; Barlow, N.; Barnes, S. L.; Barnett, B. M.; Barnett, R. M.; Barnovska-Blenessy, Z.; Baroncelli, A.; Barone, G.; Barr, A. J.; Barranco Navarro, L.; Barreiro, F.; Barreiro Guimarães da Costa, J.; Bartoldus, R.; Barton, A. E.; Bartos, P.; Basalaev, A.; Bassalat, A.; Bates, R. L.; Batista, S. J.; Batley, J. R.; Battaglia, M.; Bauce, M.; Bauer, F.; Bawa, H. S.; Beacham, J. B.; Beattie, M. D.; Beau, T.; Beauchemin, P. H.; Bechtle, P.; Beck, H. P.; Becker, K.; Becker, M.; Beckingham, M.; Becot, C.; Beddall, A. J.; Beddall, A.; Bednyakov, V. A.; Bedognetti, M.; Bee, C. P.; Beemster, L. J.; Beermann, T. A.; Begel, M.; Behr, J. K.; Belanger-Champagne, C.; Bell, A. S.; Bella, G.; Bellagamba, L.; Bellerive, A.; Bellomo, M.; Belotskiy, K.; Beltramello, O.; Belyaev, N. L.; Benary, O.; Benchekroun, D.; Bender, M.; Bendtz, K.; Benekos, N.; Benhammou, Y.; Benhar Noccioli, E.; Benitez, J.; Benjamin, D. P.; Bensinger, J. R.; Bentvelsen, S.; Beresford, L.; Beretta, M.; Berge, D.; Bergeaas Kuutmann, E.; Berger, N.; Beringer, J.; Berlendis, S.; Bernard, N. R.; Bernius, C.; Bernlochner, F. U.; Berry, T.; Berta, P.; Bertella, C.; Bertoli, G.; Bertolucci, F.; Bertram, I. A.; Bertsche, C.; Bertsche, D.; Besjes, G. J.; Bessidskaia Bylund, O.; Bessner, M.; Besson, N.; Betancourt, C.; Bethani, A.; Bethke, S.; Bevan, A. J.; Bianchi, R. M.; Bianchini, L.; Bianco, M.; Biebel, O.; Biedermann, D.; Bielski, R.; Biesuz, N. V.; Biglietti, M.; Bilbao De Mendizabal, J.; Billoud, T. R. V.; Bilokon, H.; Bindi, M.; Binet, S.; Bingul, A.; Bini, C.; Biondi, S.; Bisanz, T.; Bjergaard, D. M.; Black, C. W.; Black, J. E.; Black, K. M.; Blackburn, D.; Blair, R. E.; Blanchard, J.-B.; Blazek, T.; Bloch, I.; Blocker, C.; Blue, A.; Blum, W.; Blumenschein, U.; Blunier, S.; Bobbink, G. J.; Bobrovnikov, V. S.; Bocchetta, S. S.; Bocci, A.; Bock, C.; Boehler, M.; Boerner, D.; Bogaerts, J. A.; Bogavac, D.; Bogdanchikov, A. G.; Bohm, C.; Boisvert, V.; Bokan, P.; Bold, T.; Boldyrev, A. S.; Bomben, M.; Bona, M.; Boonekamp, M.; Borisov, A.; Borissov, G.; Bortfeldt, J.; Bortoletto, D.; Bortolotto, V.; Bos, K.; Boscherini, D.; Bosman, M.; Bossio Sola, J. D.; Boudreau, J.; Bouffard, J.; Bouhova-Thacker, E. V.; Boumediene, D.; Bourdarios, C.; Boutle, S. K.; Boveia, A.; Boyd, J.; Boyko, I. R.; Bracinik, J.; Brandt, A.; Brandt, G.; Brandt, O.; Bratzler, U.; Brau, B.; Brau, J. E.; Breaden Madden, W. D.; Brendlinger, K.; Brennan, A. J.; Brenner, L.; Brenner, R.; Bressler, S.; Bristow, T. M.; Britton, D.; Britzger, D.; Brochu, F. M.; Brock, I.; Brock, R.; Brooijmans, G.; Brooks, T.; Brooks, W. K.; Brosamer, J.; Brost, E.; Broughton, J. H.; Bruckman de Renstrom, P. A.; Bruncko, D.

    2016-10-01

    A measurement of the total pp cross section at the LHC at √{ s} = 8 TeV is presented. An integrated luminosity of 500 μb-1 was accumulated in a special run with high-β⋆ beam optics to measure the differential elastic cross section as a function of the Mandelstam momentum transfer variable t. The measurement is performed with the ALFA sub-detector of ATLAS. Using a fit to the differential elastic cross section in the -t range from 0.014 GeV2 to 0.1 GeV2 to extrapolate t → 0, the total cross section, σtot (pp → X), is measured via the optical theorem to be

  6. Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Rodby-Bousquet Elisabet

    2010-06-01

    Full Text Available Abstract Background Knowledge of sitting and standing performance in a total population of children with cerebral palsy (CP is of interest for health care planning and for prediction of future ability in the individual child. In 1994, a register and a health care programme for children with CP in southern Sweden was initiated. In the programme information on how the child usually sits, stands, stands up and sits down, together with use of support or assistive devices, is recorded annually. Methods A cross-sectional study was performed, analysing the most recent report of all children with CP born 1990-2005 and living in southern Sweden during 2008. All 562 children (326 boys, 236 girls aged 3-18 years were included in the study. The degree of independence, use of support or assistive devices to sit, stand, stand up and sit down was analysed in relation to the Gross Motor Function Classification System (GMFCS, CP subtype and age. Result A majority of the children used standard chairs (57%, could stand independently (62% and could stand up (62% and sit down (63% without external support. Adaptive seating was used by 42%, external support to stand was used by 31%, to stand up by 19%, and to sit down by 18%. The use of adaptive seating and assistive devices increased with GMFCS levels (p Conclusion About 60% of children with CP, aged 3-18, use standard chairs, stand, stand up, and sit down without external support. Adding those using adaptive seating and external support, 99% of the children could sit, 96% could stand and 81% could stand up from a sitting position and 81% could sit down from a standing position. The GMFCS classification system is a good predictor of sitting and standing performance.

  7. Tryptophan depletion in chronic fatigue syndrome, a pilot cross-over study

    NARCIS (Netherlands)

    The, G.K.H.; Verkes, R.J.; Fekkes, D.; Bleijenberg, G.; Meer, J.W. van der; Buitelaar, J.K.

    2014-01-01

    BACKGROUND: Chronic fatigue syndrome (CFS) is still an enigmatic disorder. CFS can be regarded as a complex disorder with tremendous impact on lives of CFS-patients. Full recovery without treatment is rare.A somatic explanation for the fatigue is lacking. There is clinical and experimental evidence

  8. Tryptophan depletion in chronic fatigue syndrome, a pilot cross-over study

    NARCIS (Netherlands)

    G.K.H. The (Gerard K.H.); R.J. Verkes (Robbert); D. Fekkes (Durk); G. Bleijenberg (G.); J.W.M. van der Meer (Jos); J.K. Buitelaar (Jan)

    2014-01-01

    textabstractBackground: Chronic fatigue syndrome (CFS) is still an enigmatic disorder. CFS can be regarded as a complex disorder with tremendous impact on lives of CFS-patients. Full recovery without treatment is rare. A somatic explanation for the fatigue is lacking. There is clinical and experimen

  9. Baropodometry on women suffering from chronic pelvic pain - a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Kaercher Carolina W

    2011-11-01

    Full Text Available Abstract Background Previous studies have associated chronic pelvic pain with a stereotyped pattern of movement and posture, lack of normal body sensations, a characteristic pain distribution. We aimed at evaluating if these postural changes are detectable in baropodometry results in patients with chronic pelvic pain. Methods We performed a prospective study in a university hospital. We selected 32 patients suffering from chronic pelvic pain (study group and 30 women without this pathology (regular gynecological work out - control group. Pain scores and baropodometric analysis were performed. Results As expected, study group presented higher pain scores than control group. Study and control groups presented similar averages for the maximum pressures to the left and right soles as well as soles supports in the forefeet and hind feet. Women suffering from chronic pelvic pain did not present differences in baropodometric analysis when compared to healthy controls. Conclusions This data demonstrates that postural abnormalities resulting from CPP could not be demonstrated by baropodometric evaluation. Other postural measures should be addressed to evaluate pelvic pain patients.

  10. Total cross sections for electrons scattering from simple molecules containing the larger atom sulfur at 30-5000eV

    Institute of Scientific and Technical Information of China (English)

    Shi De-Heng; Liu Yu-Fang; Sun Jin-Feng; Yang Xiang-Dong; Zhu Zun-Lue

    2005-01-01

    A complex optical model potential modified by the concept of bonded atom, which takes into consideration the overlapping effect of electron clouds, is employed to calculate the total cross sections for electrons scattering from simple molecules (SO2, H2S, OCS, CS2 and SO3) containing the larger atom, sulfur, at 30-5000eV by using the additivity rule model at Hartree-Fock level. The quantitative molecular total cross section results are compared with those obtained in experiments and other calculations wherever available, and good agreement is obtained. It is shown that the additivity rule model together with the complex optical model potential modified by the concept of bonded atom can give the results closer to the experiments than the one unmodified by it. So, the introduction of bonded-atom concept in complex optical model potential betters the accuracy of the total cross section calculations of electrons from the molecules containing the larger atom, sulfur.

  11. Determinants and Prognostic Significance of Periprocedural Myocardial Injury in Patients With Successful Percutaneous Chronic Total Occlusion Interventions.

    Science.gov (United States)

    Lee, Seung-Whan; Lee, Pil H; Kang, Se H; Choi, Hanul; Chang, Mineok; Roh, Jae-Hyung; Yoon, Sung-Han; Ahn, Jung-Min; Park, Duk-Woo; Kang, Soo-Jin; Kim, Young-Hak; Lee, Cheol Whan; Park, Seong-Wook; Park, Seung-Jung

    2016-11-14

    This study sought to evaluate the determinants and prognostic implications of periprocedural myocardial injury (PMI) in successful percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs). There are limited studies addressing the risk factors and clinical implication of PMI in patients undergoing CTO-PCI. We examined 1,058 consecutive CTO patients who underwent successful drug-eluting stent implantation and serial measurements of creatine kinase-myocardial band (CK-MB) values between March 2003 and August 2014. PMI was defined as elevations of CK-MB >3 times the upper reference limit (URL). PMI occurred in 121 patients (11.4%). Multivariable analysis revealed that the presence of renal failure (odds ratio [OR]: 4.25; 95% confidence interval [CI]: 1.59 to 11.35; p = 0.004), attempted retrograde approach (OR: 2.27; 95% CI: 1.34 to 3.84; p = 0.002), concomitant non-target lesion intervention (OR: 1.74; 95% CI: 1.17 to 2.59; p = 0.006), and stent number (OR: 1.38; 95% CI: 1.08 to 1.77; p = 0.011) were predictors associated with PMI. During a median follow-up of 4.4 years, PMI was associated with an increased risk of mortality (adjusted hazard ratio: 1.86; 95% CI: 1.09 to 3.17; p = 0.02). These findings were also consistent when higher CK-MB cutoff was used to define PMI. Although there was a trend toward higher all-cause mortality with increasing peak CK-MB levels, in multivariable analyses, this association was statistically significant only for peak CK-MB levels of >10 times the URL. PMI was associated with an increased risk of long-term mortality after successful CTO-PCI. Patients with renal insufficiency, those who require more stents, multiple lesion treatment, and retrograde approach have a higher likelihood of having PMI. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  12. Amphetamine and pseudoephedrine cross-tolerance measured by c-Fos protein expression in brains of chronically treated rats

    Directory of Open Access Journals (Sweden)

    Casalotti Stefano O

    2008-10-01

    Full Text Available Abstract Background Pseudoephedrine is a drug commonly prescribed as a nasal decongestant and bronchodilator and is also freely available in cold remedies and medications. The structural and pharmacological similarity of pseudoephedrine to amphetamine has led to evaluation of its psychomotor stimulant properties within the central nervous system. Previous investigations have shown that the acute responses to pseudoephedrine were similar to those of amphetamine and other psychostimulants. Results This study examined the effect of chronic administration of pseudoephedrine in rat nucleus accumbens and striatum and identified three further similarities to amphetamine. (i Chronic exposure to pseudoephedrine reduced the c-Fos response to acute pseudoephedrine treatment suggesting that pseudoephedrine induced tolerance in the animals. (ii In animals chronically treated with amphetamine or pseudoephedrine the acute c-Fos response to pseudoephedrine and amphetamine was reduced respectively as compared to naïve animals indicating cross-tolerance for the two drugs. (iiiThe known involvement of the dopamine system in the response to amphetamine and pseudoephedrine was further confirmed in this study by demonstrating that pseudoephedrine similarly to amphetamine, but with lower potency, inhibited [3H]dopamine uptake in synaptosomal preparations. Conclusion This work has demonstrated further similarities of the effect of pseudoephedrine to those of amphetamine in brain areas known to be associated with drug addiction. The most significant result presented here is the cross tolerance effect of amphetamine and psudoephedrine. This suggests that both drugs induce similar mechanisms of action in the brain. Further studies are required to establish whether despite its considerable lower potency, pseudoephedrine could pose health and addiction risks in humans similar to that of known psychostimulants.

  13. Relationship between optimism and quality of life in patients with two chronic rheumatic diseases: axial spondyloarthritis and chronic low back pain: a cross sectional study of 288 patients.

    Science.gov (United States)

    Kreis, Sarah; Molto, Anna; Bailly, Florian; Dadoun, Sabrina; Fabre, Stéphanie; Rein, Christopher; Hudry, Christophe; Zenasni, Franck; Rozenberg, Sylvie; Pertuiset, Edouard; Fautrel, Bruno; Gossec, Laure

    2015-06-10

    Axial Spondyloarthritis (AxSpA) and chronic low back pain are rheumatic diseases that impact patients' health-related quality of life (HRQoL). In other chronic conditions, HRQoL was positively associated with dispositional optimism, a personality trait. The objective was to explore the relationship between optimism and HRQoL in these two diseases. A cross-sectional study was performed in 2 tertiary care hospitals and 2 private practices in France. Patients had definite AxSpA or chronic low back pain according to the rheumatologist. A generic HRQoL questionnaire (Short Form, SF-12) with physical and mental composite scores (PCS and MCS respectively) and an optimism questionnaire (the Life Orientation Test-revised, LOT-R) were collected. Analyses included non-parametric correlations and multiple regression analyses to study the effect of optimism on PCS and MCS. In all, 288 (199 AxSpA and 89 low back pain) patients were included: mean age, 47.3 ± 11.9 years, 48.6 % were males. Pain levels (0-10) were 4.5 ± 2.4 and 4.3 ± 2.4 in AxSpA and LOW BACK PAIN patients, respectively. HRQoL was similarly altered in both diseases, for both physical and mental composite scores (mean PCS: 43.7 ± 8.2 vs. 41.9 ± 7.1; mean 45.9 ± 7.8 vs. 46.7 ± 8.1 for AxSpA and low back pain respectively). Optimism was moderate and similar in both populations. Optimism was positively correlated to MCS in both diseases (rho = 0.54 and 0.58, respectively, both p Optimism was similar in these 2 chronic diseases and was an explanatory factor of the mental component of HRQoL, but not physical HRQoL. Physical HRQoL may reflect more the disease process than character traits.

  14. Measurement of the $B^+$ Total Cross Section and $B^+$ Differential Cross Section $d\\sigma/dp_T$ in $p \\bar p $ Collisions at $\\sqrt{s}=1.8$ TeV

    CERN Document Server

    Acosta, D; Akimoto, H; Albrow, Michael G; Amaral, P; Ambrose, D; Amidei, D; Anikeev, K; Antos, J; Apollinari, G; Arisawa, T; Artikov, A; Asakawa, T; Ashmanskas, W; Azfar, F; Azzi-Bacchetta, P; Bacchetta, N; Bachacou, H; Bailey, S; De Barbaro, P; Barbaro-Galtieri, A; Barnes, Virgil E; Barnett, B A; Baroiant, S; Barone, M; Bauer, G; Bedeschi, F; Belforte, S; Bell, W H; Bellettini, Giorgio; Bellinger, J; Benjamin, D; Bensinger, J; Beretvas, A; Bergé, J P; Berryhill, J W; Bhatti, A A; Binkley, M; Bisello, D; Bishai, M; Blair, R E; Blocker, C; Bloom, K; Blumenfeld, B; Blusk, S R; Bocci, A; Bodek, Arie; Bölla, G; Bonushkin, Yu; Bortoletto, Daniela; Boudreau, J; Brandl, A; van den Brink, S C; Bromberg, C; Brozovic, M; Brubaker, E; Bruner, N L; Buckley-Geer, E; Budagov, Yu A; Budd, H S; Burkett, K; Busetto, G; Byon-Wagner, A; Byrum, K L; Cabrera, S; Calafiura, P; Campbell, M; Carithers, W C; Carlson, J; Carlsmith, D; Caskey, W; Castro, A; Cauz, D; Cerri, A; Chan, A W; Chang, P S; Chang, P T; Chapman, J; Chen, C; Chen, Y C; Cheng, M T; Chertok, M; Chiarelli, G; Chirikov-Zorin, I E; Chlachidze, G; Chlebana, F; Christofek, L S; Chu, M L; Chung, J Y; Chung, Y S; Ciobanu, C I; Clark, A G; Colijn, A P; Connolly, A; Convery, M; Conway, J; Cordelli, M; Cranshaw, J; Culbertson, R J; Dagenhart, D; D'Auria, S; De Jongh, F; Dell'Agnello, S; Dell'Orso, Mauro; Demers, S; Demortier, L; Deninno, M; Derwent, P F; Devlin, T; Dittmann, J R; Dominguez, A; Donati, S; Done, J; D'Onofrio, M; Dorigo, T; Eddy, N; Einsweiler, Kevin F; Elias, J E; Engels, E; Erbacher, R D; Errede, D; Errede, S; Fan, Q; Fang, H C; Feild, R G; Fernández, J P; Ferretti, C; Field, R D; Fiori, I; Flaugher, B; Foster, G W; Franklin, M; Freeman, J; Friedman, J; Fukui, Y; Furic, I K; Galeotti, S; Gallas, A; Gallinaro, M; Gao, T; García-Sciveres, M; Garfinkel, A F; Gatti, P; Gay, C; Gerdes, D W; Gerstein, E; Giannetti, P; Giromini, P; Glagolev, V; Glenzinski, D A; Gold, M; Goldstein, J; Gorelov, I; Goshaw, A T; Gotra, Yu; Goulianos, K; Green, C; Grim, G; Gris, P; Grosso-Pilcher, C; Günther, M; Guillian, G; Guimarães da Costa, J; Haas, R M; Haber, C; Hahn, S R; Hall, C; Handa, T; Handler, R; Hao, W; Happacher, F; Hara, K; Hardman, A D; Harris, R M; Hartmann, F; Hatakeyama, K; Hauser, J; Heinrich, J; Heiss, A; Herndon, M; Hill, C; Höcker, A; Hoffman, K D; Hollebeek, R J; Holloway, L E; Huffman, B T; Hughes, R; Huston, J; Huth, J; Ikeda, H; Incandela, J R; Introzzi, G; Ivanov, A; Iwai, J; Iwata, Y; James, E; Jones, M; Joshi, U; Kambara, H; Kamon, T; Kaneko, T; Karagoz-Unel, M; Karr, K M; Kartal, S; Kasha, H; Kato, Y; Keaffaber, T A; Kelley, K; Kelly, M; Khazins, D; Kikuchi, T; Kilminster, B; Kim, B J; Kim, D H; Kim, H S; Kim, M J; Kim, S B; Kim, S H; Kim, Y K; Kirby, M; Kirk, M; Kirsch, L; Klimenko, S; Koehn, P; Kondo, K; Konigsberg, J; Korn, A J; Korytov, A; Kovács, E; Kroll, J; Kruse, M; Kuhlmann, S E; Kurino, K; Kuwabara, T; Laasanen, A T; Lai, N; Lami, S; Lammel, S; Lancaster, J; Lancaster, M; Lander, R; Lath, A; Latino, G; LeCompte, T J; Lee, K; Leone, S; Lewis, J D; Lindgren, M; Liss, T M; Liu, J B; Liu, Y C; Litvintsev, D O; Lobban, O; Lockyer, N S; Loken, J; Loreti, M; Lucchesi, D; Lukens, P; Lusin, S; Lyons, L; Lys, J; Madrak, R; Maeshima, K; Maksimovic, P; Malferrari, L; Mangano, Michelangelo L; Mariotti, M; Martignon, G; Martin, A; Matthews, J A J; Mazzanti, P; McFarland, K S; McIntyre, P; Menguzzato, M; Menzione, A; Merkel, P; Mesropian, C; Meyer, A; Miao, T; Miller, R; Miller, J S; Minato, H; Miscetti, S; Mishina, M; Mitselmakher, G; Miyazaki, Y; Moggi, N; Moore, E; Moore, R; Morita, Y; Moulik, T; Mulhearn, M; Mukherjee, A; Müller, T; Munar, A; Murat, P; Murgia, S; Nachtman, J; Nagaslaev, V; Nahn, S; Nakada, H; Nakano, I; Nelson, C; Nelson, T; Neu, C; Neuberger, D; Newman-Holmes, C; Ngan, C Y P; Niu, H; Nodulman, L; Nomerotski, A; Oh, S H; Oh, Y D; Ohmoto, T; Ohsugi, T; Oishi, R; Okusawa, T; Olsen, J; Orejudos, W; Pagliarone, C; Palmonari, F; Paoletti, R; Papadimitriou, V; Partos, D; Patrick, J; Pauletta, G; Paulini, M; Paus, C; Pellett, D; Pescara, L; Phillips, T J; Piacentino, G; Pitts, K T; Pompos, A; Pondrom, L; Pope, G; Prokoshin, F; Proudfoot, J; Ptohos, F; Pukhov, O; Punzi, G; Rakitine, A; Ratnikov, F; Reher, D; Reichold, A; Renton, P B; Ribon, A; Riegler, W; Rimondi, F; Ristori, L; Riveline, M; Robertson, W J; Rodrigo, T; Rolli, S; Rosenson, L; Roser, R; Rossin, R; Rott, C; Roy, A; Ruiz, A; Safonov, A; Saint-Denis, R; Sakumoto, W K; Saltzberg, D; Sánchez, C; Sansoni, A; Santi, L; Sato, H; Savard, P; Savoy-Navarro, Aurore; Schlabach, P; Schmidt, E E; Schmidt, M P; Schmitt, M; Scodellaro, L; Scott, A; Scribano, A; Sedov, A; Segler, S L; Seidel, S; Seiya, Y; Semenov, A; Semeria, F; Shah, T; Shapiro, M D; Shepard, P F; Shibayama, T; Shimojima, M; Shochet, M J; Sidoti, A; Siegrist, J L; Sill, A; Sinervo, P; Singh, P; Slaughter, A J; Sliwa, K; Smith, C; Snider, F D; Solodsky, A; Spalding, J; Speer, T; Sphicas, Paris; Spinella, F; Spiropulu, M; Spiegel, L; Steele, J; Stefanini, A; Strologas, J; Strumia, F; Stuart, D; Sumorok, K; Suzuki, T; Takano, T; Takashima, R; Takikawa, K; Tamburello, P; Tanaka, M; Tannenbaum, B; Tecchio, M; Tesarek, R J; Teng, P K; Terashi, K; Tether, S; Thompson, A S; Thomson, E; Thurman-Keup, R M; Tipton, P; Tkaczyk, S M; Toback, D; Tollefson, K; Tollestrup, Alvin V; Tonelli, D; Toyoda, H; Trischuk, W; De Trocóniz, J F; Tseng, J; Tsybychev, D; Turini, N; Ukegawa, F; Vaiciulis, T; Valls, J; Vejcik, S; Velev, G V; Veramendi, G; Vidal, R; Vila, I; Vilar, R; Volobuev, I P; Von der Mey, M; Vucinic, D; Wagner, R G; Wagner, R L; Wallace, N B; Wan, Z; Wang, C; Wang, M J; Wang, S M; Ward, B; Waschke, S; Watanabe, T; Waters, D; Watts, T; Webb, R; Wenzel, H; Wester, W C; Wicklund, A B; Wicklund, E; Wilkes, T; Williams, H H; Wilson, P; Winer, B L; Winn, D; Wolbers, S; Wolinski, D; Wolinski, J; Wolinski, S; Worm, S; Wu, X; Wyss, J; Yao, W; Yeh, G P; Yeh, P; Yoh, J K; Yosef, C; Yoshida, T; Yu, I; Yu, S; Yu, Z; Zanetti, A; Zetti, F; Zucchelli, S

    2002-01-01

    We present measurements of the B+ meson total cross section and differential cross section $d\\sigma/ dp_T$. The measurements use a $98\\pm 4$ pb^{-1} sample of $p \\bar p$ collisions at $\\sqrt{s}=1.8$ TeV collected by the CDF detector. Charged $B$ meson candidates are reconstructed through the decay $B^{\\pm} \\to J/\\psi K^{\\pm}$ with $J/\\psi\\to \\mu^+ \\mu^-$. The total cross section, measured in the central rapidity region $|y|6.0$ GeV/$c$, is $3.6 \\pm 0.6 ({\\rm stat} \\oplus {\\rm syst)} \\mu$b. The measured differential cross section is substantially larger than typical QCD predictions calculated to next-to-leading order.

  15. A cross-sectional study on occurrence of type 2 diabetes among patients admitted with chronic liver diseases in a medical college in Kolkata

    Directory of Open Access Journals (Sweden)

    Shuvankar Mukherjee

    2013-01-01

    Full Text Available Objectives: To study the magnitude of the problem of type 2 diabetes mellitus and impaired glucose intolerance among the patients with various types of chronic liver diseases and to find out the association of diabetes mellitus and impaired glucose tolerance with the demographic and clinical characteristics of the patients. Materials and Methods: This observational study, which was cross-sectional in design, was undertaken in the Department of General Medicine at a medical College in Kolkata during October 2010 to July 2011. Altogether 161 patients diagnosed with chronic liver disease (CLD were admitted in the General Medicine ward during the study period, out of which 9 patients got themselves discharged against medical advice. From the remaining 152 patients, a total of 136 patients aged 20 years and above were selected for the study according to the inclusion criteria. A detailed history was taken, and a thorough clinical examination was done followed by further investigations, all of which were recorded in a pre-designed, structured proforma. Results : Among the study subjects, 58.1% had impaired glucose tolerance (IGT, while 14.0% had overt diabetes mellitus. IGT and diabetes were significantly higher among the CLD patients aged 45 years or more (P < 0.05. However, similar association was not observed with regard to sex of the patients. No association was found between the occurrence of IGT and/or overt diabetes with either severity (as per Child-Pugh score or with the duration of CLD. More than half of the study subjects having alcoholic liver disease or chronic hepatitis B or C or autoimmune hepatitis and one third of those having Wilson's disease had IGT, while one third of those with either chronic hepatitis C or Wilson's disease and one fourth of those having autoimmune hepatitis had overt diabetes. Twenty-one percent of those with chronic hepatitis B also found to have overt diabetes, which was least in those with alcoholic liver

  16. Medication safety and chronic kidney disease in older adults prescribed metformin: a cross-sectional analysis

    OpenAIRE

    Huang, Deborah L.; Abrass, Itamar B; Young, Bessie A.

    2014-01-01

    Background Medication safety in patients with chronic kidney disease (CKD) is a growing concern. This is particularly relevant in older adults due to underlying CKD. Metformin use is contraindicated in patients with abnormal kidney function; however, many patients are potentially prescribed metformin inappropriately. We evaluated the prevalence of CKD among older adults prescribed metformin for type 2 diabetes mellitus using available equations to estimate kidney function and examined demogra...

  17. Gray matter volume changes in chronic subcortical stroke: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Qingqing Diao

    2017-01-01

    Full Text Available This study aimed to investigate the effects of lesion side and degree of motor recovery on gray matter volume (GMV difference relative to healthy controls in right-handed subcortical stroke. Structural MRI data were collected in 97 patients with chronic subcortical ischemic stroke and 79 healthy controls. Voxel-wise GMV analysis was used to investigate the effects of lesion side and degree of motor recovery on GMV difference in right-handed chronic subcortical stroke patients. Compared with healthy controls, right-lesion patients demonstrated GMV increase (P < 0.05, voxel-wise false discovery rate correction in the bilateral paracentral lobule (PCL and supplementary motor area (SMA and the right middle occipital gyrus (MOG; while left-lesion patients did not exhibit GMV difference under the same threshold. Patients with complete and partial motor recovery showed similar degree of GMV increase in right-lesion patients. However, the motor recovery was correlated with the GMV increase in the bilateral SMA in right-lesion patients. These findings suggest that there exists a lesion-side effect on GMV difference relative to healthy controls in right-handed patients with chronic subcortical stroke. The GMV increase in the SMA may facilitate motor recovery in subcortical stroke patients.

  18. Quality of life is associated with chronic inflammation in schizophrenia: a cross-sectional study.

    Science.gov (United States)

    Faugere, M; Micoulaud-Franchi, J A; Alessandrini, M; Richieri, R; Faget-Agius, C; Auquier, P; Lançon, C; Boyer, L

    2015-06-04

    Inflammation may play a crucial role in the pathogenesis of schizophrenia. However, the association between chronic inflammation and health outcomes in schizophrenia remains unclear, particularly for patient-reported outcomes. The aim of this study was to investigate the relationship between quality of life (QoL) and chronic inflammation assessed using C -Reactive Protein (CRP) in patients with schizophrenia. Two hundred and fifty six patients with schizophrenia were enrolled in this study. After adjusting for key socio-demographic and clinical confounding factors, patients with high levels of CRP (>3.0 mg/l) had a lower QoL than patients with normal CRP levels (OR = 0.97, 95% CI = 0.94-0.99). An investigation of the dimensions of QoL revealed that psychological well-being, physical well-being and sentimental life were the most salient features of QoL associated with CRP. Significant associations were found between lower educational level (OR = 4.15, 95% CI = 1.55-11.07), higher body mass index (OR = 1.16, 95% CI = 1.06-1.28), higher Fagerström score (OR = 1.22, 95% CI = 1.01-1.47) and high levels of CRP. After replications with longitudinal approaches, the association between QoL and chronic inflammation may offer interesting interventional prospects to act both on inflammation and QoL in patients with schizophrenia.

  19. 473 Evaluating Total Serum IgE Levels in Patients with Chronic Hepatitis B and C

    OpenAIRE

    Köse, Sükran; Senger, Süheyla Serin; Yalcin, Arzu Didem; Cavdar, Gülsün; Atalay, Sabri; Ersan, Gürsel

    2012-01-01

    Background Liver disease has been considered a prominent cause of IgE elevation. Significant differences may be observed depending on the cause of liver damage. For viral hepatitis, increased IgE concentrations have been observed during acute hepatitis A and B. Chronic hepatitis B carriers may also have high IgE levels. But no data on serum IgE levels in chronic hepatitis C and hepatitis B patients have been reported. The aim of the study was to evaluate serum IgE levels in patients with chro...

  20. Vascular endothelial growth factor and hypoxia-inducible factor-1α gene polymorphisms and coronary collateral formation in patients with coronary chronic total occlusions

    Directory of Open Access Journals (Sweden)

    Vincent Amoah

    2016-06-01

    Full Text Available Introduction: We evaluated the association between two single nucleotide polymorphisms of the vascular endothelial growth factor gene and one of the hypoxia-inducible factor-1α gene and the degree of coronary collateral formation in patients with a coronary chronic total occlusion. Methods: Totally, 98 patients with symptomatic coronary artery disease and a chronic total occlusion observed during coronary angiography were recruited. Genotyping of two vascular endothelial growth factor promoter single nucleotide polymorphisms (−152G>A and −165C>T and the C1772T single nucleotide polymorphism of hypoxia-inducible factor-1α were performed using polymerase chain reaction and restriction fragment length polymorphism analysis. The presence and extent of collateral vessel filling was scored by blinded observers using the Rentrop grade. Results: We found no association between the vascular endothelial growth factor −152G>A, −165C>T and hypoxia-inducible factor-1α −1772C>T with the presence and filling of coronary collateral vessels. A history of percutaneous coronary intervention and transient ischaemic attack/cerebrovascular accident were associated with the presence of enhanced collateral vessel formation following binary logistic regression analysis. Conclusion: The study findings suggest that coronary collateral formation is not associated with the tested polymorphic variants of vascular endothelial growth factor and hypoxia-inducible factor-1α in patients with symptomatic coronary artery disease and the presence of a chronic total occlusion.

  1. The learning curve in treating coronary chronic total occlusion early in the experience of an operator at a tertiary medical center: The role of the hybrid approach.

    Science.gov (United States)

    Shammas, Nicolas W; Shammas, Gail A; Robken, Jon; Harris, Thomas; Madison, Ashley; Dinklenburg, Catherine; Shammas, Andrew N; Harb, Christine; Jerin, Michael

    2016-01-01

    Treatment of chronic total occlusion (CTO) is complex and has a low adoption rate by interventional cardiologists. The introduction of the hybrid approach has provided a systematic step-by-step approach to treat complex CTO lesions with a high success rate. We describe the overall experience with the use of the hybrid approach of a non-CTO operator and analyze differences in the procedural and long term outcomes before and after the initial 30 cases performed. A total of 67 unselected, consecutive patients (68 lesions) underwent PCI of a CTO between January 2012 and June 2013 by a non-CTO operator. Patients were followed up for 1year using office and hospital medical records and death certificates. Cases were divided into the first consecutive 30 patients and compared to the subsequent 37 patients. The primary endpoint was acute procedural success defined as residual narrowing of ≤30% with no major adverse events. Secondary endpoints included the independent outcomes of death, major bleeding, perforations with cardiac tamponade, acute stent thrombosis (ST), target lesion revascularization (TLR) and target vessel revascularization (TVR). Descriptive analysis was performed on all variables. Univariate analysis was used to compare both groups. Baseline characteristics were as follows: mean age 63.9±10.6years, males 80.6%, diabetes 41.8%, de novo lesions 100%, ejection fraction 49.9±13.8%, CTO length 76.9±45.7mm, number of drug eluting stents per CTO 2.8±1.6 (median 3), contrast use 397±161.3ml, fluoroscopy time 51±32min and procedure time 134.3±74.7min. Lesions were crossed using an antegrade approach in 70.6% and a combined retrograde/antegrade approach in 29.4%. Crossing was intraluminal in 83.8% and subintimal in 16.2%. Acute procedural success was 95.5%. MAE included pericardial effusion with tamponade in 4.5%. On follow-up, TLR occurred in 6.6% of patients and TVR in 13.1%. There were no definite ST, one (1.6%) probable ST and one (1.6%) possible ST

  2. Urinary metabonomics study of the hepatoprotective effects of total alkaloids from Corydalis saxicola Bunting on carbon tetrachloride-induced chronic hepatotoxicity in rats using (1)H NMR analysis.

    Science.gov (United States)

    Wu, Fang; Zheng, Hua; Yang, Zheng-Teng; Cheng, Bang; Wu, Jin-Xia; Liu, Xu-Wen; Tang, Chao-Ling; Lu, Shi-Yin; Chen, Zhao-Ni; Song, Fang-Ming; Ruan, Jun-Xiang; Zhang, Hong-Ye; Liang, Yong-Hong; Song, Hui; Su, Zhi-Heng

    2017-03-19

    Chronic liver injury has been shown to cause liver fibrosis due to the sustained pathophysiological wound healing response of the liver, and eventually progresses to cirrhosis. The total alkaloids of Corydalis saxicola Bunting (TACS), a collection of important bioactive ingredients derived from the traditional Chinese folk medicine Corydalis saxicola Bunting (CS), have been reported to have protective effects on the liver. However, the underlying molecular mechanisms need further elucidation. In this study, the urinary metabonomics and the biochemical changes in rats with carbon tetrachloride (CCl4)-induced chronic liver injury due to treatment TACS or administration of the positive control drug-bifendate were studied via proton nuclear magnetic resonance ((1)H NMR) analysis. Partial least squares-discriminate analysis (PLS-DA) suggested that metabolic perturbation caused by CCl4 damage was recovered with TACS and bifendate treatment. A total of seven metabolites including 2-oxoglutarate, citrate, dimethylamine, taurine, phenylacetylglycine, creatinine and hippurate were considered as potential biomarkers involved in the development of CCl4-induced chronic liver injury. According to pathway analysis using identified metabolites and correlation network construction, the tricarboxylic acid (TCA) cycle, gut microbiota metabolism and taurine and hypotaurine metabolism were recognized as the most affected metabolic pathways associated with CCl4 chronic hepatotoxicity. Notably, the changes in 2-oxoglutarate, citrate, taurine and hippurate during the process of CCl4-induced chronic liver injury were significantly restored by TACS treatment, which suggested that TACS synergistically mediated the regulation of multiple metabolic pathways including the TCA cycle, gut microbiota metabolism and taurine and hypotaurine metabolism. This study could bring valuable insight to evaluating the efficacy of TACS intervention therapy, help deepen the understanding of the

  3. Heavy-quark pair production in polarized photon-photon collisions at next-to-leading order. Fully integrated total cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Kniehl, B.A.; Kotikov, A.V.; Merebashvili, Z.V.; Veretin, O.L. [Hamburg Univ. (Germany). 2. Inst. fuer Theoretische Physik

    2009-05-15

    We consider the production of heavy-quark pairs in the collisions of polarized and unpolarized on-shell photons and present, in analytic form, the fully integrated total cross sections for total photon spins J{sub z}=0,{+-}2 at next-to-leading-order in QCD. Phenomenological applications include b anti b production, which represents an irreducible background to standard-model intermediate-mass Higgs-boson production, as well as t anti t production. (orig.)

  4. ORIENTATION OF MOLECULAR GROUPS IN CROSS SECTION OF POLYAMIDE-6 FIBER BY INFRARED ATTENUATED TOTAL REFLECTION DICHROISM STUDIES

    Institute of Scientific and Technical Information of China (English)

    SHEN Deyan; ZHANG Shengqing

    1987-01-01

    The polymer fiber usually possess typical uniaxial orientation. The molecular chains are symmetrically distributed around fiber axis. In this work, the orientation of molecular groups in the cross section of polyamide-6 fiber has been measured by using IR ATR method. The results indicated that the polyamide-6fiber mainly contains α-crystalline form. The direction of hydrogen bonds of amide groups is predominately parallel with the surface in the cross section of the fiber.

  5. Increased prevalence of coronary artery disease risk markers in patients with chronic hepatitis C – a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Roed T

    2014-01-01

    Full Text Available Torsten Roed,1 Ulrik Sloth Kristoffersen,2 Andreas Knudsen,1,2 Niels Wiinberg,3 Anne-Mette Lebech,1 Thomas Almdal,4 Reimar W Thomsen,5 Andreas Kjær,2 Nina Weis1,61Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark; 2Department of Clinical Physiology, Nuclear Medicine and PET and Cluster for Molecular Imaging, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; 3Department of Clinical Physiology, Frederiksberg Hospital, Copenhagen, Denmark; 4Steno Diabetes Center, Copenhagen, Denmark; 5Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; 6Faculty of Health Sciences, University of Copenhagen, Copenhagen, DenmarkObjective: Chronic hepatitis C is a global health problem and has been associated with coronary artery disease. Our aim was to examine the prevalence of coronary artery disease risk markers including endothelial biomarkers in patients with chronic hepatitis C and matched comparisons without manifest cardiovascular disease or diabetes in a cross-sectional design.Methods: Sixty patients with chronic hepatitis C (mean age 51 years were recruited from the Department of Infectious Diseases at Copenhagen University Hospital, and compared with 60 age-matched non-hepatitis C virus-infected individuals from a general population survey. We examined traditional coronary artery disease risk factors, metabolic syndrome, carotid intima media thickness, and a range of endothelial biomarkers.Results: Patients with chronic hepatitis C had more hypertension (40% versus 25%, prevalence ratio [PR] 1.6; 95% confidence interval [CI] 0.9–2.7 and smoked more (53% versus 38%, PR 1.4; 95% CI 0.9–2.1. The two groups had similar body mass index (mean 25.0 versus 25.7 kg/m2, whereas those with chronic hepatitis C had less dyslipidemia (including significantly lower low-density lipoprotein and cholesterol/high-density lipoprotein ratio, higher glycosylated hemoglobin level (mean 6.2 versus 5

  6. A measurement of the change of the energy dependence of the total cross-section of phase II solid methane from confinement in aerogel glass

    Energy Technology Data Exchange (ETDEWEB)

    Yan, H., E-mail: haiyan@umail.iu.ed [Department of Physics, Indiana University/IUCF, 2401 Milo B. Sampson Lane, Bloomington, IN 47408 (United States); Baxter, D.V.; Jiang, C.Y.; Kaiser, H.; Shin, Y.C.; Snow, W.M.; Tong, X. [Department of Physics, Indiana University/IUCF, 2401 Milo B. Sampson Lane, Bloomington, IN 47408 (United States)

    2011-02-15

    We report measurements of the energy dependence of the total neutron scattering cross-section of CH{sub 4} both in bulk and confined in aerogel glass for neutron energies between {approx}0.3and {approx}200 meV. Solid CH{sub 4} in phase II is an effective slow neutron moderation medium. Aerogel glass is one example of a broad class of disordered porous media with a large internal surface area. Many disordered materials possess excess low energy modes which have been seen in neutron scattering, and it is known that the confinement of materials inside porous media can produce modifications of the thermodynamic and excitation properties large enough to influence the neutron scattering cross-section. Our measurement shows that the confinement of the methane in pores of aerogel modifies the energy dependence total cross-section relative to bulk CH{sub 4}.

  7. Measurement of the photon proton total cross section at a center-of-mass energy of 209-GeV at HERA

    CERN Document Server

    Chekanov, S; Krakauer, D A; Magill, S; Musgrave, B; Pellegrino, A; Repond, J; Yoshida, R; Mattingly, M C K; Antonioli, P; Bari, G; Basile, M; Bellagamba, L; Boscherini, D; Bruni, A; Bruni, G; Cara Romeo, G; Cifarelli, Luisa; Cindolo, F; Contin, A; Corradi, M; De Pasquale, S; Giusti, P; Iacobucci, G; Levi, G; Margotti, A; Massam, Thomas; Nania, R; Palmonari, F; Pesci, A; Sartorelli, G; Zichichi, A; Aghuzumtsyan, G; Bartsch, D; Brock, I; Crittenden, James Arthur; Goers, S; Hartmann, H; Hilger, E; Irrgang, P; Jakob, H P; Kappes, A; Katz, U F; Kerger, R; Kind, O; Paul, E; Rautenberg, J; Renner, R; Schnurbusch, H; Stifutkin, A; Tandler, J; Voss, K C; Weber, A; Wessoleck, H; Bailey, D S; Brook, N H; Cole, J E; Foster, B; Heath, G P; Heath, H F; Robins, S; Rodrigues, E; Scott, J; Tapper, R J; Wing, M; Capua, M; Mastroberardino, A; Schioppa, M; Susinno, G; Jeoung, H Y; Kim, J Y; Lee, J H; Lim, I T; Ma, K J; Pac, M Y; Caldwell, A; Helbich, M; Liu, X; Mellado, B; Paganis, S; Schmidke, W B; Sciulli, F; Chwastowski, J; Eskreys, Andrzej; Figiel, J; Olkiewicz, K; Przybycien, M B; Stopa, P; Zawiejski, L; Bednarek, B; Grabowska-Bold, I; Jelen, K; Kisielewska, D; Kowal, A M; Kowal, M; Kowal, T; Mindur, B; Rulikowska-Zarebska, E; Suszycki, L; Szuba, D; Szuba, J; Kotanski, Andrzej; Slominski, W; Bauerdick, L A T; Behrens, U; Borras, K; Chiochia, V; Dannheim, D; Desler, K; Drews, G; Fourletova, J; Fox-Murphy, A; Fricke, U; Geiser, A; Göbel, F; Göttlicher, P; Graciani, R; Haas, T; Hain, W; Hartner, G F; Hillert, S; Kötz, U; Kowalski, H; Labes, H; Lelas, D; Löhr, B; Mankel, R; Martens, J; Martínez, M; Moritz, M; Notz, D; Petrucci, M C; Polini, A; Schneekloth, U; Selonke, F; Stonjek, S; Surrow, B; Whitmore, J J; Wichmann, R; Wolf, G; Youngman, C; Zeuner, W; Coldewey, C; López-Duran-Viani, A; Meyer, A; Schlenstedt, S; Barbagli, G; Gallo, E; Genta, C; Pelfer, P G; Bamberger, Andreas; Benen, A; Coppola, N; Markun, P; Raach, H; Wölfle, S; Bell, M; Bussey, Peter J; Doyle, A T; Glasman, C; Hanlon, S; Lee, S W; Lupi, A; McCance, G J; Saxon, D H; Skillicorn, Ian O; Bodmann, B; Holm, U; Salehi, H; Wick, K; Ziegler, A; Carli, T; Gialas, I; Klimek, K; Lohrmann, E; Milite, M; Collins-Tooth, C; Foudas, C; Goncalo, R; Long, K R; Metlica, F; Miller, D B; Tapper, A D; Walker, R; Cloth, P; Filges, D; Kuze, M; Nagano, K; Tokushuku, K; Yamada, S; Yamazaki, Y; Barakbaev, A N; Boos, E G; Pokrovskiy, N S; Zhautykov, B O; Ahn, S H; Lee, S B; Park, S K; Lim, H; Son, D; Barreiro, F; García, G; González, O; Labarga, L; Del Peso, J; Redondo, I; Terron, J; Vázquez, M; Barbi, M; Bertolin, A; Corriveau, F; Ochs, A; Padhi, S; Stairs, D G; Saint-Laurent, M G; Tsurugai, T; Antonov, A; Bashkirov, V; Danilov, P; Dolgoshein, B A; Gladkov, D; Sosnovtsev, V V; Suchkov, S; Dementiev, R K; Ermolov, P F; Golubkov, Yu A; Katkov, I I; Khein, L A; Korotkova, N A; Korzhavina, I A; Kuzmin, V A; Levchenko, B B; Lukina, O Yu; Proskuryakov, A S; Shche, L M; Solomin, A N; Vlasov, N N; Zotkin, S A; Bokel, C; Engelen, J; Grijpink, S; Koffeman, E; Kooijman, P; Maddox, E; Schagen, S; Tassi, E; Tiecke, H G; Tuning, N; Velthuis, J J; Wiggers, L; De Wolf, E; Brümmer, N; Bylsma, B; Durkin, L S; Gilmore, J; Ginsburg, C M; Kim, C L; Ling, T Y; Boogert, S; Cooper-Sarkar, A M; Devenish, R C E; Ferrando, J; Matsushita, T; Rigby, M; Ruske, O; Sutton, M R; Walczak, R; Brugnera, R; Carlin, R; Dal Corso, F; Dusini, S; Garfagnini, A; Limentani, S; Longhin, A; Parenti, A; Posocco, M; Stanco, L; Turcato, M; Adamczyk, L; Oh, B Y; Saull, P R B; Iga, Y; D'Agostini, Giulio; Marini, G; Nigro, A; Cormack, C; Hart, J C; McCubbin, N A; Heusch, C A; Park, I H; Pavel, N; Abramowicz, H; Dagan, S; Gabareen, A; Kananov, S; Kreisel, A; Levy, A; Abe, T; Fusayasu, T; Kohno, T; Umemori, K; Yamashita, T; Hamatsu, R; Hirose, T; Inuzuka, M; Kitamura, S; Matsuzawa, K; Nishimura, T; Arneodo, M; Cartiglia, N; Cirio, R; Costa, M; Ferrero, M I; Maselli, S; Monaco, V; Peroni, C; Ruspa, M; Sacchi, R; Solano, A; Staiano, A; Galea, R; Koop, T; Levman, G M; Martin, J F; Mirea, A; Sabetfakhri, A; Butterworth, J M; Gwenlan, C; Hall-Wilton, R; Hayes, M E; Heaphy, E A; Jones, T W; Lane, J B; Lightwood, M S; West, B J; Ciborowski, J; Ciesielski, R; Grzelak, G; Nowak, R J; Pawlak, J M; Smalska, B; Sztuk, J; Tymieniecka, T; Ukleja, A; Ukleja, J; Zakrzewski, J A; Adamus, M; Plucinsky, P P; Eisenberg, Y; Gladilin, L K; Hochman, D; Karshon, U; Breitweg, J; Chapin, D; Cross, R; Kcira, D; Lammers, S; Reeder, D D; Savin, A A; Smith, W H; Deshpande, A A; Dhawan, S; Hughes, V W; Straub, P B; Bhadra, S; Catterall, C D; Fourletov, S; Menary, S R; Soares, M; Standage, J

    2002-01-01

    The photon-proton total cross section has been measured in the process e+ p -> e+ gamma p -> e+ X with the ZEUS detector at HERA. Events were collected with photon virtuality Q^2 < 0.02 GeV^2 and average gamma-p center-of-mass energy W_{gamma p} = 209 GeV in a dedicated run, designed to control systematic effects, with an integrated luminosity of 49 nb^{-1}. The measured total cross section is sigma_{tot}^{gamma p} = 174 +- 1 (stat.) +- 13 (syst.) microbarns. The energy dependence of the cross section is compatible with parameterizations of high-energy p-p and p-pbar data.

  8. Electron scattering with metastable H*{sub 2}(c{sup 3{Pi}}{sub u}) molecules: ionization and other total cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Joshipura, K N; Kothari, Harshit N; Bhowmik, Pooja [Department of Physics, Sardar Patel University, Vallabh Vidyanagar-388120 (India); Shelat, Foram A [G H Patel College of Engineering and Technology, Vallabh Vidyanagar-388120 (India); Mason, N J, E-mail: harshitkothari_85@yahoo.co.i [Department of Physics and Astronomy, The Open University, Milton Keynes MK7 6AA (United Kingdom)

    2010-07-14

    In this paper, we report total cross sections for electron-induced ionization and excitations from both the excited metastable state H*{sub 2}(c{sup 3}Pcy{sub u}) and the electronic ground state of H{sub 2}. Total cross sections are reported for incident energies from the ionization threshold to 2000 eV using the 'complex scattering potential--ionization contribution' method and the relative importance of various scattering channels, including super-elastic scattering and ionization, are identified. There appear to be no previous data on the ionization cross sections for the metastable target H*{sub 2}(c{sup 3}Pcy{sub u}). This work has potential applications in the fields of plasma physics and planetary atmospheres.

  9. Porphyromonas endodontalis in chronic periodontitis: a clinical and microbiological cross-sectional study

    Directory of Open Access Journals (Sweden)

    Telma Blanca Lombardo Bedran

    2012-01-01

    Full Text Available Although previous studies have shown the presence of Porphyromonas endodontalis in chronic periodontitis associated with periapical lesions, the occurrence of this pathogen in diseased periodontal sites without periapical lesions has been poorly investigated.The aims of this study were to quantify P. endodontalis in patients with chronic periodontitis without periapical lesions, to evaluate the potential correlation of P. endodontalis with Porphyromonas gingivalis and Tannerella forsythia, and to evaluate the ability of periodontal treatment to reduce these pathogens.Patients with generalized chronic periodontitis were selected by recording clinical attachment level (CAL, probing depth (PD, and bleeding on probing (BOP. Subgingival samples from 30 diseased nonadjacent sites (CAL ≥ 5 mm, PD between 5 and 7 mm and positive BOP and 30 healthy nonadjacent sites (PD ≤ 3 mm and negative BOP were collected and subjected to microbial analysis by quantitative polymerase chain reaction (qPCR The variables of age, PD, CAL and BOP of all individuals were analyzed using the paired t-test (GrapPad Prism5®. Data of bacteria quantification were subjected to a normality test (D'Agostino-Pearson Test. For bacterial correlation analysis, the Spearman correlation was used.Our results showed that diseased sites had significantly higher levels of P. endodontalis compared to healthy sites, similar to the results obtained for P. gingivalis and T. forsythia. The numbers of all bacterial species were reduced significantly after mechanical periodontal treatment. P. endodontalis was significantly correlated with the presence of T. forsythia and P. gingivalis in the diseased group.Our results suggest that there is a high prevalence of P. endodontalis, P. gingivalis and T. forsythia in periodontitis sites and that mechanical periodontal treatment is effective at reducing the pathogens studied.

  10. Effect of knee joint icing on knee extension strength and knee pain early after total knee arthroplasty: a randomized cross-over study

    DEFF Research Database (Denmark)

    Holm, Bente; Husted, Henrik; Kehlet, Henrik

    2012-01-01

    Objective: To investigate the acute effect of knee joint icing on knee extension strength and knee pain in patients shortly after total knee arthroplasty.Design: A prospective, single-blinded, randomized, cross-over study.Setting: A fast-track orthopaedic arthroplasty unit at a university hospital...

  11. Measurement of Neutrino and Antineutrino Total Charged-Current Cross Sections on Carbon with MINERvA

    Energy Technology Data Exchange (ETDEWEB)

    Ren, Lu [Univ. of Pittsburgh, PA (United States)

    2017-01-01

    This thesis presents a measurement of charged-current inclusive cross sections of muon neutrino and antineutrino interaction on carbon, and antineutrino to neutrino cross section ratio, r, in the energy range 2 - 22 GeV, with data collected in the MINERA experiment. The dataset corresponds to an exposure of 3.2 x 1020 protons on target (POT) for neutrinos and 1.01020 POT for antineutrinos. Measurement of neutrino and antineutrino charged-current inclusive cross sections provides essential constraints for future long baseline neutrino oscillation experiment at a few GeV energy range. Our measured antineutrino cross section has an uncertainty in the range 6.1% - 10.5% and is the most precise measurement below 6 GeV to date. The measured r has an uncertainty of 5.0% - 7.5%. This is the rst measurement below 6 GeV since Gargamelle in 1970s. The cross sections are measured as a function of neutrino energy by dividing the eciency corrected charged-current sample with extracted uxes. Fluxes are obtained using the low- method, which uses low hadronic energy subsamples of charged-current inclusive sample to extract ux. Measured cross sections show good agreement with the prediction of neutrino interaction models above 7 GeV, and are about 10% below the model below 7 GeV. The measured r agrees with the GENIE model [1] over the whole energy region. The measured cross sections and r are compared with world data.

  12. Comparison between Total Parenteral Nutrition Vs. Partial Parenteral Nutrition on Serum Lipids Among Chronic Ventilator Dependent Patients; A Multi Center Study

    OpenAIRE

    Radpay, Rojan; Poor Zamany Nejat Kermany, Mahtab; Radpay, Badiozaman

    2016-01-01

    Background: Malnutrition is very common among chronically hospitalized patients, especially those in the intensive care unit (ICU). Identifying the patients at risk and providing suitable nutritional support can prevent and/or overcome malnutrition in them. Total parenteral nutrition (TPN) and partial parenteral nutrition (PPN) are two common routes to deliver nutrition to hospitalized patients. We conducted a multicenter, prospective double blind randomized controlled trial to evaluate the b...

  13. Sensitization and cross-sensitization after chronic treatment with methylphenidate in adolescent Wistar rats.

    Science.gov (United States)

    Valvassori, Samira S; Frey, Benício N; Martins, Márcio R; Réus, Gislaine Z; Schimidtz, Filipe; Inácio, Cecília G; Kapczinski, Flávio; Quevedo, João

    2007-05-01

    An increasing debate exists about the potential of early exposure to methylphenidate to increase the risk for drug abuse. In addition, little is known about the neurobiological effects of early exposure to methylphenidate. This study was designed to investigate whether chronic treatment with methylphenidate induces behavioral sensitization to subsequent methylphenidate and D-amphetamine challenge in adolescent Wistar rats. Young Wistar rats (P25) were treated with either methylphenidate (1, 2, or 10 mg/kg, intraperitoneally) or saline for 28 days. After 14 days of washout, animals were challenged with methylphenidate 2.5 mg/kg intraperitoneally or D-amphetamine 2 mg/kg intraperitoneally (P67). Locomotor behavior was assessed using the open field test. Rats chronically treated with methylphenidate in the adolescent period showed augmented locomotor sensitization to D-amphetamine but not to methylphenidate in the adult phase. These findings suggest that early exposure do methylphenidate might increase the risk for subsequent D-amphetamine abuse. Further studies focusing on the neurobiological effects of early exposure to methylphenidate are warranted.

  14. A New High Energy Resolution Neutron Transmission Detector at the Gaerttner LINAC Center and Isotopic Molybdenum Total Cross Section Measurements in the keV-Region

    Science.gov (United States)

    Bahran, Rian M.

    The Gaerttner LINAC Center at Rensselaer Polytechnic Institute is home to a 60 MeV electron linear accelerator (LINAC) that is used as a pulsed neutron source for TOF nuclear data experiments. High energy resolution total cross section measurements for the stable molybdenum isotopes of Mo-95, Mo-96, Mo-98, and Mo-100 were performed with a newly developed modular neutron transmission detector positioned at a 100 m experimental flight station. This work is part of an effort to both improve existing neutron total cross section libraries and measurement capabilities at the Gaerttner LINAC Center in and above the resolved resonance energy region (from 5-620 keV). The overall design optimization process and qualification of the new high resolution detector is presented. Additionally, a new method to quantify the energy-dependent neutron and gamma-ray experimental background of the detector was developed. High resolution isotopic molybdenum total cross section data are of particular importance because stable Mo isotopes can be found in significant concentrations in a nuclear fuel cycle either as a high yield fission product or in alloyed form with applications in reactor piping, fuel cladding, and as an advanced nuclear fuel in the form of U-Mo. The measured total cross section energy range encompasses the resolved resonance region and extends into the unresolved resonance region for each molybdenum isotope. New high accuracy resonance parameters for Mo-95 were generated from fitting experimental data using the multilevel R-matrix Bayesian code SAMMY in the resolved resonance region. In the unresolved resonance region, average resonance parameters and fits to the total cross section were obtained using the Hauser-Feshbach statistical model code FITACS which is embedded in SAMMY.

  15. Effects of alpha-adrenoceptor agonists in chronic morphine administered DSP4-treated rats: evidence for functional cross-sensitization.

    Science.gov (United States)

    Archer, T; Fredriksson, A

    2001-10-01

    Five experiments were performed to study the effects of the Alpha-adrenoceptor agonists, clonidine and guanfacine, upon spontaneous motor activity in chronically morphine administered DSP4-treated and control rats. DSP4 (2 x 50 mg/kg, with a 10-day interval between injections) and vehicle (distilled water) were injected i.p., on each occasion 30 min after zimeldine (20 mg/kg). Morphine dosages were raised incrementally from 5 mg/kg (Days 1-3), through 10 mg/kg (Days 4-7) and 20 mg/kg (Days 8-14), to 30 mg/kg (Days 15-20). Motor activity testing occurred on Day 21, Day 22 as well as in Experiments II-V, (from 1st morphine injection). DSP4 pretreatment and chronic morphine injections each reduced motor activity during the first 30 min of testing; combined DSP4 and morphine treatment potentiated the hypoactivity. Habituation quotients indicated deficits in habituation to the novel test environment by the Vehicle-morphine (Quoteint2 only) and DSP4-morphine groups. Acute clonidine treatment (0.04 mg/kg s.c.) reduced motor activity during the first 30 min of testing but attenuated or blocked the morphine-induced hypoactivity in DSP4-treated and control rats. During the 60-90 min test period, clonidine, but not guanfacine (0.08 mg/kg), potentiated morphine-induced hyperactivity in control rats; acute clonidine enhanced this effect, whereas acute guanfacine reduced it, in the DSP4-treated rats. The enhanced hyperactivity of morphine-clonidine suggest a cross-sensitivity effect. Naloxone (0.1 mg/kg s.c.), injected after the 1st 30-min of testing, potentiated markely the clonidine-induced elevations of motor activity in morphine-administered control rats; in the DSP4-treated rats, these effects were dramatically potentiated, underlining the cross-sensitivity effect. Acute guanfacine treatment reduced motor activity during the first 30 min of testing but did not attenuate reliably morphine-induced hypoactivity in control or DSP4 rats. Naloxone did not potentiate the

  16. State-Selective and Total Single-Capture Cross Sections for Fast Collisions of Multiply Charged Ions with Helium Atoms

    Science.gov (United States)

    Mančev, Ivan; Milojević, Nenad; Belkić, Dževad

    2013-11-01

    The four-body boundary corrected first Born approximation (CB1-4B) is used to calculate the single electron capture cross sections for collisions between fully stripped ions (He2+, Be4+, B5+ and C6+) and helium target at intermediate and high impact energies. The main goal of this study is to assess the usefulness of the CB1-4B method at intermediate and high impact energies for these collisions. Detailed comparisons with the measurements are carried out and the obtained theoretical cross sections are in reasonable agreement with the available experimental data.

  17. Occupation, smoking, and chronic obstructive respiratory disorders: a cross sectional study in an industrial area of Catalonia, Spain

    Directory of Open Access Journals (Sweden)

    Kogevinas Manolis

    2006-02-01

    Full Text Available Abstract Background Few studies have investigated the independent effects of occupational exposures and smoking on chronic bronchitis and airflow obstruction. We assessed the association between lifetime occupational exposures and airflow obstruction in a cross-sectional survey in an urban-industrial area of Catalonia, Spain. Methods We interviewed 576 subjects of both sexes aged 20–70 years (response rate 80% randomly selected from census rolls, using the ATS questionnaire. Forced spirometry was performed by 497 subjects according to ATS normative. Results Lifetime occupational exposure to dust, gases or fumes was reported by 52% of the subjects (63% in men, 41% in women. Textile industry was the most frequently reported job in relation to these exposures (39%. Chronic cough, expectoration and wheeze were more prevalent in exposed subjects with odds ratios ranging from 1.7 to 2.0 being highest among never-smokers (2.1 to 4.3. Lung function differences between exposed and unexposed subjects were dependent on duration of exposure, but not on smoking habits. Subjects exposed more than 15 years to dusts, gases or fumes had lower lung function values (FEV1 -80 ml, 95% confidence interval (CI -186 to 26; MMEF -163 ml, CI -397 to 71; FEV1/FVC ratio -1.7%, CI -3.3 to -0.2 than non-exposed. Conclusion Chronic bronchitis symptoms and airflow obstruction are associated with occupational exposures in a population with a high employment in the textile industry. Lung function impairment was related to the duration of occupational exposure, being independent of the effect of smoking.

  18. Intestinal microbiota-kidney cross talk in acute kidney injury and chronic kidney disease.

    Science.gov (United States)

    Noel, Sanjeev; Martina-Lingua, Maria N; Bandapalle, Samatha; Pluznick, Jennifer; Hamad, Abdel Rahim A; Peterson, Daniel A; Rabb, Hamid

    2014-01-01

    The pathophysiology of acute kidney injury (AKI) involves multiple and overlapping immunological, biochemical, and hemodynamic mechanisms that modulate the effects of both the initial insult and the subsequent repair. Limited but recent experimental data have revealed that the intestinal microbiota significantly affects outcomes in AKI. Additional evidence shows significant changes in the intestinal microbiota in chronic kidney disease patients and in experimental AKI. In this minireview, we discuss the current status of the effect of intestinal microbiota on kidney diseases, the immunomodulatory effects of intestinal microbiota, and the potential mechanisms by which microbiota can modify kidney diseases and vice versa. We also propose future studies to clarify the role of intestinal microbiota in kidney diseases and to explore how the modification of gut microbiota may be a potential therapeutic tool.

  19. Are people with chronic diseases interested in using telehealth? A cross-sectional postal survey.

    Science.gov (United States)

    Edwards, Louisa; Thomas, Clare; Gregory, Alison; Yardley, Lucy; O'Cathain, Alicia; Montgomery, Alan A; Salisbury, Chris

    2014-05-08

    There is growing interest in telehealth-the use of technology to support the remote delivery of health care and promote self-management-as a potential alternative to face-to-face care for patients with chronic diseases. However, little is known about what precipitates interest in the use of telehealth among these patients. This survey forms part of a research program to develop and evaluate a telehealth intervention for patients with two exemplar chronic diseases: depression and raised cardiovascular disease (CVD) risk. The survey was designed to explore the key factors that influence interest in using telehealth in these patient groups. Thirty-four general practices were recruited from two different regions within England. Practice records were searched for patients with (1) depression (aged 18+ years) or (2) 10-year risk of CVD ≥20% and at least one modifiable risk factor (aged 40-74 years). Within each general practice, 54 patients in each chronic disease group were randomly selected to receive a postal questionnaire. Questions assessed five key constructs: sociodemographics, health needs, difficulties accessing health care, technology-related factors (availability, confidence using technology, perceived benefits and drawbacks of telehealth), and satisfaction with prior use of telehealth. Respondents also rated their interest in using different technologies for telehealth (phone, email and Internet, or social media). Relationships between the key constructs and interest in using the three mediums of telehealth were examined using multivariable regression models. Of the 3329 patients who were sent a study questionnaire, 44.40% completed it (872/1740, 50.11% CVD risk; 606/1589, 38.14% depression). Overall, there was moderate interest in using phone-based (854/1423, 60.01%) and email/Internet-based (816/1425, 57.26%) telehealth, but very little interest in social media (243/1430, 16.99%). After adjusting for health needs, access difficulties, technology

  20. Total cross sections of electron collisions with S atoms; H{sub 2}S, OCS and SO{sub 2} molecules (E{sub i} {>=}50 eV)

    Energy Technology Data Exchange (ETDEWEB)

    Joshipura, K.N. [Sardar Patel Univ., Vallabh Vidyanagar (India). Dept. of Physics; Vinodkumar, M. [V.P. and R.P.T.P. Science College, Vallabh Vidyanagar 388 120 (Gujarat) (India)

    1997-07-01

    Collisions of intermediate to high energy electrons are considered with S-atoms as well as H{sub 2}S, OCS and SO{sub 2} molecules as targets. We employ e{sup -}-atom total cross sections calculated in the complex optical potential, to calculate e{sup -}-molecule total cross sections in a simple and a modified Additivity Rule. Our total (elastic + inelastic) cross sections above 50 eV, are reasonably well as compared to various experimental and theoretical data. The calculated inelastic cross sections serve as the upper limit of total ionization cross sections. Results are presented graphically from about 10 to 5000 eV. (orig.)

  1. Measurement of the total cross section from elastic scattering in pp collisions at s=8 TeV with the ATLAS detector

    Directory of Open Access Journals (Sweden)

    M. Aaboud

    2016-10-01

    Full Text Available A measurement of the total pp cross section at the LHC at s=8 TeV is presented. An integrated luminosity of 500 μb−1 was accumulated in a special run with high-β⋆ beam optics to measure the differential elastic cross section as a function of the Mandelstam momentum transfer variable t. The measurement is performed with the ALFA sub-detector of ATLAS. Using a fit to the differential elastic cross section in the −t range from 0.014 GeV2 to 0.1 GeV2 to extrapolate t→0, the total cross section, σtot(pp→X, is measured via the optical theorem to beσtot(pp→X=96.07±0.18(stat.±0.85(exp.±0.31(extr.mb, where the first error is statistical, the second accounts for all experimental systematic uncertainties and the last is related to uncertainties in the extrapolation t→0. In addition, the slope of the exponential function describing the elastic cross section at small t is determined to be B=19.74±0.05(stat.±0.23(syst.GeV−2.

  2. Measurement of the total cross section in proton proton collisions at $\\mathbf{\\sqrt{s}=7}$ TeV with the ALFA sub-detector of ATLAS

    CERN Document Server

    Adamczyk, Leszek; The ATLAS collaboration

    2015-01-01

    Measurement of the total pp cross section at the LHC at $\\sqrt{s} = 7$ TeV is presented. In a special run with high-$\\beta^*$ beam optics, an integrated luminosity of 80 $\\mu$b$^{−1}$ was accumulated in order to measure the differential elastic cross section as a function of the Mandelstam momentum transfer variable $t$. The measurement is performed with the ALFA sub-detector of ATLAS. Using a fit to the differential elastic cross section in the $|t|$ range from 0.01 GeV$^2$ to 0.1 GeV$^2$ to extrapolate to $|t|\\rightarrow 0$, the total cross section, $\\sigma_{tot}(pp \\rightarrow X)$, is measured via the optical theorem to be: $\\sigma_{tot}(pp \\rightarrow X) = 95.35 \\pm 0.38$ (stat.) $\\pm 1.25 $ (exp.) $\\pm 0.37$ (extr.) mb , where the first error is statistical, the second accounts for all experimental systematic uncertainties and the last is related to uncertainties in the extrapolation to $|t|\\rightarrow 0$ . In addition, the slope of the elastic cross section at small $t$ is determined to be $B = 19.73 ...

  3. Exhaled volatile organic compounds for phenotyping chronic obstructive pulmonary disease: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Basanta Maria

    2012-08-01

    Full Text Available Abstract Background Non-invasive phenotyping of chronic respiratory diseases would be highly beneficial in the personalised medicine of the future. Volatile organic compounds can be measured in the exhaled breath and may be produced or altered by disease processes. We investigated whether distinct patterns of these compounds were present in chronic obstructive pulmonary disease (COPD and clinically relevant disease phenotypes. Methods Breath samples from 39 COPD subjects and 32 healthy controls were collected and analysed using gas chromatography time-of-flight mass spectrometry. Subjects with COPD also underwent sputum induction. Discriminatory compounds were identified by univariate logistic regression followed by multivariate analysis: 1. principal component analysis; 2. multivariate logistic regression; 3. receiver operating characteristic (ROC analysis. Results Comparing COPD versus healthy controls, principal component analysis clustered the 20 best-discriminating compounds into four components explaining 71% of the variance. Multivariate logistic regression constructed an optimised model using two components with an accuracy of 69%. The model had 85% sensitivity, 50% specificity and ROC area under the curve of 0.74. Analysis of COPD subgroups showed the method could classify COPD subjects with far greater accuracy. Models were constructed which classified subjects with ≥2% sputum eosinophilia with ROC area under the curve of 0.94 and those having frequent exacerbations 0.95. Potential biomarkers correlated to clinical variables were identified in each subgroup. Conclusion The exhaled breath volatile organic compound profile discriminated between COPD and healthy controls and identified clinically relevant COPD subgroups. If these findings are validated in prospective cohorts, they may have diagnostic and management value in this disease.

  4. An explorative, cross-sectional study into abnormal muscular coupling during reach in chronic stroke patients

    Directory of Open Access Journals (Sweden)

    Stienen Arno HA

    2010-03-01

    Full Text Available Abstract Background In many stroke patients arm function is limited, which can be related to an abnormal coupling between shoulder and elbow joints. The extent to which this can be translated to activities of daily life (ADL, in terms of muscle activation during ADL-like movements, is rather unknown. Therefore, the present study examined the occurrence of abnormal coupling on functional, ADL-like reaching movements of chronic stroke patients by comparison with healthy persons. Methods Upward multi-joint reaching movements (20 repetitions at a self-selected speed to resemble ADL were compared in two conditions: once facilitated by arm weight compensation and once resisted to provoke a potential abnormal coupling. Changes in movement performance (joint angles and muscle activation (amplitude of activity and co-activation between conditions were compared between healthy persons and stroke patients using a repeated measures ANOVA. Results The present study showed slight changes in joint excursion and muscle activation of stroke patients due to shoulder elevation resistance during functional reach. Remarkably, in healthy persons similar changes were observed. Even the results of a sub-group of the more impaired stroke patients did not point to an abnormal coupling between shoulder elevation and elbow flexion during functional reach. Conclusions The present findings suggest that in mildly and moderately affected chronic stroke patients ADL-like arm movements are not substantially affected by abnormal synergistic coupling. In this case, it is implied that other major contributors to limitations in functional use of the arm should be identified and targeted individually in rehabilitation, to improve use of the arm in activities of daily living.

  5. Hepatitis A infection in patients with chronic viral liver disease: a cross-sectional study in Jahrom, Iran.

    Science.gov (United States)

    Ahmadi Vasmehjani, A; Javeshghani, D; Baharlou, R; Shayestehpour, M; Mousavinasab, S D; Joharinia, N; Enderami, S E

    2015-02-01

    Infection with hepatitis A virus (HAV) in patient with chronic liver disease (CLD; due to hepatitis B or hepatitis C) may cause severe disease and fulminant liver failure. This study aimed to determine the seroprevalence of HAV antibodies in patients infected with HCV or HBV in Iran (Jahrom city). A total of 159 patients with underlying CLD were recruited between September 2012 and February 2013. Serum samples were collected from each patient and tested for anti-HAV using enzyme-linked immunosorbent assay (ELISA). The overall seroprevalence of total anti-HAV was 79·2%. Patients aged 20-30 years had the lowest (28·3%) anti-HAV seropositivity and those aged >50 years had the highest (95%) seropositivity. The overall prevalence of anti-HAV in patients with chronic HCV and HBV infection was 93·7% and 77·1%, respectively. The anti-HAV seropositivity in liver cirrhosis patients was 100% compared to CLD patients. Because of low HAV immunity in younger CLD patients, vaccination against HAV should be considered.

  6. Additivity rule for electron-molecule total cross section calculations at 50-5000 eV: a new geometrical approach

    Institute of Scientific and Technical Information of China (English)

    Shi De-Heng; Sun Jin-Feng; Zhu Zun-Lüe; Liu Yu-Fang

    2008-01-01

    Taking into consideration the changes of the geometric shielding effect in a molecule as the energy of incident electrons varies, this paper presents an empirical fraction, which depends on the energy of incident electrons, the target's molecular dimension and the atomic and electronic numbers in the molecule. Using this empirical fraction, it proposes a new formulation of the additivity rule. Employing the new additivity rule, it calculates the total cross sections of electron scattering by C2H4, C6H8, C6H14 and C8H18 over the energy range from 50 to 5000eV. In order to exclude the calculation deviations caused by solving the radial SchriJdinger equation of electron scattering by atoms, here the atomic cross sections are derived from the experimental total cross section results of simple molecules (H2,O2, CO) via the inversion algorithm. The quantitative total cross sections are compared with those obtained by experiments and other theories, and good agreement is obtained over a wide energy range, even at energy of several tens of eV.

  7. Total and partial cross sections of the $^{112}$Sn($\\alpha,\\gamma$)$^{116}$Te reaction measured via in-beam $\\gamma$-ray spectroscopy

    CERN Document Server

    Netterdon, L; Scholz, P; Zilges, A

    2015-01-01

    An extended database of experimental data is needed to address uncertainties of the nuclear-physics input parameters for Hauser-Feshbach calculations. Especially $\\alpha$+nucleus optical model potentials at low energies are not well known. The in-beam technique with an array of high-purity germanium (HPGe) detectors was successfully applied to the measurement of absolute cross sections of an ($\\alpha$,$\\gamma$) reaction on a heavy nucleus at sub-Coulomb energies. The total and partial cross-section values were measured by means of in-beam $\\gamma$-ray spectroscopy. Total and partial cross sections were measured at four different $\\alpha$-particle energies from $E_\\alpha = 10.5$ MeV to $E_\\alpha = 12$ MeV. The measured total cross-section values are in excellent agreement with previous results obtained with the activation technique, which proves the validity of the applied method. The experimental data was compared to Hauser-Feshbach calculations using the nuclear reaction code TALYS. A modified version of the...

  8. Fludarabine Phosphate and Total-Body Irradiation Before Donor Peripheral Blood Stem Cell Transplant in Treating Patients With Chronic Lymphocytic Leukemia or Small Lymphocytic Leukemia

    Science.gov (United States)

    2016-07-18

    B-Cell Prolymphocytic Leukemia; Chronic Lymphocytic Leukemia; Prolymphocytic Leukemia; Recurrent Chronic Lymphocytic Leukemia; Recurrent Small Lymphocytic Lymphoma; Refractory Chronic Lymphocytic Leukemia; T-Cell Prolymphocytic Leukemia

  9. Differences in health status of older people aged 65 and above after total hip replacement compared with the normal population: a cross-sectional study

    DEFF Research Database (Denmark)

    Hørdam, Britta

    2009-01-01

    The aim of the study was to describe the health status of older patients with osteoarthrosis following total hip replacement and to compare their health status with population norms in order to analyse the need for a rehabilitation programme after total hip replacement. Background.  Total hip...... replacement is a very efficient operation in terms of pain relief and improvement of walking ability. However, after the operation some patients still report low health status. Method.  A cross-sectional study including 287 older patients aged 65-74 and 75+ years who had had total hip replacement within...... reported significantly lower scores than the age specific norm population. Conclusion.  Our results indicate that health status is scored lower for patients after total hip replacement. This implies that there might be a need for further postoperative rehabilitation based on the identification of problems...

  10. High-precision Measurement of the 238U(n,γ) Cross Section with the Total Absorption Calorimeter (TAC) at n_TOF, CERN

    CERN Document Server

    Wright, T; Billowes, J; Ware, T; Cano-Ott, D; Mendoza, E; Massimi, C; Mingrone, F; Gunsing, F; Berthoumieux, E; Lampoudis, C; Altstadt, S; Andrzejewski, J; Audouin, L; Barbagallo, M; Bécares, V; Bečvář, F; Belloni, F; Boccone, V; Bosnar, D; Brugger, M; Calviani, M; Calviño, F; Carrapiço, C; Cerutti, F; Chiaveri, E; Chin, M; Colonna, N; Cortés, G; Cortés-Giraldo, M A; Diakaki, M; Domingo-Pardo, C; Duran, I; Dressler, R; Dzysiuk, N; Eleftheriadis, C; Ferrari, A; Fraval, K; Ganesan, S; García, A R; Gómez-Hornillos, M B; Gonçalves, I F; González-Romero, E; Griesmayer, E; Giubrone, G; Gurusamy, P; Jenkins, D G; Jericha, E; Kadi, Y; Käppeler, F; Karadimos, D; Kivel, N; Koehler, P; Kokkoris, M; Korschinek, G; Krtička, M; Kroll, J; Langer, C; Lederer, C; Leeb, H; Leong, L S; Losito, R; Manousos, A; Marganiec, J; Martínez, T; Mastinu, P F; Mastromarco, M; Meaze, M; Mengoni, A; Milazzo, P M; Mirea, M; Mondelaers, W; Paradela, C; Pavlik, A; Perkowski, J; Pignatari, M; Plompen, A; Praena, J; Quesada, J M; Rauscher, T; Reifarth, R; Riego, A; Roman, F; Rubbia, C; Sarmento, R; Schillebeeckx, P; Schmidt, S; Schumann, D; Tagliente, G; Tain, J L; Tarrío, D; Tassan-Got, L; Tsinganis, A; Valenta, S; Vannini, G; Variale, V; Vaz, P; Ventura, A; Versaci, R; Vermeulen, M J; Vlachoudis, V; Vlastou, R; Wallner, A; Weigand, M; Weiß, C; Žugec, P

    2014-01-01

    The neutron capture cross section of U-238 is fundamental to the design and operation of current reactors and future fast nuclear reactors, and thus must be measured to a high level of accuracy. An experiment has been performed at the CERN n TOF facility using a 4 pi Total Absorption Calorimeter (TAC) to measure the capture cross section in the resolved resonance region between 1 eV and 25 keV. A preliminary analysis of the TAC data is presented with particular emphasis to the experimental background in this energy region of interest.

  11. Measurement of the π-p→3π0n total cross section from threshold to 0.75 GeV/c

    Science.gov (United States)

    Starostin, A.; Nefkens, B. M.; Manley, D. M.; Abaev, V. V.; Allgower, C. E.; Bekrenev, V.; Briscoe, W. J.; Clajus, M.; Comfort, J. R.; Craig, K.; Grosnick, D.; Isenhower, D.; Knecht, N.; Koetke, D. D.; Koulbardis, A. A.; Kozlenko, N. G.; Kruglov, S.; Lolos, G.; Lopatin, I. V.; Manweiler, R.; Marušić, A.; McDonald, S.; Olmsted, J.; Papandreou, Z.; Peaslee, D. C.; Phaisangittisakul, N.; Prakhov, S.; Price, J. W.; Ramirez, A. F.; Sadler, M.; Shafi, A.; Spinka, H.; Stanislaus, T. D.; Staudenmaier, H. M.; Supek, I.; Tippens, W. B.

    2003-06-01

    We report a new measurement of the π-p→3π0n total cross section from threshold to pπ=0.75 GeV/c. The cross section near the N(1535)1/2- resonance is only a few μb after subtracting the large η→3π0 background associated with π-p→ηn. A simple analysis of our data results in the estimated branching fraction B[S11→πN(1440)1/2+]=(8±2)%. This is the first such estimate obtained with a three-pion production reaction.

  12. EFFECTS OF STABILIZATION EXERCISE USING A BALL ON MUTIFIDUS CROSS-SECTIONAL AREA IN PATIENTS WITH CHRONIC LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    SinHo Chung

    2013-09-01

    Full Text Available The purpose of this study was to compare the effects of lumbar stabilization exercises using balls to the effects of general lumbar stabilization exercises with respect to changes in the cross section of the multifidus (MF, weight bearing, pain, and functional disorders in patients with non-specific chronic low back pain. Twelve patients participated in either a 8 week (3 days per week stabilization exercise program using balls and control group (n = 12. The computer tomography (CT was used to analyze MF cross-sectional areas (CSA and Tetrax balancing scale was used to analyze left and right weight bearing differences. Both groups had significant changes in the CSA of the MF by segment after training (p < 0.05 and the experimental group showed greater increases at the L4 (F = 9.854, p = 0.005 and L5 (F = 39. 266, p = 0.000. Both groups showed significant decreases in weight bearing, from 9.25% to 5.83% in the experimental group and from 9.33% to 4.25% in the control group (p < 0.05, but did not differ significantly between the two groups. These results suggests that stabilization exercises using ball can increases in the CSA of the MF segments, improvement in weight bearing, pain relief, and recovery from functional disorders, and the increases in the CSA of the MF of the L4 and L5 segments for patients with low back pain

  13. The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation

    Science.gov (United States)

    Van Dongen, Hans P A.; Maislin, Greg; Mullington, Janet M.; Dinges, David F.

    2003-01-01

    OBJECTIVES: To inform the debate over whether human sleep can be chronically reduced without consequences, we conducted a dose-response chronic sleep restriction experiment in which waking neurobehavioral and sleep physiological functions were monitored and compared to those for total sleep deprivation. DESIGN: The chronic sleep restriction experiment involved randomization to one of three sleep doses (4 h, 6 h, or 8 h time in bed per night), which were maintained for 14 consecutive days. The total sleep deprivation experiment involved 3 nights without sleep (0 h time in bed). Each study also involved 3 baseline (pre-deprivation) days and 3 recovery days. SETTING: Both experiments were conducted under standardized laboratory conditions with continuous behavioral, physiological and medical monitoring. PARTICIPANTS: A total of n = 48 healthy adults (ages 21-38) participated in the experiments. INTERVENTIONS: Noctumal sleep periods were restricted to 8 h, 6 h or 4 h per day for 14 days, or to 0 h for 3 days. All other sleep was prohibited. RESULTS: Chronic restriction of sleep periods to 4 h or 6 h per night over 14 consecutive days resulted in significant cumulative, dose-dependent deficits in cognitive performance on all tasks. Subjective sleepiness ratings showed an acute response to sleep restriction but only small further increases on subsequent days, and did not significantly differentiate the 6 h and 4 h conditions. Polysomnographic variables and delta power in the non-REM sleep EEG-a putative marker of sleep homeostasis--displayed an acute response to sleep restriction with negligible further changes across the 14 restricted nights. Comparison of chronic sleep restriction to total sleep deprivation showed that the latter resulted in disproportionately large waking neurobehavioral and sleep delta power responses relative to how much sleep was lost. A statistical model revealed that, regardless of the mode of sleep deprivation, lapses in behavioral alertness

  14. Chronic kidney disease in Canada's First Nations: results of an effective cross-cultural collaboration.

    Science.gov (United States)

    Ashton, Chris W; Duffie, Denise

    2011-01-01

    Chronic kidney disease (CKD) is a serious and growing threat to our First Nations peoples' health. Current evidence indicates more rapid progression of CKD in First Nations populations, leading to markedly increased morbidity and mortality. To address this serious health issue, three First Nations communities, Alderville, Hiawatha and Curve Lake, partnered with the Central East Local Health Integration Network (LHIN), the Peterborough Regional Health Center (PRHC) and local family and specialist physicians. A screening tool was developed based on reported best practices to screen all community members over the age of 19 years for CKD. A unique, highly efficacious project algorithm and an electronic database were created to ensure appropriate, seamless patient care and management in this complex, multi-stakeholder environment based on client risk and CKD stage. Over the course of nine months, the project succeeded in screening 83% of all community members over the age of 19 years; 30% of clients were found to have CKD stage two or greater. A strong correlation was found between diabetes and CKD in project participants. A significant number of clients were referred for specialist care. Critical to the success of this project was the effort made to develop collaborative partnerships among five stakeholder groups: the First Nations communities, the LHIN, PRHC, local family physicians and specialist physicians.

  15. The total flavonoids extracted from Xiaobuxin Tang reverse the hyperactivity of hypothalamic-pituitary-adrenal axis in chronically stressed rats

    Institute of Scientific and Technical Information of China (English)

    AN Lei; ZHANG You-zhi

    2008-01-01

    Objective To investigate the effect of XBXT-2 on the activity of hypothalamic-pituitary-adrenal (HPA) axis in chronic mild stress (CMS) model of rats. Methods Using ELISA to test the serum corticos-terone, adrenocorticotropic hormone (ACTH) and corticotropin-releasing hormone (CRH) level in CMS rats; Using western blot to determine hippocampal glucocorticoids receptors (GR) expression in CMS rats. Results Co-administration of XBXT-2 (25, 50 mg·kg-1, p. o., 28 days, the effective doses for behavioral responses) significantly decreased the serum corticosterone and ACTH level in CMS rats, while the CRH level was not markedly affected by chronic stress or drugs. Moreover, XBXT-2 significantly increased the GR expression in the hippocampus of CMS rats. The same effects were observed in the positive control drug imipramine ( 10 mg·kg-1 p. o. ). Conclusions The decrease of serum corticosterone and ACTH level, as well as the increase of hippocampal GR expression may be the mechanisms underlying the antidepressant action of XBXT-2, which may associate with HPA axis.

  16. Cross-shear implementation in sliding-distance-coupled finite element analysis of wear in metal-on-polyethylene total joint arthroplasty: intervertebral total disc replacement as an illustrative application.

    Science.gov (United States)

    Goreham-Voss, Curtis M; Hyde, Philip J; Hall, Richard M; Fisher, John; Brown, Thomas D

    2010-06-18

    Computational simulations of wear of orthopaedic total joint replacement implants have proven to valuably complement laboratory physical simulators, for pre-clinical estimation of abrasive/adhesive wear propensity. This class of numerical formulations has primarily involved implementation of the Archard/Lancaster relationship, with local wear computed as the product of (finite element) contact stress, sliding speed, and a bearing-couple-dependent wear factor. The present study introduces an augmentation, whereby the influence of interface cross-shearing motion transverse to the prevailing molecular orientation of the polyethylene articular surface is taken into account in assigning the instantaneous local wear factor. The formulation augment is implemented within a widely utilized commercial finite element software environment (ABAQUS). Using a contemporary metal-on-polyethylene total disc replacement (ProDisc-L) as an illustrative implant, physically validated computational results are presented to document the role of cross-shearing effects in alternative laboratory consensus testing protocols. Going forward, this formulation permits systematically accounting for cross-shear effects in parametric computational wear studies of metal-on-polyethylene joint replacements, heretofore a substantial limitation of such analyses.

  17. Usefulness of four commonly used neuropathic pain screening questionnaires in patients with chronic low back pain: a cross-sectional study.

    Science.gov (United States)

    Gudala, Kapil; Ghai, Babita; Bansal, Dipika

    2017-01-01

    Recently symptoms-based screening questionnaires have gained attention for screening for a neuropathic pain component (NePC) in various chronic pain conditions. The present study assessed the usefulness of four commonly used NePC screening questionnaires including the Self-completed douleur neuropathique 4 (S-DN4), the ID Pain, the painDETECT questionnaire (PDQ), and the Self-completed Leeds Assessment of neuropathic Symptoms and Signs (S-LANSS) questionnaire in patients with chronic low back pain (CLBP) to assess the presence of NePC. This is a single-center cross-sectional study where patients with CLBP, with or without leg pain, were included. Participants were initially screened for NePC presence by a physician according to the regular practice, and later assessed using screening questionnaires. The diagnostic accuracy of these questionnaires was compared assuming the physician-made diagnosis as the gold standard. A total of 215 patients with CLBP of which 164 (76.3%, 95% CI, 70.2-81.5) had a NePC were included. S-DN4, ID Pain, and PDQ have an area under the curve (AUC) > 0.8 indicating excellent discrimination. However, S-LANSS has an AUC of 0.69 (0.62-0.75), indicating low discrimination. S-DN4 has a significantly higher AUC as compared to ID Pain (d(AUC) = 0.063, P questionnaires can only be used as an initial clue in screening for NePCs, but do not replace clinical judgment.

  18. Measurement of the total photoabsorption cross section on a proton in the energy range 600-1500 MeV at the GRAAL

    Energy Technology Data Exchange (ETDEWEB)

    Bartalini, O. [Universita di Roma II Tor Vergata (Italy); Bellini, V. [Universita di Catania (Italy); Bocquet, J. P.; Calvat, P. [Laboratoire de Physique Subatomique et de Cosmologie, IN2P3 (France); D' Angelo, A. [Universita di Roma II Tor Vergata (Italy); Didelez, J.-P. [Institut de Physique Nucleaire d' Orsay, IN2P3 (France); Di Salvo, R.; Fantini, A. [Universita di Roma II Tor Vergata (Italy); Ghio, F.; Girolami, B. [INFN Sezione di Roma I (Italy); Guidal, M. [Institut de Physique Nucleaire d' Orsay, IN2P3 (France); Giusa, A. [Universita di Catania (Italy); Hourany, E. [Institut de Physique Nucleaire d' Orsay, IN2P3 (France); Ignatov, A. S. [Russian Academy of Sciences, Institute for Nuclear Research (Russian Federation); Kunne, R. [Institut de Physique Nucleaire d' Orsay, IN2P3 (France); Lapik, A. M.; Sandri, P. Levi [INFN Laboratori Nazionali di Frascati (Italy); Lleres, A. [Laboratoire de Physique Subatomique et de Cosmologie, IN2P3 (France); Moricciani, D. [Universita di Roma II Tor Vergata (Italy); Mushkarenkov, A. N. [Russian Academy of Sciences, Institute for Nuclear Research (Russian Federation); and others

    2008-01-15

    The total photoabsorption cross section on a free proton was measured at the GRAAL facility in the energy range E{sub {gamma}} = 600-1500 MeV. The large-aperture LAGRAN{gamma}E detector and a liquid hydrogen target were used in the experiment performed with a back-scattered Compton gamma beam. To improve the accuracy, two alternative methods were employed. First, a subtraction method of using empty-target measurements allowed the cross section {sigma}{sub tot} to be evaluated directly because of a low level of the electromagnetic background. Second, an algorithm for evaluating {sigma}{sub tot} on the basis of summing the dominating partial cross sections was developed. Experimental results obtained for {sigma}{sub tot} by the two methods are compared with existing data.

  19. Measurements of the Total Charge-Changing Cross Sections for Collisions of Fast Ions with Target Gas Using High Current Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Covo, Michel Kireeff; Molvik, Arthur W.; Kaganovich, Igor D.; Shnidman, Ariel; Vujic, Jasmina L.

    2009-04-13

    The sum of ionization and charge-exchange cross sections of several gas targets (H2, N2, He, Ne, Kr, Xe, Ar, and water vapor) impacted by 1MeV K+ beam are measured. In a high current ion beam, the self-electric field of the beam is high enough that ions produced from the gas ionization or charge exchange by the ion beam are quickly swept to the sides of accelerator. The flux of the expelled ions is measured by a retarding field analyzer. This allows accurate measuring of the total charge-changing cross sections (ionization plus charge exchange) of the beam interaction with gas. Cross sections for H2, He, and N2 are simulated using classical trajectory Monte Carlo (CTMC) method and compared with the experimental results, showing good agreement.

  20. Electron collisions with sulfur compounds SO, SO{sub 2} and SO{sub 2}AB (A, B = Cl, F): various total cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Joshipura, K N; Gangopadhyay, Sumona [Department of Physics, Sardar Patel University, Vallabh Vidyanagar 388 120 (India)], E-mail: knjoshipura@yahoo.com

    2008-11-14

    This paper reports our theoretical investigations into electron scattering with SO, SO{sub 2}, SO{sub 2}Cl{sub 2}, SO{sub 2}ClF and SO{sub 2}F{sub 2} in the energy range from the ionization threshold to 2000 eV. The present studies are prompted by the occurrence and applications of these molecular species in atmospheric and astrophysical systems, together with a paucity of data for SO and SO{sub 2}AB (A, B = Cl, F) species. Complex model potential calculations are carried out to find total elastic as well as inelastic cross sections, and ionization cross sections are retrieved from inelastic cross sections in a semi-empirical approximation. Comparisons with other data are made and discussed.

  1. Evaluation of n + /sup 242/Pu reactions from 10 keV to 20 MeV. [Total cross sections, neutron emission energy dependence

    Energy Technology Data Exchange (ETDEWEB)

    Madland, D.G.; Young, P.G.

    1978-10-01

    An evaluation of the n + /sup 242/Pu cross sections is presented for the neutron energy range of 10 keV to 20 MeV. The total fission and radiative capture cross sections are based upon experimental measurements on /sup 242/Pu. The remaining cross sections, together with the elastic and inelastic angular distributions to low-lying states, were calculated using various reaction models. An expression is presented for the energy dependence of the average number of neutrons produced per fission. The results were placed in ENDF/B-V format and combined with a recent evaluation of data below 10 keV by the Hanford Engineering Development Laboratory, so that a complete data set covering the energy range of 10/sup -5/ eV to 20 MeV is available. 41 references. (JFP)

  2. Chronic activation of plasma renin is log-linearly related to dietary sodium and eliminates natriuresis in response to a pulse change in total body sodium

    DEFF Research Database (Denmark)

    Kjolby, Mads; Bie, Peter

    2008-01-01

    data, we demonstrate that RAAS variables are log-linearly related to sodium intake over a >250-fold range in sodium intake, defining dietary sodium function lines that are simple measures of the sodium sensitivity of the RAAS. The dietary function line for plasma ANG II concentration increases from...... theoretical zero at a daily sodium intake of 17 mmol Na/kg (intercept) with a slope of 16 pM increase per decade of decrease in dietary sodium intake.......Responses to acute sodium loading depend on the load and on the level of chronic sodium intake. To test the hypothesis that an acute step increase in total body sodium (TBS) elicits a natriuretic response, which is dependent on the chronic level of TBS, we measured the effects of a bolus of Na...

  3. Total electron scattering cross sections of molecules containing H, C, N, O and F in the energy range 0.2–6.0 keV

    Energy Technology Data Exchange (ETDEWEB)

    Gurung, Meera Devi; Ariyasinghe, W.M., E-mail: wickram_ariyasinghe@baylor.edu

    2017-03-15

    Based on the effective atomic total electron scattering cross sections (EATCS) of atoms in a molecular environment, a simple model is proposed to predict the total electron scattering cross sections (TCS) of H, C, N, O, and F containing molecules. The EATCS for these five atoms are reported for 0.2–6.0 keV energies. The predicted TCS by this model are compared with experimental TCS in the literature. The experimental TCS of CHF{sub 3}, C{sub 2}F{sub 4}, C{sub 2}F{sub 2}H{sub 2}, C{sub 4}F{sub 6}, and c-C{sub 4}F{sub 8} have been obtained for 0.2–4.5 keV electrons by measuring the attenuation of the electron beam through a gas cell.

  4. Total electron scattering cross sections of molecules containing H, C, N, O and F in the energy range 0.2-6.0 keV

    Science.gov (United States)

    Gurung, Meera Devi; Ariyasinghe, W. M.

    2017-03-01

    Based on the effective atomic total electron scattering cross sections (EATCS) of atoms in a molecular environment, a simple model is proposed to predict the total electron scattering cross sections (TCS) of H, C, N, O, and F containing molecules. The EATCS for these five atoms are reported for 0.2-6.0 keV energies. The predicted TCS by this model are compared with experimental TCS in the literature. The experimental TCS of CHF3, C2F4, C2F2H2, C4F6, and c-C4F8 have been obtained for 0.2-4.5 keV electrons by measuring the attenuation of the electron beam through a gas cell.

  5. Electron impact total (elastic + inelastic) cross sections with simple molecules consisting of N & O atoms at 100- 1600 eV

    Institute of Scientific and Technical Information of China (English)

    Jinfeng Sun(孙金锋); Deheng Shi(施德恒); Zunlue Zhu (朱遵略); Yufang Liu (刘玉芳)

    2003-01-01

    A model complex optical potential rewritten by the conception of bonded atom, which considers the overlapping effect of electron cloud, is employed to calculate the total (elastic + inelastic) cross sections with simple molecules (N2, O2, NO2, NO, N2O) consisting of N & O atoms over an incident energy range of 100 - 1600 Ev by the use of additivity rule at Roothaan-Hartree-Fock level. In the study, the complex optical potential composed of static, exchange, correlation polarization plus absorption contributions firstly uses bonded-atom conception. The qualitative results are compared with experimental data and other calculations wherever available and good agreement is obtained. The total cross sections of electronmolecule scattering above 100 Ev can be successfully calculated.

  6. Measurement of the total cross section from elastic scattering in $pp$ collisions at $\\sqrt{s}=8$ TeV with the ATLAS detector

    CERN Document Server

    Aaboud, Morad; Abbott, Brad; Abdallah, Jalal; Abdinov, Ovsat; Abeloos, Baptiste; Aben, Rosemarie; AbouZeid, Ossama; Abraham, Nicola; Abramowicz, Halina; Abreu, Henso; Abreu, Ricardo; Abulaiti, Yiming; Acharya, Bobby Samir; Adachi, Shunsuke; Adamczyk, Leszek; Adams, David; Adelman, Jahred; Adomeit, Stefanie; Adye, Tim; Affolder, Tony; Agatonovic-Jovin, Tatjana; Agricola, Johannes; Aguilar-Saavedra, Juan Antonio; Ahlen, Steven; Ahmadov, Faig; Aielli, Giulio; Akerstedt, Henrik; Åkesson, Torsten Paul Ake; Akimov, Andrei; Alberghi, Gian Luigi; Albert, Justin; Albrand, Solveig; Alconada Verzini, Maria Josefina; Aleksa, Martin; Aleksandrov, Igor; Alexa, Calin; Alexander, Gideon; Alexopoulos, Theodoros; Alhroob, Muhammad; Ali, Babar; Aliev, Malik; Alimonti, Gianluca; Alison, John; Alkire, Steven Patrick; Allbrooke, Benedict; Allen, Benjamin William; Allport, Phillip; Aloisio, Alberto; Alonso, Alejandro; Alonso, Francisco; Alpigiani, Cristiano; Alshehri, Azzah Aziz; Alstaty, Mahmoud; Alvarez Gonzalez, Barbara; Άlvarez Piqueras, Damián; Alviggi, Mariagrazia; Amadio, Brian Thomas; Amako, Katsuya; Amaral Coutinho, Yara; Amelung, Christoph; Amidei, Dante; Amor Dos Santos, Susana Patricia; Amorim, Antonio; Amoroso, Simone; Amundsen, Glenn; Anastopoulos, Christos; Ancu, Lucian Stefan; Andari, Nansi; Andeen, Timothy; Anders, Christoph Falk; Anders, Gabriel; Anders, John Kenneth; Anderson, Kelby; Andreazza, Attilio; Andrei, George Victor; Angelidakis, Stylianos; Angelozzi, Ivan; Anger, Philipp; Angerami, Aaron; Anghinolfi, Francis; Anisenkov, Alexey; Anjos, Nuno; Annovi, Alberto; Antel, Claire; Antonelli, Mario; Antonov, Alexey; Anulli, Fabio; Aoki, Masato; Aperio Bella, Ludovica; Arabidze, Giorgi; Arai, Yasuo; Araque, Juan Pedro; Arce, Ayana; Arduh, Francisco Anuar; Arguin, Jean-Francois; Argyropoulos, Spyridon; Arik, Metin; Armbruster, Aaron James; Armitage, Lewis James; Arnaez, Olivier; Arnold, Hannah; Arratia, Miguel; Arslan, Ozan; Artamonov, Andrei; Artoni, Giacomo; Artz, Sebastian; Asai, Shoji; Asbah, Nedaa; Ashkenazi, Adi; Åsman, Barbro; Asquith, Lily; Assamagan, Ketevi; Astalos, Robert; Atkinson, Markus; Atlay, Naim Bora; Augsten, Kamil; Avolio, Giuseppe; Axen, Bradley; Ayoub, Mohamad Kassem; Azuelos, Georges; Baak, Max; Baas, Alessandra; Baca, Matthew John; Bachacou, Henri; Bachas, Konstantinos; Backes, Moritz; Backhaus, Malte; Bagiacchi, Paolo; Bagnaia, Paolo; Bai, Yu; Baines, John; Baker, Oliver Keith; Baldin, Evgenii; Balek, Petr; Balestri, Thomas; Balli, Fabrice; Balunas, William Keaton; Banas, Elzbieta; Banerjee, Swagato; Bannoura, Arwa A E; Barak, Liron; Barberio, Elisabetta Luigia; Barberis, Dario; Barbero, Marlon; Barillari, Teresa; Barisits, Martin-Stefan; Barklow, Timothy; Barlow, Nick; Barnes, Sarah Louise; Barnett, Bruce; Barnett, Michael; Barnovska-Blenessy, Zuzana; Baroncelli, Antonio; Barone, Gaetano; Barr, Alan; Barranco Navarro, Laura; Barreiro, Fernando; Barreiro Guimarães da Costa, João; Bartoldus, Rainer; Barton, Adam Edward; Bartos, Pavol; Basalaev, Artem; Bassalat, Ahmed; Bates, Richard; Batista, Santiago Juan; Batley, Richard; Battaglia, Marco; Bauce, Matteo; Bauer, Florian; Bawa, Harinder Singh; Beacham, James; Beattie, Michael David; Beau, Tristan; Beauchemin, Pierre-Hugues; Bechtle, Philip; Beck, Hans~Peter; Becker, Kathrin; Becker, Maurice; Beckingham, Matthew; Becot, Cyril; Beddall, Andrew; Beddall, Ayda; Bednyakov, Vadim; Bedognetti, Matteo; Bee, Christopher; Beemster, Lars; Beermann, Thomas; Begel, Michael; Behr, Janna Katharina; Belanger-Champagne, Camille; Bell, Andrew Stuart; Bella, Gideon; Bellagamba, Lorenzo; Bellerive, Alain; Bellomo, Massimiliano; Belotskiy, Konstantin; Beltramello, Olga; Belyaev, Nikita; Benary, Odette; Benchekroun, Driss; Bender, Michael; Bendtz, Katarina; Benekos, Nektarios; Benhammou, Yan; Benhar Noccioli, Eleonora; Benitez, Jose; Benjamin, Douglas; Bensinger, James; Bentvelsen, Stan; Beresford, Lydia; Beretta, Matteo; Berge, David; Bergeaas Kuutmann, Elin; Berger, Nicolas; Beringer, Jürg; Berlendis, Simon; Bernard, Nathan Rogers; Bernius, Catrin; Bernlochner, Florian Urs; Berry, Tracey; Berta, Peter; Bertella, Claudia; Bertoli, Gabriele; Bertolucci, Federico; Bertram, Iain Alexander; Bertsche, Carolyn; Bertsche, David; Besjes, Geert-Jan; Bessidskaia Bylund, Olga; Bessner, Martin Florian; Besson, Nathalie; Betancourt, Christopher; Bethani, Agni; Bethke, Siegfried; Bevan, Adrian John; Bianchi, Riccardo-Maria; Bianchini, Louis; Bianco, Michele; Biebel, Otmar; Biedermann, Dustin; Bielski, Rafal; Biesuz, Nicolo Vladi; Biglietti, Michela

    2016-01-01

    A measurement of the total $pp$ cross section at the LHC at $\\sqrt{s}=8$ TeV is presented. An integrated luminosity of $500$ $\\mu$b$^{-1}$ was accumulated in a special run with high-$\\beta^{\\star}$ beam optics to measure the differential elastic cross section as a function of the Mandelstam momentum transfer variable $t$. The measurement is performed with the ALFA sub-detector of ATLAS. Using a fit to the differential elastic cross section in the $-t$ range from $0.014$ GeV$^2$ to $0.1$ GeV$^2$ to extrapolate $t\\rightarrow 0$, the total cross section, $\\sigma_{\\mathrm{tot}}(pp\\rightarrow X)$, is measured via the optical theorem to be: $\\sigma_{\\mathrm{tot}}(pp\\rightarrow X) = \\mbox{96.07} \\; \\pm 0.18 \\; ({\\mbox{stat.}}) \\pm 0.85 \\; ({\\mbox{exp.}}) \\pm 0.31 \\; (\\mbox{extr.}) \\; \\mbox{mb} \\;,$ where the first error is statistical, the second accounts for all experimental systematic uncertainties and the last is related to uncertainties in the extrapolation $t\\rightarrow 0$. In addition, the slope of the exponen...

  7. Total, inelastic and (quasi-)elastic cross sections of high energy pA and gamma-A reactions with the dipole formalism

    CERN Document Server

    Gustafson, Gosta; Ster, Andras; Corgo, Tamas

    2015-01-01

    In order to understand the initial partonic state in proton-nucleus and electron-nucleus collisions, we investigate the total, inelastic, and (quasi-)elastic cross sections in pA and gamma-A collisions, as these observables are insensitive to possible collective effects in the final state interactions. We used as a tool the DIPSY dipole model, which is based on BFKL dynamics including non-leading effects, saturation, and colour interference, which we have extended to describe collisions of protons and virtual photons with nuclei. We present results for collisions with O, Cu, and Pb nuclei, and reproduce preliminary data on the pPb inelastic cross section at LHC by CMS and LHCb. The large NN cross section results in pA scattering that scales approximately with the area. The results are compared with conventional Glauber model calculations, and we note that the more subtle dynamical effects are more easily studied in the ratios between the total, inelastic and (quasi-)elastic cross sections. The smaller photon ...

  8. Measurement of the Total Hadronic Cross Section in e+e- Annihilations below 10.56 GeV

    CERN Document Server

    Besson, D; Cronin-Hennessy, D; Gao, K Y; Hietala, J; Klein, T; Kubota, Y; Lang, B W; Poling, R; Scott, A W; Smith, A; Zweber, P; Dobbs, S; Metreveli, Z V; Seth, K K; Tomaradze, A G; Ernst, J; Ecklund, K M; Severini, H; Dytman, S A; Love, W; Savinov, V; Aquines, O; López, A; Mehrabyan, S; Méndez, H; Ramírez, J; Huang, G S; Miller, D H; Pavlunin, V; Sanghi, B; Shipsey, I P J; Xin, B; Adams, G S; Anderson, M; Cummings, J P; Danko, I; Hu, D; Moziak, B; Napolitano, J; He, Q; Insler, J; Muramatsu, H; Park, C S; Thorndike, E H; Yang, F; Artuso, M; Blusk, S; Butt, J; Li, J; Menaa, N; Mountain, R; Nisar, S; Randrianarivony, K; Sia, R; Skwarnicki, T; Stone, S; Wang, J C; Zhang, K; Bonvicini, G; Cinabro, D; Dubrovin, M; Lincoln, A; Asner, D M; Edwards, K W; Naik, P; Briere, R A; Ferguson, T; Tatishvili, G T; Vogel, H; Watkins, M E; Rosner, J L; Adam, N E; Alexander, J P; Berkelman, K; Cassel, D G; Duboscq, J E; Ehrlich, R; Fields, L; Galik, R S; Gibbons, L; Gray, R; Gray, S W; Hartill, D L; Heltsley, B K; Hertz, D; Jones, C D; Kandaswamy, J; Kreinick, D L; Kuznetsov, V E; Mahlke-Krüger, H; Mohapatra, D; Onyisi, P U E; Patterson, J R; Peterson, D; Pivarski, J; Riley, D; Ryd, A; Sadoff, A J; Schwarthoff, H; Shi, X; Stroiney, S; Sun, W M; Wilksen, T; Athar, S B; Patel, R; Potlia, V; Yelton, J; Rubin, P; Cawlfield, C; Eisenstein, B I; Karliner, I; Kim, D; Lowrey, N; Selen, M; White, E J; Wiss, J; Mitchell, R E; Shepherd, M R

    2007-01-01

    Using the CLEO III detector, we measure absolute cross sections for e+e- --> hadrons at seven center-of-mass energies between 6.964 and 10.538 GeV. The values of the strong coupling constant of alpha_s(s) derived from our data are compatible with QCD predictions and imply an average QCD energy scale Lambda = 0.31^{+0.09 +0.29}_{-0.08 -0.21} GeV and an average alpha_s(M_{Z}^2) = 0.126 +/- 0.005 ^{+0.015}_{-0.011}, where the uncertainties are statistical and systematic, respectively.

  9. A complete set of total cross sections for imaginary parts of nd forward scattering amplitudes and three-nucleon force effects

    CERN Document Server

    Ishikawa, S; Iseri, Y

    2001-01-01

    In the neutron-deuteron scattering, four total cross sections are shown to form a complete set for the determination of the imaginary parts of the forward amplitudes because of the optical theorem. The amplitudes are decomposed into scalar and tensor ones in the spin space. Contributions of three-nucleon forces (3NF) to these amplitudes are studied, by the Faddeev calculation, which predicts significant tensor effects of the 3NF.

  10. Translation, cross-cultural adaptation, and validity of the Korean version of the pain sensitivity questionnaire in chronic pain patients.

    Science.gov (United States)

    Kim, Ho-Joong; Ruscheweyh, Ruth; Yeo, Ji-Hyun; Cho, Hyeon-Guk; Yi, Je-Min; Chang, Bong-Soon; Lee, Choon-Ki; Yeom, Jin S

    2014-11-01

    The purpose of this study was to translate pain sensitivity questionnaires (PSQ) into the Korean language, perform a cross-cultural adaption of the PSQ, and validate the Korean version of PSQ in patients with degenerative spinal disease. The PSQ was translated forward and backward, cross-culturally adapted by 2 independent translators, and approved by an expert committee. The final Korean version of the PSQ was tested on 72 patients with degenerative spinal disease. Test-retest reliability was evaluated for 60 patients (83%) who completed the second assessment in an interval of 4 weeks. The mean PSQ-minor, PSQ-moderate, and PSQ-total (standard deviation [SD]) were 5.40 (2.02), 6.46 (1.98), and 5.93 (1.93), respectively. The PSQ-total, PSQ-minor, and PSQ-moderate of the Korean version showed very good internal consistencies determined by the Cronbach's α of 0.926, 0.869, and 0.877, respectively. For convergent validity, the PSQ scores of the Korean version showed significant correlations with pain catastrophizing scale (PCS) (r = 0.377, P = 0.002; r = 0.365, P = 0.003; r = 0.362, P = 0.003 for PSQ-total, PSQ-minor, and PSQ-moderate of the Korean version, respectively). For test-retest reliability, the intraclass correlation coefficients were 0.782 for PSQ-total, 0.752 for PSQ-minor, and 0.793 for PSQ-moderate. In conclusion, the validated Korean version of PSQ is a transculturally equivalent, reliable, and valid tool to assess individual pain sensitivity. © 2013 World Institute of Pain.

  11. A modification potential method for electron scattering total cross section calculations on several molecules at 30-5000eV

    Institute of Scientific and Technical Information of China (English)

    施德恒; 孙金锋; 朱遵略; 刘玉芳

    2005-01-01

    A complex optical model potential modified by incorporating the concept of bonded atom which takes into consideration the overlapping effect of electron clouds between two atoms in a molecule is employed to calculate the total cross sections for electron scattering in such molecules as N2, NO, NO2, CH4, CF4, CF3H, C2H2 and C2H4 at 30-5000eV using the additivity rule model at Hartree-Fock level. The quantitative total cross sections are compared with those obtained in experiments and other theories, wherever available, and good agreement is obtained at 30-5000eV. It is shown that the modified calculation results are much closer to the available experimental data than the unmodified ones at lower energies, especially below 500eV. Therefore, considering the overlapping effect of electron clouds in the complex optical model potential could be helpful for better calculation results about electron scattering total cross sections from molecules.

  12. New measurement of the p-{anti p} total cross section at {radical}S = 1.8 TeV

    Energy Technology Data Exchange (ETDEWEB)

    Avila, C.; Guss, C.; Mondardini, M.R. [Cornell Univ., Ithaca, NY (United States). Lab. of Nuclear Studies

    1997-09-01

    A new type of detector capable of reaching very small angles was successfully used in Fermilab E811 in Jan. 1996. It consists of a bundle of 15,000 scintillating fibers each of 100 {micro}m diameter. The fibers are oriented parallel to the beam and gave a measuring resolution of 38 {micro}m transverse to the beam. In this report the authors analyzed about 50,000 elastics as close as 3 mm from the beam. Simulated data runs show that the total cross section should be obtained to an accuracy of {+-}2%. The smallest t-bin used has a background subtraction of {approximately}20%, but for most of the t-bins the background is much smaller and the detection efficiency is over 95%. Very preliminary analysis gives a total cross section of {approximately}71 mb at {radical}s = 1.8 TeV using a luminosity-independent method. This is consistent with the earlier Fermilab E710 result which used a different kind of elastic detector. The rho-value analysis has not yet been completed. A personal interpretation (by Orear) of a slower rise in the total cross section is given at the end.

  13. Measurement of proton-proton elastic scattering and total cross-section at $\\sqrt{s}$ = 7 TeV

    CERN Document Server

    Antchev, G; Atanassov, I; Avati, V; Baechler, J; Berardi, V; Berretti, M; Bossini, E; Bozzo, M; Brogi, P; Brucken, E; Buzzo, A; Cafagna, F S; Calicchio, M; Catanesi, M G; Covault, C.; Csanad, M.; Csorgo, T.; Deile, M.; Eggert, K.; Eremin, V.; Ferretti, R.; Ferro, F.; Fiergolski, A.; Garcia, F.; Giani, S.; Greco, V.; Grzanka, L.; Heino, J.; Hilden, T.; Intonti, R.A.; Kaspar, J.; Kopal, J.; Kundrat, V.; Kurvinen, K.; Lami, S.; Latino, G.; Lauhakangas, R.; Leszko, T.; Lippmaa, E.; Lokajıcek, M.; Lo Vetere, M.; Macrı, M.; Maki, T.; Mercadante, A.; Minafra, N.; Minutoli, S.; Nemes, F.; Niewiadomski, H.; Oliveri, E.; Oljemark, F.; Orava, R.; Oriunno, M.; Osterberg, K.; Palazzi, P.; Prochazka, J.; Quinto, M.; Radermacher, E.; Radicioni, E.; Ravotti, F.; Robutti, E.; Rodrıguez, F.L.; Ropelewski, L.; Ruggiero, G.; Saarikko, H.; Santroni, A.; Scribano, A.; Smajek, J.; Snoeys, W.; Sziklai, J.; Taylor, C.; Turini, N.; Vacek, V.; Vıtek, M.; Welti, J.; Whitmore, J.

    2013-01-01

    At the LHC energy of $\\sqrt{s}$ = 7 TeV, under various beam and background conditions, luminosities, and Roman Pot positions, TOTEM has measured the differential cross-section for proton-proton elastic scattering as a function of the four-momentum transfer squared t. The results of the different analyses are in excellent agreement demonstrating no sizeable dependence on the beam conditions. Due to the very close approach of the Roman Pot detectors to the beam center ( around 5 $\\sigma$ beam) in a dedicated run with $\\beta$* = 90m, abs(t)-values down to 5 10**-3 GeV**2 were reached. The exponential slope of the differential elastic cross-section in this newly explored abs(t)-region remained unchanged and thus an exponential fit with only one constant B = (19.90+/-0.3)GeV-2 over the large abs(t)-range from 0.005 to 0.2GeV**2 describes the differential distribution well. The high precision of the measurement and the large fit range lead to an error on the slope parameter B which is remarkably small compared to p...

  14. Changes of Serum Total and Free Testosterone Concentrations in Male Chronic Hemodialysis Patients with Secondary Hyperparathyroidism in Response to Cinacalcet Treatment

    Directory of Open Access Journals (Sweden)

    Piotr Kuczera

    2016-01-01

    Full Text Available Background/Aims: Calcium sensing receptor (CaSR is expressed, among others also in testis. Cinacalcet binds to the CaSR, increases sensitivity of CaSR to serum calcium and is used in the treatment of secondary hyperparathyroidism (sHPT in chronic hemodialysis patients (HDP. In most of male HDP, serum testosterone concentration is lower than in healthy males. The aim of this study was to assess the influence of six-month treatment with cinacalcet on the serum total and free testosterone concentration in male HDP with sHPT. Methods: 38 male, hemodialysed CKD patients with sHPT (PTH>300 pg/ml were enrolled into the study. In each patient serum PTH, total testosterone (TT and free testosterone (FT concentrations were assessed before the first dose of cinacalcet and then after 3 and 6 months of treatment. The results are presented as means with 95% confidence interval. Results: In 33 patients who completed the study cinacalcet treatment caused significant decrease of serum PTH from 1143 pg/ml (828 - 1458 pg/ml at the baseline, to 809 pg/ml (487 - 1132pg/ml after 3 month of treatment (p = 0.002, and to 607 pg/ml (281 - 934pg/ml; p Conclusion: Treatment with cinacalcet decreases serum total and free testosterone concentration in male hemodialysed patients with chronic kidney disease and secondary hyperparathyroidism.

  15. Migraine headaches in Chronic Fatigue Syndrome (CFS: Comparison of two prospective cross-sectional studies

    Directory of Open Access Journals (Sweden)

    Merck Samantha J

    2011-03-01

    Full Text Available Abstract Background Headaches are more frequent in Chronic Fatigue Syndrome (CFS than healthy control (HC subjects. The 2004 International Headache Society (IHS criteria were used to define CFS headache phenotypes. Methods Subjects in Cohort 1 (HC = 368; CFS = 203 completed questionnaires about many diverse symptoms by giving nominal (yes/no answers. Cohort 2 (HC = 21; CFS = 67 had more focused evaluations. They scored symptom severities on 0 to 4 anchored ordinal scales, and had structured headache evaluations. All subjects had history and physical examinations; assessments for exclusion criteria; questionnaires about CFS related symptoms (0 to 4 scale, Multidimensional Fatigue Inventory (MFI and Medical Outcome Survey Short Form 36 (MOS SF-36. Results Demographics, trends for the number of diffuse "functional" symptoms present, and severity of CFS case designation criteria symptoms were equivalent between CFS subjects in Cohorts 1 and 2. HC had significantly fewer symptoms, lower MFI and higher SF-36 domain scores than CFS in both cohorts. Migraine headaches were found in 84%, and tension-type headaches in 81% of Cohort 2 CFS. This compared to 5% and 45%, respectively, in HC. The CFS group had migraine without aura (60%; MO; CFS+MO, with aura (24%; CFS+MA, tension headaches only (12%, or no headaches (4%. Co-morbid tension and migraine headaches were found in 67% of CFS. CFS+MA had higher severity scores than CFS+MO for the sum of scores for poor memory, dizziness, balance, and numbness ("Neuro-construct", p = 0.002 and perceived heart rhythm disturbances, palpitations and noncardiac chest pain ("Cardio-construct"; p = 0.045, t-tests after Bonferroni corrections. CFS+MO subjects had lower pressure-induced pain thresholds (2.36 kg [1.95-2.78; 95% C.I.] n = 40 and a higher prevalence of fibromyalgia (47%; 1990 criteria compared to HC (5.23 kg [3.95-6.52] n = 20; and 0%, respectively. Sumatriptan was beneficial for 13 out of 14 newly diagnosed

  16. Chronicity of Challenging Behaviours in People with Severe Intellectual Disabilities and/or Autism: A Total Population Sample

    Science.gov (United States)

    Murphy, Glynis H.; Beadle-Brown, Julie; Wing, Lorna; Gould, Judy; Shah, Amitta; Nan, Holmes

    2005-01-01

    The skills, social impairments and challenging behaviours of a total population of 166 children, with severe intellectual disabilities and/or autism, were assessed through interview with the main carers, when the children were under 15 years old (time 1). Twelve years later, 141 of these individuals were re-assessed, using the same measures (time…

  17. Chronic exposure to MDMA (Ecstasy elicits behavioral sensitization in rats but fails to induce cross-sensitization to other psychostimulants

    Directory of Open Access Journals (Sweden)

    Swann Alan C

    2006-01-01

    Full Text Available Abstract Background The recreational use of 3,4-methylenedioxymethamphetamine (MDMA, ecstasy among adolescents and young adults has become increasingly prevalent in recent years. While evidence suggests that the long-term consequences of MDMA use include neurodegeneration to serotonergic and, possibly, dopaminergic pathways, little is known about susceptibility, such as behavioral sensitization, to MDMA. Methods The objectives of this study were to examine the dose-response characteristics of acute and chronic MDMA administration in rats and to determine whether MDMA elicits behavioral sensitization and whether it cross-sensitizes with amphetamine and methylphenidate. Adult male Sprague-Dawley rats were randomly divided into three MDMA dosage groups (2.5 mg/kg, 5.0 mg/kg, and 10.0 mg/kg and a saline control group (N = 9/group. All three MDMA groups were treated for six consecutive days, followed by a 5-day washout, and subsequently re-challenged with their respective doses of MDMA (day 13. Rats were then given an additional 25-day washout period, and re-challenged (day 38 with similar MDMA doses as before followed by either 0.6 mg/kg amphetamine or 2.5 mg/kg methylphenidate on the next day (day 39. Open-field locomotor activity was recorded using a computerized automated activity monitoring system. Results Acute injection of 2.5 mg/kg MDMA showed no significant difference in locomotor activity from rats given saline (control group, while animals receiving acute 5.0 mg/kg or 10.0 mg/kg MDMA showed significant increases in locomotor activity. Rats treated chronically with 5.0 mg/kg and 10.0 mg/kg MDMA doses exhibited an augmented response, i.e., behavioral sensitization, on experimental day 13 in at least one locomotor index. On experimental day 38, all three MDMA groups demonstrated sensitization to MDMA in at least one locomotor index. Amphetamine and methylphenidate administration to MDMA-sensitized animals did not elicit any significant change

  18. Pattern of vascular remodeling of distal reference segment after recanalization of chronic total occlusion, long-term angiographic follow-up

    Directory of Open Access Journals (Sweden)

    Wassam El Din Hadad El Shafey

    2017-06-01

    Full Text Available Chronic total occlusion (CTO is probably caused by thrombus and lipid-rich cholesterol esters that are replaced over time by collagen and calcium deposition. Experimental models showed endothelial cell necrosis in response to vessel ligation, whereas more recent models suggest that the endothelium might retain viability guiding the subsequent development of CTO, including CTO neo-revascularization, which occurs within the lumen and in various layers of the vessel wall, by the release of paracrine substances. It is uncertain whether after CTO recanalization the recovery of anterograde reverses endothelial dysfunction, thus promoting vasodilation and positive remodeling.

  19. Subintimal TRAnscatheter Withdrawal (STRAW) of hematomas compressing the distal true lumen: a novel technique to facilitate distal reentry during recanalization of chronic total occlusion (CTO).

    Science.gov (United States)

    Smith, Elliot J; Di Mario, Carlo; Spratt, James C; Hanratty, Colm G; de Silva, Ranil; Lindsay, Alistair C; Grantham, J Aaron

    2015-01-01

    The development of a large hematoma impairing visualization of the distal true lumen is a recognized complication of antegrade recanalization of chronic total occlusions, often forcing the operator to abort the procedure or switch to a retrograde approach. We describe a novel technique utilizing an over-the-wire balloon inflated in the proximal occluded vessel to block inflow and allow aspiration of the blood from the subintimal space. This decompressed the true lumen, restored distal visualization, and allowed successful reentry using a dedicated technology. Utilization of this novel technique may rescue antegrade recanalization attempts complicated by large subintimal hematomas.

  20. The evaluation of serum total sialic acid and lipid-bound sialic acid levels in chronically exposed rats to 7,12-dimethylbenz(a)anthracene and fluoride

    Science.gov (United States)

    Oto, Gokhan; Ekin, Suat; Uyar, Hasan; Ozdemir, Hulya; Yıldız, Damla; Karakuş, Yagmur

    2017-04-01

    In this study, changes in serum total sialic acid (TSA) and lipid-bound sialic acid (LSA) levels were examined in chronically exposed rats to 7,12-dimethylbenz(a)anthracene (DMBA) and fluoride. This study demonstrated that the TSA, LSA levels increased more in DMBA-treated groups compared to the fluoride treated groups. The result obtained has shown that the harmful effect of DMBA which is also causing more cell membrane damage on human and animal health should be taken into consideration.

  1. Bioresorbable vascular scaffold (BVS) for in-stent chronic total occlusion: Antegrade recanalization and IVUS-guided BVS implantation by radial access

    Energy Technology Data Exchange (ETDEWEB)

    Medda, Massimo [Interventional Cardiology Unit, Istituto Clinico Sant' Ambrogio, Milano (Italy); Casilli, Francesco, E-mail: frcasill@tin.it [Interventional Cardiology Unit, Istituto Clinico Sant' Ambrogio, Milano (Italy); Bande, Marta [Interventional Cardiology Unit, Istituto Clinico Sant' Ambrogio, Milano (Italy); Latini, Maria Giulia [Cardiologia Interventistica, IRCCS Policlinico San Donato, San Donato Milanese, Milano (Italy); Ghommidh, Mehdi [Interventional Cardiology Unit, Istituto Clinico Sant' Ambrogio, Milano (Italy); Del Furia, Francesca [Unità Operativa di Cardiologia, Azienda Ospedaliera di Melegnano, Milano (Italy); Inglese, Luigi [Interventistica Cardiovascolare, Gruppo Sanitario Policlinico di Monza, Milano (Italy)

    2016-01-15

    The completely absorbable stents represent one of the latest innovations in the field of interventional cardiology, prospecting the possibility of “vascular repair”. In the published trials (ABSORB Cohort A and B, ABSORB EXTEND, and ABSORB II, III and IV) chronic total occlusions (CTOs) were considered an exclusion criteria. More recently the CTO-ABSORB pilot study demonstrated the safety and feasibility of bioresorbable vascular scaffold (BVS) use in case of CTO recanalization. We present the first case, to our knowledge, of in-stent occlusion successfully treated with an everolimus-eluting BVS and discuss its potential advantages in such kind of lesions.

  2. Pulmonary rehabilitation after total laryngectomy: a randomized cross-over clinical trial comparing two different heat and moisture exchangers (HMEs).

    Science.gov (United States)

    Herranz, Jesús; Espiño, María Alvarez; Morado, Carolina Ogen

    2013-09-01

    Post-laryngectomy heat and moisture exchanger (HME) use is known to have a beneficial effect on tracheal climate, pulmonary symptoms and related aspects. This study aims to investigate differences in clinical effects between the first and second generation Provox HMEs. The second generation (Provox XtraHME) has better humidification properties than the first generation (Provox HME), and has been shown to further improve tracheal climate. Forty-five laryngectomized patients, who were already using an HME, participated in a prospective, randomized cross-over clinical study in which each HME was used for 6 weeks. Results showed that for most parameters studied, the second generation HME performed equally well or better than the first generation HME. The improvement in tracheal climate translated into patients reporting significantly less tracheal dryness with the second generation than with the first generation (p = 0.039). Using an HME with better humidification properties is related to a reduction in tracheal dryness in our study population.

  3. Comparison of steady state femoral head penetration rates between two highly cross-linked polyethylenes in total hip arthroplasty.

    Science.gov (United States)

    Whittaker, John-Paul; Charron, Kory D; McCalden, Richard W; Macdonald, Steven J; Bourne, Robert B

    2010-08-01

    Given that the manufacture of highly cross-linked polyethylene (HXLPE) is not standardized, the behavior of these materials may vary. Our study compares minimum 5-year steady state femoral head penetration rates using the Martell method, in 2 HXPLEs produced by different manufacturers. Patients received a primary hip arthroplasty using an uncemented acetabular component with an HXLPE liner and a 28-mm femoral head. Forty-seven patients in group A received an HXLPE liner (Reflection XLPE, Smith and Nephew Inc, Memphis, Tenn), and 36 patients in group B received a different HXLPE liner (Longevity, Zimmer Inc, Warsaw, Ind). Average follow-up was 6.42 years in group A and 7.64 years in group B. The steady state head penetration rates were not significantly (P > .05) different between the HXPLE groups over the midterm with 0.026 mm/y and 0.025 mm/y in groups A and B, respectively.

  4. Comparison of outcomes of allogeneic transplantation for chronic myeloid leukemia with cyclophosphamide in combination with intravenous busulfan, oral busulfan, or total body irradiation.

    Science.gov (United States)

    Copelan, Edward A; Avalos, Belinda R; Ahn, Kwang Woo; Zhu, Xiaochun; Gale, Robert Peter; Grunwald, Michael R; Hamadani, Mehdi; Hamilton, Betty K; Hale, Gregory A; Marks, David I; Waller, Edmund K; Savani, Bipin N; Costa, Luciano J; Ramanathan, Muthalagu; Cahn, Jean-Yves; Khoury, H Jean; Weisdorf, Daniel J; Inamoto, Yoshihiro; Kamble, Rammurti T; Schouten, Harry C; Wirk, Baldeep; Litzow, Mark R; Aljurf, Mahmoud D; van Besien, Koen W; Ustun, Celalettin; Bolwell, Brian J; Bredeson, Christopher N; Fasan, Omotayo; Ghosh, Nilanjan; Horowitz, Mary M; Arora, Mukta; Szer, Jeffrey; Loren, Alison W; Alyea, Edwin P; Cortes, Jorge; Maziarz, Richard T; Kalaycio, Matt E; Saber, Wael

    2015-03-01

    Cyclophosphamide (Cy) in combination with busulfan (Bu) or total body irradiation (TBI) is the most commonly used myeloablative conditioning regimen in patients with chronic myeloid leukemia (CML). We used data from the Center for International Bone Marrow Transplantation Research to compare outcomes in adults who underwent hematopoietic cell transplantation for CML in first chronic phase after myeloablative conditioning with Cy in combination with TBI, oral Bu, or intravenous (i.v.) Bu. Four hundred thirty-eight adults received human leukocyte antigen (HLA)-matched sibling grafts and 235 received well-matched grafts from unrelated donors (URD) from 2000 through 2006. Important differences existed between the groups in distribution of donor relation, exposure to tyrosine kinase inhibitors, and year of transplantation. In multivariate analysis, relapse occurred less frequently among patients receiving i.v. Bu compared with TBI (relative risk [RR], .36; P = .022) or oral Bu (RR, .39; P = .028), but nonrelapse mortality and survival were similar. A significant interaction was detected between donor relation and the main effect in leukemia-free survival (LFS). Among recipients of HLA-identical sibling grafts, but not URD grafts, LFS was better in patients receiving i.v. Bu (RR, .53; P = .025) or oral Bu (RR, .64; P = .017) compared with TBI. In CML in first chronic phase, Cy in combination with i.v. Bu was associated with less relapse than TBI or oral Bu. LFS was better after i.v. or oral Bu compared with TBI.

  5. CLINICAL REABILITATION OF UPPER LIMB IN CHRONIC STROKE IN PORTUGAL A CROSS SECTIONAL SURVEY

    Directory of Open Access Journals (Sweden)

    Andre Vieira

    2016-02-01

    Full Text Available Background: More than 77% of stroke survivors have upper limb dysfunction. The scientific evidence for interventions in upper limb rehabilitation in stroke has shown variable results. To improve health care treatments in this domain it is needed to know what modalities are actually being used by physiotherapists. Methods: A national web-based survey focused in characterizing the profile of Portuguese physiotherapists working in post-stroke upper limb rehabilitation was conducted in 237 health institutions (n= 462 physiotherapists. The recruitment was conducted from August to December 2014. Analytic and descriptive analysis were used. Results: A total of 179 physiotherapists from 64 different locations from Portugal answered the survey, with a rate of response of 38.7%. The average age of respondents was 29.25±6.4 years old and predominantly finished the graduation or bachelor degree between 2001 and 2010. More than half hadn´t carried out any specialization in neurologic rehabilitation area. The top 5 modalities most used in the rehabilitation of upper limb in acute stroke are Goal Oriented Tasks (93.4% n=141, Motor Learning (89.4% n=135, Passive Mobilization (88.7% n=134, Task Repetition (87.4% n=132 and Bobath/Neurodevelopmental Therapy (86.9% n=131. Conclusions: The main modalities used for physiotherapists in upper limb rehabilitation in acute stroke have sparse levels of evidence. It is important to alert teachers, formers, physiotherapists and students for interventions with supported scientific results.

  6. Development of a tunable diode laser absorption sensor for online monitoring of industrial gas total emissions based on optical scintillation cross-correlation technique.

    Science.gov (United States)

    Zhang, Zhirong; Pang, Tao; Yang, Yang; Xia, Hua; Cui, Xiaojuan; Sun, Pengshuai; Wu, Bian; Wang, Yu; Sigrist, Markus W; Dong, Fengzhong

    2016-05-16

    We report the first application of gas total emission using a DFB diode laser for gas concentration measurements combined with two LEDs for gas velocity measurements. In situ gas total emissions and particle density measurements in an industrial pipeline using simultaneous tunable diode laser absorption spectroscopy (TDLAS) and optical scintillation cross-correlation technique (OSCC) are presented. Velocity mean values obtained are 7.59 m/s (OSCC, standard deviation is 1.37 m/s) and 8.20 m/s (Pitot tube, standard deviation is 1.47 m/s) in a steel plant pipeline for comparison. Our experiments demonstrate that the combined system of TDLAS and OSCC provides a new versatile tool for accurate measurements of total gas emissions.

  7. Heparin versus low molecular weight heparin K 2165 in chronic hemodialysis patients: a randomized cross-over study.

    Science.gov (United States)

    Borm, J J; Krediet, R; Sturk, A; ten Cate, J W

    1986-01-01

    Ten patients on chronic intermittent hemodialysis treatment received either unfractionated heparin or low molecular weight (LMW) heparin K 2165 in a single-blinded randomized cross-over study to assess: effects on hemostasis and ex vivo platelet functions, and effectiveness, i.e. prevention of fibrin formation in the extracorporeal circuit. The 20 dialysis treatments were without untoward side effects, for both drugs used. The variation in the plasma anti-Xa activities was significantly less during K 2165 treatment than during heparinization. No differences between the drugs were observed regarding the Ivy bleeding time, platelet count and platelet aggregation (spontaneous, and induced by ADP and collagen). Plasma platelet factor 4 levels did not increase under K 2165 to such an extent as under heparin. Both drugs did not influence the plasma levels of beta-thromboglobulin, thromboxane B2 and platelet serotonin content. K 2165 did not affect platelet adhesion to collagen, in contrast to heparin which substantially inhibited platelet adhesion. Under both treatments, 4 minor clots were observed in 4 artificial kidneys, despite plasma anti-Xa levels in between 0.19 and 0.46 U/ml. K 2165 may therefore be considered as effective an anticoagulant as heparin, with less effects on ex vivo platelet functions.

  8. Assessment of the Asian Neurogastroenterology and Motility Association Chronic Constipation Criteria: An Asian Multicenter Cross-sectional Study.

    Science.gov (United States)

    Gwee, Kok-Ann; Bergmans, Paul; Kim, JinYong; Coudsy, Bogdana; Sim, Angelia; Chen, Minhu; Lin, Lin; Hou, Xiaohua; Wang, Huahong; Goh, Khean-Lee; Pangilinan, John A; Kim, Nayoung; Varannes, Stanislas Bruley des

    2017-04-30

    There is a need for a simple and practical tool adapted for the diagnosis of chronic constipation (CC) in the Asian population. This study compared the Asian Neurogastroenterology and Motility Association (ANMA) CC tool and Rome III criteria for the diagnosis of CC in Asian subjects. This multicenter, cross-sectional study included subjects presenting at outpatient gastrointestinal clinics across Asia. Subjects with CC alert symptoms completed a combination Diagnosis Questionnaire to obtain a diagnosis based on 4 different diagnostic methods: self-defined, investigator's judgment, ANMA CC tool, and Rome III criteria. The primary endpoint was the level of agreement/disagreement between the ANMA CC diagnostic tool and Rome III criteria for the diagnosis of CC. The primary analysis comprised of 449 subjects, 414 of whom had a positive diagnosis according to the ANMA CC tool. Rome III positive/ANMA positive and Rome III negative/ANMA negative diagnoses were reported in 76.8% and 7.8% of subjects, respectively, resulting in an overall percentage agreement of 84.6% between the 2 diagnostic methods. The overall percentage disagreement between these 2 diagnostic methods was 15.4%. A higher level of agreement was seen between the ANMA CC tool and self-defined (374 subjects [90.3%]) or investigator's judgment criteria (388 subjects [93.7%]) compared with the Rome III criteria. This study demonstrates that the ANMA CC tool can be a useful for Asian patients with CC.

  9. Basement membrane and vascular remodelling in smokers and chronic obstructive pulmonary disease: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Muller H Konrad

    2010-07-01

    Full Text Available Abstract Background Little is known about airway remodelling in bronchial biopsies (BB in smokers and chronic obstructive pulmonary disease (COPD. We conducted an initial pilot study comparing BB from COPD patients with nonsmoking controls. This pilot study suggested the presence of reticular basement membrane (Rbm fragmentation and altered vessel distribution in COPD. Methods To determine whether Rbm fragmentation and altered vessel distribution in BB were specific for COPD we designed a cross-sectional study and stained BB from 19 current smokers and 14 ex-smokers with mild to moderate COPD and compared these to 15 current smokers with normal lung function and 17 healthy and nonsmoking subjects. Results Thickness of the Rbm was not significantly different between groups; although in COPD this parameter was quite variable. The Rbm showed fragmentation and splitting in both current smoking groups and ex-smoker COPD compared with healthy nonsmokers (p Conclusions Airway remodelling in smokers and mild to moderate COPD is associated with fragmentation of the Rbm and altered distribution of vessels in the airway wall. Rbm fragmentation was also present to as great an extent in ex-smokers with COPD. These characteristics may have potential physiological consequences.

  10. A cross-sectional study of dialysis practice-patterns in patients with chronic kidney disease on maintenance hemodialysis.

    Science.gov (United States)

    Kulkarni, Manjunath Jeevanna; Jamale, Tukaram; Hase, Niwrutti K; Jagdish, Pradeep Kiggal; Keskar, Vaibhav; Patil, Harsha; Shete, Abhijeet; Patil, Chetan

    2015-09-01

    We studied the dialysis practice-patterns with regard to various aspects of chronic kidney disease (CKD) stage 5D, like anemia, mineral bone disease, vaccination, hospitalization, hypertension and cost of therapy. Four hundred and sixty-four adult hemodialysis (HD) patients from various dialysis centers of Mumbai were included in the study. The mean age of the study patients was 47.2 years. Temporary dialysis catheters were the most common initial vascular access. Thirteen percent of prevalent HD patients were on temporary catheters; 33% of patients had history of failure of arterio-venous fistula. The most common cause of failure was access thrombosis. About 75% of the patients had hemoglobin dialysis treatment is no panacea to renal failure; HD patients have higher hospitalization rates and lower quality of life than the general population. The therapy itself brings with it a unique set of problems, such as vascular access-related complications, which cause significant mortality and morbidity. This study was a study of the current HD practices. The primary goal of this cross-sectional observational study is to understand dialysis practices and obtain data that can be used to improve care in the future.

  11. Salty taste thresholds and preference in patients with chronic kidney disease according to disease stage: A cross-sectional study.

    Science.gov (United States)

    Kim, Tae Hee; Kim, Young Hoon; Bae, Na Yeong; Kang, Shin Sook; Lee, Jung Bok; Kim, Soon Bae

    2017-08-09

    The present study was performed to evaluate the differences in salty taste thresholds among normal controls and non-dialysis chronic kidney disease (CKD) patients according to disease stage and to evaluate the relationship between salty taste thresholds or preferences and mean spot urine sodium concentrations. This cross-sectional study enrolled 436 patients with non-dialysis CKD and 74 normal controls. We evaluated detection and recognition thresholds, salty taste preferences and salt usage behaviours (through a questionnaire) in CKD patients and normal controls. We averaged the three most recent spot urine sodium concentrations and used this 'mean spot urine sodium' value to estimate sodium intake in CKD patients. Detection thresholds of stages 3 and 5 and recognition thresholds of stage 3 CKD patients were higher than those of normal controls. Salty taste preferences of stage 5 and salt usage behaviour scores of stages 4 and 5 CKD patients were lower than those of normal controls. Univariate analysis showed that estimated glomerular filtration rate (eGFR), salt usage behaviour score, salty taste preference, smoking, gender and zinc level were significantly associated with mean spot urine sodium in CKD patients. Multiple regression analysis showed that the eGFR and salty taste preference were independently correlated with mean spot urine sodium. Education to change salty taste preferences and regular follow up are necessary to decrease salt intake in CKD patients. © 2017 Dietitians Association of Australia.

  12. Total and Total ionization Cross sections for Germanium hydrides GeHx (x=1-4) on electron impact from 0.1 eV to 5 keV

    Science.gov (United States)

    Vinodkumar, Minaxi; Limbachiya, Chetan; Korot, Kirti; Joshipura, K. N.; Mason, Nigel

    2008-10-01

    Germanium hydrides, in particular germane, GeH4, are widely used as feed gases in plasma deposition and doping processes in the semiconductor industries. In this paper we report electron impact total cross sections from 0.1 eV to 5 keV for GeHx (x=1-4). We employed R-matrix method using Quantemol N[1] till 15 eV and spherical complex optical potential formalism (SCOP) [2-3] beyond 15 eV. We also report total ionization cross sections using our Complex Scattering Potential -- ionization contribution (CSP-ic) [2,3] for these targets. Ref. [1] J.Tennyson, D.B. Brown, J.Munro I.Rozum, H.Varambhia, N.Vinci Journal of Physics: Conference Series 86 (2007) 012001 [2] M. Vinodkumar, C. Limbachiya, K.N. Joshipura, K. Korot, Eur. J. Phys. D. (2008) DOI: 10.1140/epjd/e2008-00106-3 [3] M. Vinodkumar, C. Limbachiya, K.N.Joshipura, K. Korot, Nigel Mason Int. J. Mass Spectrom 273 (2008) 145.

  13. Diffractive, inelastic and total cross sections in high energy pp, pA and γ*A reactions with the dipole formalism

    Energy Technology Data Exchange (ETDEWEB)

    Ster, Andras [MTA Wigner FK, RMI, H-1525 Budapest 114, POBox 49 (Hungary)

    2015-04-10

    The Lund Monte Carlo model DIPSY has recently been extended to ions to study elastic, inelastic and diffractive processes in high energy collisions between electrons, protons and nuclei. In this BFKL-based dipole formalism of parton interactions fluctuations are naturally included and adding them to the pomeron ladder substantially determine the diffractive excitation cross sections of the processes. Starting from √(s{sub NN})=200 GeV and √(s{sub γ*N})=100 GeV we provide results for pp, pA and γ*A total, inelastic and diffractive cross sections that are shown and discussed in case of pp, pO, pCu, pPb and γ*Au reactions. We find good agreement with pp and pPb data. We find that the diffractive cross sections are relatively small compared to the total ones but with increasing collision energies they grow faster than the elastic or the inelastic ones. We make a comparison to calculations obtained by the more conventional method of the Glauber Model MC, too.

  14. Fast, cross cultivar determination of total carotenoids in intact carrot tissue by Raman spectroscopy and Partial Least Squares calibration.

    Science.gov (United States)

    Lawaetz, Anders J; Christensen, Signe M U; Clausen, Sabine K; Jørnsgaard, Bjarne; Rasmussen, Søren K; Andersen, Svend B; Rinnan, Åsmund

    2016-08-01

    In order to speed up the breeding of orange carrots for high carotenoid content it is imperative to develop a fast and non-destructive technique. 332 roots from 86 carrot varieties grown in 2014 at the experimental farm in Høje Taastrup (DK) form the basis of this study. All roots were measured by Raman spectroscopy. The carotenoid content of the very same roots was estimated through a wet chemistry method coupled with UV-VIS at 447nm and 540nm. For the Raman spectroscopy, measurements were made on a cross section disk approximately 10cm from the root top at three different positions in the phloem. Since the top of the carrot is intact, it may still be used for growing. The final calibration model shows an uncertainty (RMSECV) of 20.5ppm, and a R(2)=0.86. It has thus proven to be well suited for prediction of carotenoids in orange carrots, and especially for ranking them according to the content. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Cross-sectional neck response of a total human body FE model during simulated frontal and side automobile impacts.

    Science.gov (United States)

    White, Nicholas A; Moreno, Daniel P; Gayzik, F Scott; Stitzel, Joel D

    2015-01-01

    Human body finite element (FE) models are beginning to play a more prevalent role in the advancement of automotive safety. A methodology has been developed to evaluate neck response at multiple levels in a human body FE model during simulated automotive impacts. Three different impact scenarios were simulated: a frontal impact of a belted driver with airbag deployment, a frontal impact of a belted passenger without airbag deployment and an unbelted side impact sled test. Cross sections were created at each vertebral level of the cervical spine to calculate the force and moment contributions of different anatomical components of the neck. Adjacent level axial force ratios varied between 0.74 and 1.11 and adjacent level bending moment ratios between 0.55 and 1.15. The present technique is ideal for comparing neck forces and moments to existing injury threshold values, calculating injury criteria and for better understanding the biomechanical mechanisms of neck injury and load sharing during sub-injurious and injurious loading.

  16. 5-hydroxytryptamine (5-HT) reduces total peripheral resistance during chronic infusion: direct arterial mesenteric relaxation is not involved

    OpenAIRE

    Davis, Robert Patrick; Pattison, Jill; Janice M Thompson; Tiniakov, Ruslan; Scrogin, Karie E.; Watts, Stephanie W.

    2012-01-01

    Serotonin (5-hydroxytryptamine; 5-HT) delivered over 1 week results in a sustained fall in blood pressure in the sham and deoxycorticosterone acetate (DOCA)-salt rat. We hypothesized 5-HT lowers blood pressure through direct receptor-mediated vascular relaxation. In vivo, 5-HT reduced mean arterial pressure (MAP), increased heart rate, stroke volume, cardiac index, and reduced total peripheral resistance during a 1 week infusion of 5-HT (25 µg/kg/min) in the normotensive Sprague Dawley rat. T...

  17. CART and Reverse CART Technique in the Retrograde Percutaneous Coronary Intervention of Chronic Total Occlusion%CART和反向CART技术在逆向PCI中的应用

    Institute of Scientific and Technical Information of China (English)

    孙党辉; 李悦

    2011-01-01

    控制性正向-逆向内膜下寻径(CART)和反向CART技术是近年来慢性完全闭塞病变介入治疗重要的技术进展,大大提高了慢性完全闭塞病变经皮冠状动脉介入治疗(PCI)成功率.CART和反向CART技术的开展要求术者具有较丰富的正向PCI操作经验,根据自身技术能力、设备条件和患者病变特点合理选择恰当的PCI治疗技术.在血管内超声指导下反向CART技术的应用进一步提高了手术的成功率和安全性.%CART and reverse CART technique are considered as the important current techniques in percutaneous coronary interven-tion for chronic total occlusion, and have great improved success rates of the recanalization of the chronic total occlusion. IVUS-guided re-verse CART could further elevate the success rate and safety of CTO recanalization. Because of the learning-carve, the operator should per-form antegrade recanalization well first, and choose best way according to the skill of the operator,and the facilities and the lesion condition.

  18. The effects of chronic periodontitis and rheumatoid arthritis on serum and gingival crevicular fluid total antioxidant/oxidant status and oxidative stress index.

    Science.gov (United States)

    Esen, Cağrı; Alkan, Banu Arzu; Kırnap, Mehmet; Akgül, Ozgür; Işıkoğlu, Semra; Erel, Ozcan

    2012-06-01

    Chronic periodontitis (CP) and rheumatoid arthritis (RA) appear to share many pathologic features. Oxygen metabolism has an important role in the pathogenesis of both CP and RA. The aim of this study is to evaluate the relationship between these two chronic inflammatory diseases with regard to antioxidant and oxidant status. A total of 80 participants were divided into four groups of 20 each: group RA-CP (patients with RA and CP), group RA (periodontally healthy patients with RA), group CP (systemically healthy patients with CP), and group C (periodontally and systemically healthy volunteers) were included in the study. After assessment of periodontal measurements, gingival crevicular fluid (GCF) samples were taken at one incisor, premolar, and molar tooth and stored with serum samples at -80°C for the antioxidant/oxidant assay. Although all clinical measurements in groups RA-CP and CP were statistically higher compared to those of C and RA groups (P 0.05). GCF total oxidant status (TOS) values of CP and RA-CP groups were higher than those of the RA group (P oxidative stress index (OSI) values of the RA-CP group were higher than those of the RA group (P 0.05). Local OSI values in groups with patients with CP were higher, whereas systemic OSI values showed no difference among the groups. The presence of RA seems not to affect local and systemic OSI values in patients with CP.

  19. Patterns of regional gray matter loss at different stages of schizophrenia: A multisite, cross-sectional VBM study in first-episode and chronic illness.

    Science.gov (United States)

    Torres, Ulysses S; Duran, Fabio L S; Schaufelberger, Maristela S; Crippa, José A S; Louzã, Mario R; Sallet, Paulo C; Kanegusuku, Caroline Y O; Elkis, Helio; Gattaz, Wagner F; Bassitt, Débora P; Zuardi, Antonio W; Hallak, Jaime Eduardo C; Leite, Claudia C; Castro, Claudio C; Santos, Antonio Carlos; Murray, Robin M; Busatto, Geraldo F

    2016-01-01

    Structural brain abnormalities in schizophrenia have been repeatedly demonstrated in magnetic resonance imaging (MRI) studies, but it remains unclear whether these are static or progressive in nature. While longitudinal MRI studies have been traditionally used to assess the issue of progression of brain abnormalities in schizophrenia, information from cross-sectional neuroimaging studies directly comparing first-episode and chronic schizophrenia patients to healthy controls may also be useful to further clarify this issue. With the recent interest in multisite mega-analyses combining structural MRI data from multiple centers aiming at increased statistical power, the present multisite voxel-based morphometry (VBM) study was carried out to examine patterns of brain structural changes according to the different stages of illness and to ascertain which (if any) of such structural abnormalities would be specifically correlated to potential clinical moderators, including cumulative exposure to antipsychotics, age of onset, illness duration and overall illness severity. We gathered a large sample of schizophrenia patients (161, being 99 chronic and 62 first-episode) and controls (151) from four previous morphometric MRI studies (1.5 T) carried out in the same geographical region of Brazil. Image processing and analyses were conducted using Statistical Parametric Mapping (SPM8) software with the diffeomorphic anatomical registration through exponentiated Lie algebra (DARTEL) algorithm. Group effects on regional gray matter (GM) volumes were investigated through whole-brain voxel-wise comparisons using General Linear Model Analysis of Co-variance (ANCOVA), always including total GM volume, scan protocol, age and gender as nuisance variables. Finally, correlation analyses were performed between the aforementioned clinical moderators and regional and global brain volumes. First-episode schizophrenia subjects displayed subtle volumetric deficits relative to controls in a

  20. Dynamic changes of elasticity, cross-sectional area, and fat infiltration of multifidus at different postures in men with chronic low back pain.

    Science.gov (United States)

    Chan, Suk-Tak; Fung, Po-Kwan; Ng, Nim-Yu; Ngan, Tsz-Lung; Chong, Man-Yan; Tang, Chi-Ngong; He, Jun-Feng; Zheng, Yong-Ping

    2012-05-01

    Multifidus cross-sectional area was often measured in chronic low back pain (LBP) patients to estimate the muscle activity for spinal stability. However, such estimation may be inadequate as the contribution of muscle elasticity in muscle activity is ignored. In vivo quantitative data on multifidus elasticity is therefore important for the study of muscle contractile function in response to motor control for spinal stability in chronic LBP patients. The purpose of this study was to quantify the elasticity, cross-sectional area, and fat area of the multifidus for the contractile function and the distribution of deformable muscle tissue and nondeformable fat tissue at different postures in patients with and without chronic LBP. This is a prospective study. Force-deformation data of the multifidus were acquired using ultrasound elastography. The anatomical changes of the multifidus were measured on the cross-sectional images of the multifidus acquired using B-mode ultrasound imaging. The sample comprised 12 adult male patients with chronic LBP and 12 asymptomatic male controls. The outcome measure was the elasticity of the multifidus at the L4 level for the assessment of muscle contractile function when patients were in the prone, upright, and 25° and 45° forward stooping positions. The cross-sectional area and fat area were also measured on the B-mode ultrasound images of the multifidus acquired at the same vertebral level and the postures. With the patients in each of the prone, upright, and 25° and 45° forward stooping positions, ultrasound elastography and B-mode ultrasound imaging were performed on the left and right multifidus at the L4 level. The elasticity of multifidus indicated by the effective Young's modulus was derived from the force-deformation data acquired using ultrasound elastography. The cross-sectional area and fat area were assessed on the B-mode ultrasound images. The effective Young's modulus, cross-sectional area, and fat area were analyzed

  1. No association between level of vitamin D and chronic low back pain in Swedish primary care: a cross-sectional case-control study

    OpenAIRE

    Thörneby, Andreas; Nordeman, Lena Margareta; Johanson, Else Hellebö

    2016-01-01

    Objective Assessment of vitamin D levels and deficiency status in individuals with chronic low back pain (CLBP) in a Swedish general population, compared with controls matched for sex and age. Design Cross-sectional case-control study. Setting Primary care, southern Sweden. Subjects Participants (n = 44) with self-reported low back pain for at least 3 months and individually sex- and age-matched controls without a chronic pain condition (n = 44), recruited from the general population by rando...

  2. Elastic Scattering and Total Cross-Section in p+p reactions as measured by the LHC Experiment TOTEM at $\\sqrt{s}$ = 7 TeV

    CERN Document Server

    Csörgö, Tamás; Aspell, P; Atanassov, I; Avati, V; Baechler, J; Berardi, V; Berretti, M; Bossini, E; Bozzo, M; Brogi, P; Brücken, E; Buzzo, A; Cafagna, F S; Calicchio, M; Catanesi, M G; Covault, C; Csanád, M; Deile, M; Dimovasili, E; Doubek, M; Eggert, K; Eremin, V; Ferretti, R; Ferro, F; Fiergolski, A; Garcia, F; Giani, S; Greco, V; Grzanka, L; Heino, J; Hilden, T; Intonti, M R; Janda, M; Kaspar, J; Kopal, J; Kundrát, V; Kurvinen, K; Lami, S; Latino, G; Lauhakangas, R; Leszko, T; Lippmaa, E; Lokajícek, M; Lo Vetere, M; Lucas Rodríguez, F; Macrí, M; Magaletti, L; Magazzù, G; Mercadante, A; Meucci, M; Minutoli, S; Nemes, F; Niewiadomski, H; Noschis, E; Novák, T; Oliveri, E; Oljemark, F; Orava, R; Oriunno, M; Österberg, K; Palazzi, P; Perrot, A-L; Pedreschi, E; Petäjäjärvi, J; Procházka, J; Quinto, M; Radermacher, E; Radicioni, E; Ravotti, F; Robutti, E; Ropelewski, L; Ruggiero, G; Saarikko, H; Sanguinetti, G; Santroni, A; Scribano, A; Sette, G; Snoeys, W; Spinella, F; Sziklai, J; Taylor, C; Turini, N; Vacek, V; Vítek, M; Welti, J; Whitmore, J

    2012-01-01

    Proton-proton elastic scattering has been measured by the TOTEM experiment at the CERN Large Hadron Collider at $\\sqrt{s} = 7 $ TeV in special runs with the Roman Pot detectors placed as close to the outgoing beam as seven times the transverse beam size. The differential cross-section measurements are reported in the |t|-range of 0.36 to 2.5 GeV$^2$. Extending the range of data to low t values from 0.02 to 0.33 GeV$^2$,and utilizing the luminosity measurements of CMS, the total proton-proton cross section at $\\sqrt{s}$ = 7 TeV is measured to be $(98.3 \\pm 0.2^{stat} \\pm 2.8^{syst})$ mb.

  3. Microscopic Model Analysis of the $^{6}He,^{6}Li$ + $^{28}Si$ Total Reaction Cross Sections at the Energy Range 5-50 a Mev

    CERN Document Server

    Lukyanov, K V; Lukyanov, V K; Penionzhkevich, Yu E; Sobolev, Y G; Zemlyanaya, E V; Penionzhkevich, Yu.E.; Sobolev, Yu.G.

    2007-01-01

    The existing and some preliminary experimental data on the total cross sections of the $^{4,6}$He, $^{6,7}$Li +$^{28}$Si reactions at energies E=5-50 A MeV are demonstrated. The data on $^{6}$Li,$^{6}$He+$^{28}$Si are analyzed in the framework of the microscopic optical potential with real and imaginary parts obtained with a help of the double-folding procedure and by using the current models of densities of the projectile nuclei. Besides, the microscopic double-folding Coulomb potential is calculated and its effect on cross sections is compared with that when one applies the traditional Coulomb potential of the uniform charge distribution. The semi-microscopic potentials are constructed from both the renormalized microscopic potentials and their derivatives to take into account collective motion effect and to improve an agreement with experimental data.

  4. Total L-shell X-ray production cross sections by 400-700 keV proton impact for elements with 34{<=}Z{<=}53

    Energy Technology Data Exchange (ETDEWEB)

    Miranda, J. E-mail: miranda@fenix.ifisicacu.unam.mx; Ledesma, R.; Lucio, O.G. de

    2001-03-01

    Total L-shell X-ray production cross sections induced by protons with energies between 400 and 700 keV were measured for elements with atomic number Z between 34 and 53. The ECPSSR theory describes appropriately the results. This model modifies the plane wave born approximation by considering projectile energy loss (E), Coulomb deflection of the incoming ion (C), polarization and change in electron binding energies through a perturbed stationary states method (PSS) and relativistic values of target electron mass (R). A comparison is given with previously published data for proton energies below 1 MeV and 26 {<=} Z {<=} 53, based on a scaling obtained from a reduced velocity parameter {xi}{sub L}{sup R}. The results show that the scaling for these atomic numbers and energy ranges is adequate and a semi-empirical expression to calculate those cross sections is proposed.

  5. Highly Cross-Linked Versus Conventional Polyethylene in Posterior-Stabilized Total Knee Arthroplasty at a Mean 5-Year Follow-up.

    Science.gov (United States)

    Meneghini, R Michael; Lovro, Luke R; Smits, Shelly A; Ireland, Philip H

    2015-10-01

    Concerns of highly cross-linked polyethylene (XLPE) in total knee arthroplasty (TKA) exist regarding fatigue resistance and oxidation, particularly in posterior-stabilized (PS) designs. A prospective cohort study of 114 consecutive PS TKAs utilized conventional polyethylene in 50 knees and second-generation annealed XLPE in 64 TKAs. Clinical (Short-Form 36, Knee Society Scores, and LEAS) and radiographic outcomes were evaluated at a mean of 5 years in 103 TKAs. Mean KSS scores were 12 points higher (P=0.01) and SF-36 physical function subset 14 points higher (P=0.005) in the XLPE group. There was no radiographic osteolysis or mechanical failure related to the tibial polyethylene in either group. At 5-year follow-up, no deleterious effects related to highly cross-linked posterior stabilized tibial polyethylene inserts were observed.

  6. A cross-sectional evaluation of home health service in patients with chronic neurologic diseases in a province of Turkey.

    Science.gov (United States)

    Senadim, Songul; Cabalar, Murat; Gedik, Habip; Kasim, Ali Bayram; Bulut, Anıl; Yayla, Vildan; Erdogdu, Zeynep

    2016-03-01

    In this study, we aimed to compare patients' characteristics, comorbid risk factors, medical supplies, and caregivers' demographics between stroke patients and patients with other chronic neurological diseases receiving home health services. In our study, between November 2013 and March 2014, chronic neurological disease (CND) patients having home health services were enrolled in the study. During patient visits, patients were assessed by the questionnaire comprising the modified Rankin scale (mRS), Barthel index, Zarit caregiver burden scale, and mini nutritional assessment (MNA). Stroke patients were classified as Group I, and the other neurologic diseases as Group II. A total of 202 patients including stroke patients (n = 112), dementia (n = 64), Parkinson's disease (n = 17), motor neuron disease (n = 4), brain cancer (n = 2), cerebral palsy (n = 1), multiple sclerosis (n = 1), and head trauma (n = 1) answered the questionnaire. The mean age of Group I (61K:51E) was 76.6 ± 9.1 years; the Group II (28M:62F) was 80.9 ± 12.3 years. The mean age of Group I was significantly lower than Group II (p = 0.005) and the number of male patients in Group I was significantly higher (p = 0.001). The educational status between the two groups was not significantly different in terms of duration of illness and addiction. There was no difference between the two groups in terms of Zarit caregiver burden scale, Barthel index, and mRS. The presence of malnutrition (MNA nutritional support and providing appropriate nutritional support in other CND patients are expected to increase the life quality.

  7. 5-hydroxytryptamine (5-HT) reduces total peripheral resistance during chronic infusion: direct arterial mesenteric relaxation is not involved.

    Science.gov (United States)

    Davis, Robert Patrick; Pattison, Jill; Thompson, Janice M; Tiniakov, Ruslan; Scrogin, Karie E; Watts, Stephanie W

    2012-05-06

    Serotonin (5-hydroxytryptamine; 5-HT) delivered over 1 week results in a sustained fall in blood pressure in the sham and deoxycorticosterone acetate (DOCA)-salt rat. We hypothesized 5-HT lowers blood pressure through direct receptor-mediated vascular relaxation. In vivo, 5-HT reduced mean arterial pressure (MAP), increased heart rate, stroke volume, cardiac index, and reduced total peripheral resistance during a 1 week infusion of 5-HT (25 µg/kg/min) in the normotensive Sprague Dawley rat. The mesenteric vasculature was chosen as an ideal candidate for the site of 5-HT receptor mediated vascular relaxation given the high percentage of cardiac output the site receives. Real-time RT-PCR demonstrated that mRNA transcripts for the 5-HT2B, 5-HT1B, and 5-HT7 receptors are present in sham and DOCA-salt superior mesenteric arteries. Immunohistochemistry and Western blot validated the presence of the 5-HT2B, 5- HT1B and 5-HT7 receptor protein in sham and DOCA-salt superior mesenteric artery. Isometric contractile force was measured in endothelium-intact superior mesenteric artery and mesenteric resistance arteries in which the contractile 5- HT2A receptor was antagonized. Maximum concentrations of BW-723C86 (5- HT2B agonist), CP 93129 (5-HT1B agonist) or LP-44 (5-HT7 agonist) did not relax the superior mesenteric artery from DOCA-salt rats vs. vehicle. Additionally, 5-HT (10-9 M to 10-5 M) did not cause relaxation in either contracted mesenteric resistance arteries or superior mesenteric arteries from normotensive Sprague- Dawley rats. Thus, although 5-HT receptors known to mediate vascular relaxation are present in the superior mesenteric artery, they are not functional, and are therefore not likely involved in a 5-HT-induced fall in total peripheral resistance and MAP.

  8. Prevalence of Tobacco Smoking and Determinants of Success in Quitting Smoking among Patients with Chronic Diseases: A Cross-Sectional Study in Rural Western China

    Directory of Open Access Journals (Sweden)

    Hang Fu

    2017-02-01

    Full Text Available Abstract: Tobacco use is one of the behavioral risk factors for chronic diseases. The aim of the study was to investigate smoking prevalence in chronically ill residents and their smoking behavior in western rural China, to identify factors associated with success in quitting smoking, and to provide appropriate intervention strategies for tobacco control. Cross-sectional survey data from patients with chronic diseases from rural western China were analyzed. Among the 906 chronically ill patients, the current smoking prevalence was 26.2%. About 64.3% of smokers with chronic diseases attempted to quit smoking, 21.0% of which successfully quitted. The odds ratio (OR of smokers with only one chronic disease to quit smoking successfully was higher than that of those who have other diseases (OR = 2.037, 95% confidence interval (CI = 1.060-3.912; p < 0.05. The smokers who were always restricted to smoking in public places were more likely to quit smoking successfully than those who were free to smoke (OR = 2.188, 95% CI = 1.116–4.291; p < 0.05. This study suggests that health literacy, comorbidity of diseases, and psychological counseling should be considered when developing targeted tobacco prevention strategies. Strengthening tobacco control measures in public places such as rural medical institutions will be effective.

  9. Knowledge, attitudes and practices among people with chronic hepatitis B attending a hepatology clinic in Malaysia: A cross sectional study

    Directory of Open Access Journals (Sweden)

    Mohamed Rosmawati

    2012-08-01

    Full Text Available Abstract Background Hepatitis B (HBV is the leading cause of cirrhosis and hepatocellular carcinoma worldwide. This study assessed the knowledge, attitudes and practices of people with chronic HBV and the associated factors. Methods This cross-sectional study was conducted at an outpatient adult hepatology clinic at a tertiary hospital in Kuala Lumpur. A self-administered questionnaire was administered on a one-to-one basis to assess knowledge, attitudes, and lifestyle practices of people with chronic HBV. Results The response rate was 89% (n = 483/543. Participants had a mean age of 46.3 (±14.7 years and the mean duration of HBV from time of diagnosis was 12.2 (±8.8 years. The mean knowledge score was 12.57/20 (standard deviation: ±4.4, range: 0–19. Participants aged 30–39 years, with higher educational attainment, employed in professional jobs, longer duration of diagnosis and those without cirrhosis had significantly higher knowledge scores. Age, education level and duration of diagnosis were significant predictors of the knowledge score on standard multiple regression analysis. More than half of the participants were worried of spreading HBV infection to family and friends and worried since the diagnosis. A third of the participants (33.5% were embarrassed to reveal their diagnosis to the public but most of them (93.6% would inform their family. Those who reported feeling worried since their diagnosis were more likely to be middle-aged, of Malay ethnicity, have shorter duration of diagnosis of less than 10 years and have received therapy. About half of the participants (50.6% did not share dining utensils and the majority (93.2% believed that HBV can be transmitted by sharing of eating and drinking utensils. Older patients were significantly less likely to share utensils. Those who felt worried since diagnosis had significant higher knowledge of HBV. Conclusion The findings highlight the stigma and misconceptions that still

  10. Total Cross Sections for Electron Scattering on Polyatomic Molecules (CH4, CO2,NO2, and N2O) at 10 ~ 3000 eV

    Institute of Scientific and Technical Information of China (English)

    SUN Jin-Feng; XU Bin; LIU Yu-Fang; SHI De-Heng

    2005-01-01

    A new modified formulation of the Additivity Rule (AR) was proposed to calculate the total electron scattering cross sections for CH4, CO2, NO2, and N2O, considering the overlapping between atoms in molecules and the not fully transparency of the molecules. The present calculation covers the range of impact energy from 10 to 3000 eV. The results are compared with experimental data and other theories where available. The atoms are presented by spherical complex optical potential, which is composed of static, exchange, polarization, and absorption terms.

  11. On the soft edge of hadron scattering and mini-jet models for the total and inelastic pp cross-sections at LHC and beyond

    CERN Document Server

    Fagundes, D A; Pancheri, G; Srivastava, Y N; Shekhovtsova, O

    2015-01-01

    We show that the onset and rise of QCD mini-jets provide the dynamical mechanism behind the appearance of a soft edge in pp collisions around ISR energies and thus such a soft edge is built in our mini-jet model with soft gluon re-summation. Here the model is optimized for LHC at $\\sqrt{s} = 7, 8 TeV$ and predictions are made for higher LHC and cosmic ray energies. Further, we provide a phenomenological picture to discuss the breakup of the total cross-section into its elastic, uncorrelated and correlated inelastic pieces in the framework of a one-channel eikonal function.

  12. Measurements of Total and Partial Charge-changing Cross Sections for 200-400 MeV/nucleon 12C in Water and Polycarbonate

    Energy Technology Data Exchange (ETDEWEB)

    Toshito, T.; /CREST, Japan Sci. Tech. Corp. /KEK, Tsukuba; Kodama, K.; /Aichi U. of Education; Sihver, L.; /Chalmers U. Tech.; Yusa, K.; /Gunma U., Maebashi; Ozaki, M.; /JAXA, Sagamihara; Amako, K.; Kameoka, S.; Murakami, K.; Sasaki, T.; /KEK, Tsukuba; Aoki, S.; /Kobe U.; Ban, T.; Fukuda, T.; Komatsu, M.; Kubota, H.; Naganawa, N.; Nakamura, T.; Nakano, T.; Natsume, M.; Niwa, K.; Takahashi, S.; Yoshida, J.; /Nagoya U. /Naruto U. of Education /NIRS, Chiba /SLAC /Toho U.

    2011-11-10

    We have studied charged nuclear fragments produced by 200 - 400 MeV/nucleon carbon ions, interacting with water and polycarbonate, using a newly developed emulsion detector. Total and partial charge-changing cross sections for the production of B, Be, and Li fragments were measured and compared with both previously published measurements, and model predictions. This study is of importance for validating and improving carbon ion therapy treatment planning systems, and for estimating the radiological risks for personnel on space missions, since carbon is a significant component of the Galactic Cosmic Rays.

  13. Decomposition of total solvation energy into core, side-chains and water contributions: Role of cross correlations and protein conformational fluctuations in dynamics of hydration layer

    Science.gov (United States)

    Mondal, Sayantan; Mukherjee, Saumyak; Bagchi, Biman

    2017-09-01

    Dynamical coupling between water and amino acid side-chain residues in solvation dynamics is investigated by selecting residues often used as natural probes, namely tryptophan, tyrosine and histidine, located at different positions on protein surface. Such differently placed residues are found to exhibit different timescales of relaxation. The total solvation response measured by the probe is decomposed in terms of its interactions with (i) protein core, (ii) side-chain and (iii) water. Significant anti cross-correlation among these contributions are observed. When the motion of the protein side-chains is quenched, solvation either becomes faster or slower depending on the location of the probe.

  14. Measurements of total and partial charge-changing cross sections for 200-400 MeV/nucleon 12C in water and polycarbonate

    CERN Document Server

    Toshito, T; Aoki, S; Asai, M; Ban, T; Fukuda, T; Fukushima, C; Kameoka, S; Kanazawa, M; Kanematsu, N; Kodama, K; Koi, T; Komatsu, M; Komori, M; Kubota, H; Murakami, K; Naganawa, N; Nakamura, T; Nakano, T; Natsume, M; Niwa, K; Ogawa, S; Ozaki, M; Sasaki, T; Sato, S; Shibasaki, M; Shibuya, H; Sihver, L; Takahashi, S; Yoshida, H; Yoshida, J; Yusa, K

    2007-01-01

    We have studied charged nuclear fragments produced by 200 - 400 MeV/nucleon carbon ions, interacting with water and polycarbonate, using a newly developed emulsion detector. Total and partial charge-changing cross sections for the production of B, Be, and Li fragments were measured and compared with both previously published measurements, and model predictions. This study is of importance for validating and improving carbon ion therapy treatment planning systems, and for estimating the radiological risks for personnel on space missions, since carbon is a significant component of the Galactic Cosmic Rays.

  15. Dry Needling Combined With Physical Therapy in Patients With Chronic Postsurgical Pain Following Total Knee Arthroplasty: A Case Series.

    Science.gov (United States)

    Núñez-Cortés, Rodrigo; Cruz-Montecinos, Carlos; Vásquez-Rosel, Álvaro; Paredes-Molina, Orlando; Cuesta-Vargas, Antonio

    2017-03-01

    Study Design Case series. Background This case series describes a combined program of dry needling and therapeutic exercise in a small group of patients with persistent pain following total knee arthroplasty (TKA). Case Description Fourteen patients who underwent TKA had persistent postsurgical pain and myofascial trigger points that were nonresponsive to treatment with conventional physical therapy and/or medication. The patients received a weekly dry needling treatment in combination with therapeutic exercises for 4 weeks. Pain perception was assessed preintervention and postintervention with a visual analog scale and function was assessed with the Western Ontario and McMaster Universities Osteoarthritis Index, 6-minute walk test, timed up-and-go test, 30-second chair-stand test, and knee joint range of motion. Outcomes After TKA, the patients had a mean ± SD symptom duration of 6.3 ± 3.1 months. Subsequent to dry needling, patients reported a significant mean ± SD decrease in pain intensity from 55.6 ± 6.6 to 19.3 ± 5.6 (POsteoarthritis Index scores from 10.1 ± 0.8 to 4.9 ± 1.0 for pain (PTherapy, level 4. J Orthop Sports Phys Ther 2017;47(3):209-216. Epub 3 Feb 2017. doi:10.2519/jospt.2017.7089.

  16. Determinants of patient satisfaction and their willingness to return after primary total hip replacement: a cross-sectional study.

    Science.gov (United States)

    Schaal, Tom; Schoenfelder, Tonio; Klewer, Joerg; Kugler, Joachim

    2016-08-08

    Surveys of patient satisfaction and their willingness to return can be used for the optimization of processes, improving their quality, and increasing the satisfaction and loyalty in customers. This study looked at the factors significantly associated with patient satisfaction after primary total hip replacement (THR), and which affect the patients' willingness to return to the same hospital for future treatment, even when unrelated to their THR. Data for the study was collected by written survey from 810 patients of 43 hospitals following their THR. Satisfaction and willingness to return were measured using a validated, multidimensional questionnaire, primarily based on six-point scales, which were then evaluated together with routine hospital data, according to bivariate and multivariate analyses. The bivariate analysis showed a strong correlation between satisfaction or willingness to return and the health condition before hospitalization as well as the perceived length of stay. In contrast, the patient's gender and the number of inpatient cases in a hospital with THR had no influence. The binary logistic regression analyses identified three predictors associated with overall satisfaction and seven predictors associated with willingness to return. The strongest factor for both dependent variables was the perceived length of stay, and the weakest factor for satisfaction was the treatment outcome. Overall, with all of the medical and service-related issues considered, high levels of satisfaction were reached. Despite the high satisfaction scores, probable causes for declining the willingness to return were identified. The results provide incentives for hospitals and medical professionals to attain a high satisfaction levels in their THR patients.

  17. Effect of estradiol, vitamin A, E and selenium treatment with varying sexual rest period on recovery rate in cross-bred cows with chronic endometritis

    OpenAIRE

    Dipyaman Sengupta; Pramod R. Nandi

    2013-01-01

    Aim:This work was done to study the effect of vitamin A, E and Se with varying sexual rest period in cross-bred cows with chronic endometritis. Materials and Methods: Cross-bred cows (n=396) from different villages of West Bengal with purulent or muco-purulent discharge with a history of infertility and repeat breeding for 3 to 6 months were chosen for the present study. These cows received uterine wash with lugol's iodine, intra-uterine and parenteral antibiotics and de-worming as general tr...

  18. A cross-sectional look at patient concerns in the first six weeks following primary total knee arthroplasty

    Directory of Open Access Journals (Sweden)

    Chesworth Bert M

    2007-08-01

    Full Text Available Abstract Background To date, no researchers have investigated patient concerns in the first six weeks following primary total knee arthroplasty (TKA. An understanding of patient concerns at a time when physical therapists are involved in the treatment of these patients will aid clinicians in providing patient-centered care. Linking of items to the International Classification of Functioning, Disability and Health (ICF allows for comparison and sharing of data amongst researchers, as the ICF is the accepted framework for evaluating disability in rehabilitation. The objective of this study was to identify patient concerns in the first six weeks following primary TKA and link these concerns to components of the ICF and map them to commonly used outcome measures. Methods Individual interviews were conducted to identify patient concerns during their recovery following primary TKA. Concerns identified by patients were analysed for content and linked to the components of the ICF using the operational definitions of the ICF components. These concerns were mapped to the WOMAC, KOOS and Oxford Knee Scale. Results Thirty patients (18 female with an average age (SD of 68.4 (11.1 years completed the study. Patients identified 32 concerns. Twenty-two percent (n = 7 of the concerns linked to Body Function and Structure, 47% (n = 15 to Activity, 13% (n = 4 to Participation, and 13% (n = 4 to the Environmental Factors component of the ICF. Six percent (n = 2 of the concerns did not link to the ICF. Of the 32 concerns identified by patients 14 mapped to the KOOS, 11 to the WOMAC and 4 to the Oxford Knee Scale. Conclusion Patient concerns linked to four different components of the ICF indicating that patients are involved in or are thinking of multiple aspects of life even in this early phase of recovery. The KOOS was found to be the most appropriate for use based on the patients' perspective. However, less than half of the concerns identified by patients were

  19. Sociodemographic factors and health conditions associated with the resilience of people with chronic diseases: a cross sectional study.

    Science.gov (United States)

    Böell, Julia Estela Willrich; Silva, Denise Maria Guerreiro Vieira da; Hegadoren, Kathleen Mary

    2016-09-01

    to investigate the association between resilience and sociodemographic variables and the health of people with chronic kidney disease and / or type 2 diabetes mellitus. a cross-sectional observational study performed with 603 people with chronic kidney disease and / or type 2 diabetes mellitus. A tool to collect socio-demographic and health data and the Resilience Scale developed by Connor and Davidson were applied. A descriptive and multivariate analysis was performed. the study participants had on average 61 years old (SD= 13.2), with a stable union (52.24%), religion (96.7%), retired (49.09%), with primary education (65%) and income up to three minimum wages. Participants with kidney disease showed less resilience than people with diabetes. the type of chronic illness, disease duration, body mass index and religious beliefs influenced the resilience of the study participants. verificar a associação entre resiliência e variáveis sociodemográficas e de saúde de pessoas com diagnóstico de doença renal crônica e/ou diabetes mellitus tipo 2. estudo observacional transversal realizado com 603 pessoas com diagnóstico de doença renal crônica e/ou diabetes mellitus tipo 2. Aplicação de instrumento para coletar dados sociodemográficos e de saúde e Escala de Resiliência desenvolvida por Connor e Davidson. Foi realizada análise descritiva e multivariada dos dados. os participantes do estudo possuíam, em média, 61 anos de idade (DP=13,2), com união estável (52,24%), crença religiosa (96,7%), aposentados (49,09%), com ensino fundamental (65%) e renda de até três salários mínimos. Os participantes com doença renal apresentaram menor resiliência do que pessoas com diabetes. o tipo de doença crônica, o tempo de doença, o índice de massa corporal e a crença religiosa influenciaram a resiliência dos participantes do estudo. verificar la asociación entre resiliencia y variables sociodemográficas y de salud de personas con diagnóstico de

  20. Quality of life associated to chronic pelvic pain is independent of endometriosis diagnosis-a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Chaves Marcia F

    2011-06-01

    Full Text Available Abstract Background Pain is strongly related to poor quality of life. We performed a cross-sectional study in a universitary hospital to investigate quality of life in women suffering from chronic pelvic pain (CPP due to endometriosis and others conditions. Methods Fifty-seven patients aged between 25 and 48 years-old submitted to laparoscopy because of CPP were evaluated for quality of life and depressive symptoms. Quality of life was accessed by a quality of life instrument [World Health Organization Quality of Life Assessment-Bref (WHOQOL-bref]. Causes of pelvic pain were determined and severity of CPP was measured with a visual analogue scale. According to the intensity of pelvic pain score, patients were classified in two groups (group Low CPP 25th percentile. Four dimensions on quality of life were measured (physical, psychological, social and environmental. We stratified the analysis of quality of life according CPP causes (presence or not of endometriosis in laparoscopy. Results Patients with higher pain scores presented lower quality of life status in psychological and environmental dimensions. We found a negative correlation between pain scores and psychological dimension of quality of life (r = -0.310, P = .02. Quality of life scores were similar between groups with and without endometriosis (physical 54.2 ± 12.8 and 51.1 ± 13.8, P = 0.504; psychological 56.2 ± 14.4 and 62.8 ± 12.4, P = 0.182; social 55.6 ± 18.2 and 62.1 ± 19.1, P = 0.325; environmental 59.2 ± 11.7 61.2 ± 10.8, P = 0.608; respectively Conclusions Higher pain scores are correlated to lower quality of life; however the fact of having endometriosis in addition to CPP does not have an additional impact upon the quality of life.

  1. Diagnostic Utility of ANG in Coronary Heart Disease Complicating Chronic Heart Failure: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Peng Yu

    2016-01-01

    Full Text Available Angiogenin (ANG has been shown to be elevated in several cardiovascular diseases. To detect its levels and diagnostic capacity in coronary heart disease (CHD patients complicating chronic heart failure (CHF, we performed this cross-sectional study and enrolled 616 CHD patients and 53 healthy controls. According to complicating CHF or not, the patients were divided into CHF group (n=203 and CHD disease controls (n=413, in which the CHF group was subdivided as heart failure with reduced ejection fraction (HFrEF group or heart failure with preserved ejection fraction (HFpEF group on the basis of left ventricular ejection fraction (LVEF, or as different NYHA class group. Their plasma ANG levels were detected using enzyme-linked immunosorbent assay (ELISA. Plasma ANG was 342.8 (IQR [273.9,432.9], 304.5 (IQR [254.0,370.5], and 279.7 (IQR [214.4,344.0] ng/mL in the CHF group, CHD disease controls, and healthy controls, respectively, significantly higher in the CHF group compared with the others. Furthermore, among CHF group, ANG is dramatically higher in the HFrEF patients compared with the HFpEF patients. As for the diagnostic capacity of ANG, the area under the receiver operating characteristic curve was 0.71 (95% CI 0.63–0.78. We concluded that plasma ANG is elevated in CHD complicating CHF patients and may be a moderate discriminator of CHF from CHD or the healthy.

  2. Diagnostic Utility of ANG in Coronary Heart Disease Complicating Chronic Heart Failure: A Cross-Sectional Study

    Science.gov (United States)

    Liu, Ming; Yang, Xue; Yu, Ying; Zhao, Ji; Zhang, Lei; Tong, Rui; Zou, Yunzeng; Ge, Junbo

    2016-01-01

    Angiogenin (ANG) has been shown to be elevated in several cardiovascular diseases. To detect its levels and diagnostic capacity in coronary heart disease (CHD) patients complicating chronic heart failure (CHF), we performed this cross-sectional study and enrolled 616 CHD patients and 53 healthy controls. According to complicating CHF or not, the patients were divided into CHF group (n = 203) and CHD disease controls (n = 413), in which the CHF group was subdivided as heart failure with reduced ejection fraction (HFrEF) group or heart failure with preserved ejection fraction (HFpEF) group on the basis of left ventricular ejection fraction (LVEF), or as different NYHA class group. Their plasma ANG levels were detected using enzyme-linked immunosorbent assay (ELISA). Plasma ANG was 342.8 (IQR [273.9,432.9]), 304.5 (IQR [254.0,370.5]), and 279.7 (IQR [214.4,344.0]) ng/mL in the CHF group, CHD disease controls, and healthy controls, respectively, significantly higher in the CHF group compared with the others. Furthermore, among CHF group, ANG is dramatically higher in the HFrEF patients compared with the HFpEF patients. As for the diagnostic capacity of ANG, the area under the receiver operating characteristic curve was 0.71 (95% CI 0.63–0.78). We concluded that plasma ANG is elevated in CHD complicating CHF patients and may be a moderate discriminator of CHF from CHD or the healthy. PMID:27872509

  3. A cross-sectional study of dialysis practice-patterns in patients with chronic kidney disease on maintenance hemodialysis

    Directory of Open Access Journals (Sweden)

    Manjunath Jeevanna Kulkarni

    2015-01-01

    Full Text Available We studied the dialysis practice-patterns with regard to various aspects of chronic kidney disease (CKD stage 5D, like anemia, mineral bone disease, vaccination, hospitalization, hypertension and cost of therapy. Four hundred and sixty-four adult hemodialysis (HD patients from various dialysis centers of Mumbai were included in the study. The mean age of the study patients was 47.2 years. Temporary dialysis catheters were the most common initial vascular access. Thirteen percent of prevalent HD patients were on temporary catheters; 33% of patients had history of failure of arterio-venous fistula. The most common cause of failure was access thrombosis. About 75% of the patients had hemoglobin <11 g/dL and 35% had uncontrolled blood pressure. The prevalence of positive hepatitis B surface antigen and anti-hepatitis C virus antibody was 6% and 2%, respectively. The average cost of HD treatment was approximately 6100 Indian rupees (about US $100. HD is helpful in treating many of the clinical manifestations of CKD and postpones otherwise imminent death. However, dialysis treatment is no panacea to renal failure; HD patients have higher hospitalization rates and lower quality of life than the general population. The therapy itself brings with it a unique set of problems, such as vascular access-related complications, which cause significant mortality and morbidity. This study was a study of the current HD practices. The primary goal of this cross-sectional observational study is to understand dialysis practices and obtain data that can be used to improve care in the future.

  4. Somatic Complaints Are Significantly Associated with Chronic Uninvestigated Dyspepsia and Its Symptoms: A Large Cross-sectional Population Based Study

    Science.gov (United States)

    Heidari, Zahra; Keshteli, Ammar Hassanzadeh; Feizi, Awat; Afshar, Hamid; Adibi, Payman

    2017-01-01

    Background/Aims Somatization may influence persistence and severity of symptoms in gastrointestinal diseases. Some studies suggest that somatization is associated with chronic uninvestigated dyspepsia (CUD); however, the association is unclear. We aimed to determine the association between the profiles of somatic complaints with CUD and its symptoms. Methods In a cross-sectional study conducted on 4763 Iranian adults, somatic complaints were assessed using a comprehensive 31-items questionnaire. Patients with CUD were identified by the Rome III diagnostic criteria. Profiles of somatic complaints were derived from factor analysis. Logistic regression analysis was used to assess the relationship between extracted profiles with CUD and its symptoms. Results CUD, bothersome postprandial fullness, early satiation, and epigastric pain or burning was identified in 723 (15.2%), 384 (8.1%), 302 (6.3%), and 371 (7.8%) of the study population. The frequency of all 31 somatic complaints was significantly higher in patients with CUD compared with controls (P < 0.001), and the most frequent was severe fatigue (45.1%). The profiles of somatic complaints were extracted in 4 domains, including “psychological”, “gastrointestinal”, “neuro-skeletal”, and “pharyngeal-respiratory”. The psychological (OR, 1.49; 95% CI, 1.44–1.54), gastrointestinal (OR, 2.22; 95% CI, 2.09–2.37), neuro-skeletal (OR, 1.52; 95% CI, 1.44–1.59), and pharyngeal-respiratory (OR, 2.09; 95% CI, 1.94–2.25) profiles were significantly associated with greater odds of CUD. Conclusions CUD and its symptoms are strongly associated with higher levels of somatic complaints and their related extracted profiles. This perhaps explains that why it can be difficult to treat, however further prospective investigations are required to confirm these associations. PMID:27503912

  5. Fourier transform infrared-attenuated total reflection nitrate determination of soil pastes using principal component regression, partial least squares, and cross-correlation.

    Science.gov (United States)

    Linker, Raphael; Kenny, Amit; Shaviv, Avi; Singher, Liviu; Shmulevich, Itzhak

    2004-05-01

    This paper investigates the use of Fourier transform infrared (FTIR) attenuated total reflectance (ATR) spectroscopy as a fast and simple way for direct determination of nitrate concentration in soil pastes, which would assist precision fertilizer placement and reduce nitrate pollution. Eight types of soils are investigated, with nitrate concentrations ranging from 0 to 1000 ppm-N. The spectral region around the nitrate band (1300-1550 cm(-1)) is analyzed by (1) principal component regression (PCR), (2) partial least squares (PLS), and (3) cross-correlation with reference libraries that include