1,141 research outputs found
Poincar\'e recurrence theorem and the strong CP-problem
The existence in the physical QCD vacuum of nonzero gluon condensates, such
as , requires dominance of gluon fields with finite mean action
density. This naturally allows any real number value for the unit ``topological
charge'' characterising the fields approximating the gluon configurations
which should dominate the QCD partition function. If is an irrational
number then the critical values of the parameter for which CP is
spontaneously broken are dense in , which provides for a mechanism
of resolving the strong CP problem simultaneously with a correct implementation
of symmetry. We present an explicit realisation of this
mechanism within a QCD motivated domain model. Some model independent arguments
are given that suggest the relevance of this mechanism also to genuine QCD.Comment: 8 pages, RevTeX, 3 figures. Revised after referee suggestions. Now
includes model independent argument
Predictors of treatment outcomes in geriatric patients with odontoid fractures: AOSpine North America multi-centre prospective GOF study.
STUDY DESIGN: Multicenter prospective cohort study.
OBJECTIVE: To identify patient and treatment characteristics associated with treatment success or failure in the management of odontoid fractures.
SUMMARY OF BACKGROUND DATA: Odontoid fractures are the most common cervical spine fractures in the elderly and represent a significant management challenge with widely divergent views regarding operative versus nonoperative management.
METHODS: A total of 159 patients 65 years and older with radiographically confirmed type II odontoid fractures were enrolled at 10 sites in the United States and 1 site in Canada between January 2006 and May 2009. Subjects were followed at 6 and 12 months post-initial treatment with Neck Disability Index and SF-36v2 scores. Final treatment outcome was classified as failure or success. Treatment failure was defined as death by any cause, decline in Neck Disability Index by more than 9.5 absolute points, or occurrence of a major treatment-related complication. Baseline characteristics between the groups were compared using t test for the continuous variables and χ2 test for the categorical variables. Baseline characteristics associated with treatment outcomes were identified by multiple logistic stepwise regression analysis.
RESULTS: A total of 101 (63.5%) patients were treated surgically and 58 (36.5%) conservatively. Forty-four (27.7%) patients had a successful outcome and 86 (54.1%) had a treatment failure; for 29 patients (18.2%), treatment status could not be determined (3 withdrew; 26 were lost to follow-up). Twenty-nine (18.2%) patients expired before the 12-month follow-up. Follow-up information was available for 103 of 127 surviving (81.1%) patients. Twelve-month SF-36v2 scores were worse in the failure group. The characteristics associated with treatment failure were older age (odds ratio [OR] = 1.08 for each year of age); initial nonsurgical treatment (OR = 3.09); male sex (OR = 4.33), and baseline neurological system comorbidity (OR = 4.13).
CONCLUSION: Older age, initial nonsurgical treatment, and male sex are associated with failure of treatment in patients with geriatric odontoid fractures
Enantioselective α-Hydroxylation of 2-Arylacetic Acid Derivatives and Buspirone Catalyzed by Engineered Cytochrome P450 BM-3
Here we report that an engineered microbial cytochrome P450 BM-3 (CYP102A subfamily) efficiently catalyzes the α-hydroxylation of phenylacetic acid esters. This P450 BM-3 variant also produces the authentic human metabolite of buspirone, R-6-hydroxybuspirone, with 99.5% ee
The AOSpine North America Geriatric Odontoid Fracture Mortality Study: A Retrospective Review of Mortality Outcomes for Operative Versus Nonoperative Treatment of 322 Patients With Long-Term Follow-up.
STUDY DESIGN.: Retrospective, multicenter cohort study. OBJECTIVE.: Assess for differences in short- and long-term mortality between operative and nonoperative treatment for elderly patients with type II odontoid fractures. SUMMARY OF BACKGROUND DATA.: There is controversy regarding whether operative or nonoperative management is the best treatment for elderly patients with type II odontoid fractures. METHODS.: This is a retrospective study of consecutive patients aged 65 years or older with type II odontoid fracture from 3 level I trauma centers from 2003-2009. Demographics, comorbidities, and treatment were abstracted from medical records. Mortality outcomes were obtained from medical records and a public database. Hazard ratios (HRs) and 95% confidence intervals (CI) were calculated. RESULTS.: A total of 322 patients were included (mean age, 81.8 yr; range, 65.0-101.5 yr). Compared with patients treated nonoperatively (n = 157), patients treated operatively (n = 165) were slightly younger (80.4 vs. 83.2 yr, P = 0.0014), had a longer hospital (15.0 vs. 7.4 d, P \u3c 0.001) and intensive care unit (1.5 vs. 1.1 d, P = 0.008) stay, and were more likely to receive a feeding tube (18% vs. 5%, P = 0.0003). Operative and nonoperative treatment groups had similar sex distribution (P = 0.94) and Charlson comorbidity index (P = 0.11). Within 30 days of presentation, 14% of patients died, and at maximal follow-up (average = 2.05 yr; range = 0 d-7.02 yr), 44% had died. On multivariate analysis, nonoperative treatment was associated with higher 30-day mortality (HR = 3.00, 95% CI = 1.51-5.94, P = 0.0017), after adjusting for age (HR = 1.10, 95% CI = 1.05-1.14; P \u3c 0.0001), male sex (P = 0.69), and Charlson comorbidity index (P = 0.16). At maximal follow-up, there was a trend toward higher mortality associated with nonoperative treatment (HR = 1.35, 95% CI = 0.97-1.89, P = 0.079), after adjusting for age (HR = 1.07, 95% CI = 1.05-1.10; P \u3c 0.0001), male sex (HR = 1.55, 95% CI = 1.10-2.16; P = 0.012), and Charlson comorbidity index (HR = 1.28, 95% CI = 1.16-1.40; P \u3c 0.0001). CONCLUSION.: Surgical treatment of type II odontoid fracture in this elderly population did not negatively impact survival, even after adjusting for age, sex, and comorbidities. The data suggest a significant 30-day survival advantage and a trend toward improved longer-term survival for operatively treated over nonoperatively treated patients.Level of Evidence: 4
Design and Commissioning of a Magnetic Field Scanning System for SRF Cavities
Trapped magnetic vortices are one of the leading sources of residual losses in SRF cavities. Mechanisms of flux pinning depend on the materials treatment and cool-down conditions. A magnetic field scanning system using flux-gate magnetometers and Hall probes has been designed and built to allow measuring the local magnetic field of trapped vortices normal to the outer surface of 1.3 GHz single-cell SRF cavities at cryogenic temperatures. Such system will allow inferring the key information about the distribution and magnitude of trapped flux in the SRF cavities for different material, surface preparations and cool-down conditions
Composites research at NASA Lewis Research Center
Composites research at NASA Lewis is focused on their applications in aircraft propulsion, space propulsion, and space power, with the first being predominant. Research on polymer-, metal-, and ceramic-matrix composites is being carried out from an integrated materials and structures viewpoint. This paper outlines some of the topics being pursued from the standpoint of key technical issues, current status, and future directions
Long-period High-amplitude Red Variables in the KELT Survey
We present a sample of 4132 Mira-like variables (red variables with long periods and high amplitudes) in the Kilodegree Extremely Little Telescope (KELT) survey. Of these, 376 are new Mira-like detections. We used Two Micron All Sky Survey (2MASS) colors to identify candidate asymptotic giant branch stars. We searched for photometric variability among the candidate asymptotic giant branch stars and identified stars that show periodic variability. We selected variables with high amplitudes and strong periodic behavior using a Random Forest classifier. Of the sample of 4132 Mira-like variables, we estimate that 70% are Miras and 30% are semiregular (SR) variables. We also adopt the method of using (W_(RP) - W_(K)) versus (J - K_s) colors in distinguishing between O-rich and C-rich Miras and find it to be an improvement over 2MASS colors
Single-cell analysis of long non-coding RNAs in the developing human neocortex
Single cell transcriptomics of lncRNA expression in K562 cell cultures. A Distributions of median lncRNA expression to median mRNA expression ratios (lncRNA:mRNA) in populations, in silico merged single cells, and single cells from K562 cultures. B Proportion of K562 cells that expressed each lncRNA (blue) and mRNA (red), separated by maximum expression in single cells. C Same as in (B) but grouped by maximum expression quantile. D Distributions of non-zero lncRNA (blue) and mRNA (red) expression in 46 single K562 cells. Green squares, housekeeping genes; black triangles, ERCC Spike-In Controls. (PDF 454 kb
Time Markers and Temporal Illusions
Peer reviewe
- …