Weight loss in nonalcoholic fatty liver disease patients in an ambulatory care setting is largely unsuccessful but correlates with frequency of clinic visits

Background and Aims: Nonalcoholic fatty liver disease (NALFD) is a leading cause of liver disease. Weight loss improves clinical features of NAFLD; however, maintenance of weight loss outside of investigational protocols is poor. The goals of this study were to characterize patterns and clinical predictors of long-term weight loss in ambulatory patients with NAFLD

Physicians Infrequently Adhere to Hepatitis Vaccination Guidelines for Chronic Liver Disease

Background and Goals:Hepatitis A (HAV) and hepatitis B (HBV) vaccination in patients with chronic liver disease is an accepted standard of care. We determined HAV and HBV vaccination rates in a tertiary care referral hepatology clinic and the impact of electronic health record (EHR)-based reminders on adherence to vaccination guidelines.Methods:We reviewed the records of 705 patients with chronic liver disease referred to our liver clinic in 2008 with at least two follow-up visits during the subsequent year. Demographics, referral source, etiology, and hepatitis serology were recorded. We determined whether eligible patients were offered vaccination and whether patients received vaccination. Barriers to vaccination were determined by a follow-up telephone interview.Results:HAV and HBV serologic testing prior to referral and at the liver clinic were performed in 14.5% and 17.7%; and 76.7% and 74% patients, respectively. Hepatologists recommended vaccination for HAV in 63% and for HBV in 59.7% of eligible patients. Patient demographics or disease etiology did not influence recommendation rates. Significant variability was observed in vaccination recommendation amongst individual providers (30-98.6%), which did not correlate with the number of patients seen by each physician. Vaccination recommendation rates were not different for Medicare patients with hepatitis C infection for whom a vaccination reminder was automatically generated by the EHR. Most patients who failed to get vaccination after recommendation offered no specific reason for noncompliance; insurance was a barrier in a minority.Conclusions:Hepatitis vaccination rates were suboptimal even in an academic, sub-speciality setting, with wide-variability in provider adherence to vaccination guidelines. © 2013 Thudi et al

Femtosecond nonlinear ultrasonics in gold probed with ultrashort surface plasmons

Fundamental interactions induced by lattice vibrations on ultrafast time scales become increasingly important for modern nanoscience and technology. Experimental access to the physical properties of acoustic phonons in the THz frequency range and over the entire Brillouin zone is crucial for understanding electric and thermal transport in solids and their compounds. Here, we report on the generation and nonlinear propagation of giant (1 percent) acoustic strain pulses in hybrid gold/cobalt bilayer structures probed with ultrafast surface plasmon interferometry. This new technique allows for unambiguous characterization of arbitrary ultrafast acoustic transients. The giant acoustic pulses experience substantial nonlinear reshaping already after a propagation distance of 100 nm in a crystalline gold layer. Excellent agreement with the Korteveg-de Vries model points to future quantitative nonlinear femtosecond THz-ultrasonics at the nano-scale in metals at room temperature

Major and minor fisheries harbours of India. 8. Fisherries harbours along the coasts of North Andhra Pradesh, Orissa and West Bengal

The present account gives information about the three major and five minor fisheries harbours along the coasts of north Andhra Pradesh, Orissa and West Benga

Observation of Mixing-induced CP Violation in the Neutral B Meson System

This report describes an observation of mixing-induced CP violation and a measurement of the CP violation parameter, sin(2phi_1), with the Belle detector at the KEKB asymmetric e+e- collider. Using a data sample of 29.1 fb-1 recorded on the Upsilon(4S) resonance that contains 31.3 million BBbar pairs, we reconstruct decays of neutral B mesons to the following CP eigenstates: J/psi K_S^0, psi(2S) K_S^0, chi_c1 K_S^0, eta_c K_S^0, J/psi K_L^0 and J/psi K^*0. The flavor of the accompanying B meson is identified by combining information from primary and secondary leptons, K+/- mesons, lambda baryons, slow and fast pions. The proper-time interval between the two B meson decays is determined from the distance between the two decay vertices measured with a silicon vertex detector. The result sin(2phi_1) = 0.99 +/- 0.14(stat) +/- 0.06(syst) is obtained by applying a maximum likelihood fit to the 1137 candidate events. We conclude that there is large CP violation in the neutral B meson system. A zero value for sin(2phi_1) is ruled out by more than six standard deviations.Comment: 25 pages, 16 figures, accepted for publication in Physical Review

Observation of chi_c2 Production in B-meson Decay

We report the first observation of chi_c2 production in B-meson decays. We find an inclusive B -> chi_c2 X branching fraction of (1.80^{+0.23}_{-0.28}+/- 0.26) 10^-3. The data set, collected with the Belle detector at the KEKB e^+e^- collider, consists of 31.9 million B\bar B events. We also present branching fractions and momentum spectra for both chi_c1 and chi_c2 production.Comment: 5 pages with 2 figure