Complications and outcome in patients with aneurysmal subarachnoid haemorrhage: a prospective hospital based cohort study in the Netherlands

OBJECTIVE—The aim of this study was to investigate prospectively in an unselected series of patients with an aneurysmal subarachnoid haemorrhage what at present the complications are, what the outcome is, how many of these patients have "modern treatment"—that is, early obliteration of the aneurysm and treatment with calcium antagonists—what factors cause a delay in surgical or endovascular treatment, and what the estimated effect on outcome will be of improved treatment.
METHODS—A prospective, observational cohort study of all patients with aneurysmal subarachnoid haemorrhage in the hospitals of a specified region in The Netherlands. The condition on admission, diagnostic procedures, and treatments were recorded. If a patient had a clinical deterioration, the change in Glasgow coma score (GCS), the presence of focal neurological signs, the results of additional investigations, and the final diagnosed cause of the deterioration were recorded.
 Clinical outcome was assessed with the Glasgow outcome scale (GOS) at 3 month follow up. In patients with poor outcome at follow up, the cause was diagnosed.
RESULTS—Of the 110 patients, 47 (43%) had a poor outcome. Cerebral ischaemia, 31 patients (28%), was the most often occurring complication. Major causes of poor outcome were the effects of the initial haemorrhage and rebleeding in 34% and 30% of the patients with poor outcome respectively. Of all patients 102 (93%) were treated with calcium antagonists and 45 (41%) patients had early treatment to obliterate the aneurysm. The major causes of delay of treatment were a poor condition on admission or deterioration shortly after admission, in 31% and 23% respectively.
CONCLUSIONS—In two thirds of the patients with poor outcome the causes of poor outcome are the effects of the initial bleeding and rebleeding. Improved treatment of delayed or postoperative ischaemia will have only minor effects on the outcome of patients with subarachnoid haemorrhage.


Radiative Decays of Excited ΛQ\Lambda_Q Baryons in the Bound State Picture

It is shown that, in the bound state picture, the $\Lambda_c(2593) \to\Lambda_c\gamma$ and $\Lambda_c(2625)\to\Lambda_c\gamma$ decays are severely suppressed. On the other hand, for their bottom counterparts, which are predicted to have masses 5900 and 5926 MeV respectively, may have significant radiative branching ratio. In particular, the $\Lambda_b(5926)\to\Lambda_b\gamma$ mode may even dominate over the strong decay mode. The isospin allowed $\Lambda^{**}_Q\to\Sigma_Q\gamma$ mode is expected to be small.Comment: 8 pages in REVTeX, no figure

One-pion transitions between heavy baryons in the constituent quark model

Single pion transitions of S wave to S wave, P wave to S wave and P wave to P wave heavy baryons are analyzed in the framework of the Heavy Quark Symmetry limit (HQS). We use a constituent quark model picture for the light diquark system with an underlying SU(2N_{f}) X O(3) symmetry to reduce the number of the HQS coupling factors required to describe these transitions. We also use the quantum theory of angular momentum to rewrite the one-pion transitions constituent quark model results in a more general form using the 6j- and 9j-symbols. We finally estimate the decay rates of some single pion transitions between charm baryon states.Comment: Latex, 33 pages including 2 figures (Postscript). Some typos are corrected with minor changes. Two references were added to the final version which will appear in Phy. Rev.

DN interaction from meson exchange

A model of the DN interaction is presented which is developed in close analogy to the meson-exchange KbarN potential of the Juelich group utilizing SU(4) symmetry constraints. The main ingredients of the interaction are provided by vector meson (rho, omega) exchange and higher-order box diagrams involving D*N, D\Delta, and D*\Delta intermediate states. The coupling of DN to the pi-Lambda_c and pi-Sigma_c channels is taken into account. The interaction model generates the Lambda_c(2595) resonance dynamically as a DN quasi-bound state. Results for DN total and differential cross sections are presented and compared with predictions of an interaction model that is based on the leading-order Weinberg-Tomozawa term. Some features of the Lambda_c(2595) resonance are discussed and the role of the near-by pi-Sigma_c threshold is emphasized. Selected predictions of the orginal KbarN model are reported too. Specifically, it is pointed out that the model generates two poles in the partial wave corresponding to the Lambda(1405) resonance.Comment: 14 pages, 8 figure

Excited heavy baryon masses to order Lambda_{QCD}/m_Q from QCD sum rules

Masses of the p-wave excited heavy baryons have been calculated to the Lambda_{QCD}/m_Q order using QCD sum rule method within the framework of heavy quark effective theory. Numerical results for kinetic energy lambda_1 and chromo-magnetic interaction lambda_2 are presented. The splitting between spin 1/2 and 3/2 doublet derived from our calculation is given, for which the agreement with the current experiment is desirable.Comment: RevTeX4, 10 pages, to appear in Phys. Rev.

Measurement of the branching fraction for Υ(1S)→τ+τ−\Upsilon (1S) \to \tau^+ \tau^-

We have studied the leptonic decay of the $\Upsilon (1S)$ resonance into tau pairs using the CLEO II detector. A clean sample of tau pair events is identified via events containing two charged particles where exactly one of the particles is an identified electron. We find $B(\Upsilon(1S) \to \tau^+ \tau^-) = (2.61~\pm~0.12~{+0.09\atop{-0.13}})$. The result is consistent with expectations from lepton universality.Comment: 9 pages, RevTeX, two Postscript figures available upon request, CLNS 94/1297, CLEO 94-20 (submitted to Physics Letters B

A measurement of the tau mass and the first CPT test with tau leptons

We measure the mass of the tau lepton to be 1775.1+-1.6(stat)+-1.0(syst.) MeV using tau pairs from Z0 decays. To test CPT invariance we compare the masses of the positively and negatively charged tau leptons. The relative mass difference is found to be smaller than 3.0 10^-3 at the 90% confidence level.Comment: 10 pages, 4 figures, Submitted to Phys. Letts.