EPR identification of defects responsible for thermoluminescence in Cu-doped lithium tetraborate (Li2B4O7) crystals

Electron paramagnetic resonance (EPR) is used to identify the electron and hole traps responsible for thermoluminescence (TL) peaks occurring near 100 and 200 ◦C in copper-doped lithium tetraborate (Li2B4O7) crystals. As-grown crystals have Cu+ and Cu2+ ions substituting for lithium and have Cu+ ions at interstitial sites. All of the substitutional Cu2+ ions in the as-grown crystals have an adjacent lithium vacancy and give rise to a distinct EPR spectrum. Exposure to ionizing radiation at room temperature produces a second and different Cu2+ EPR spectrum when a hole is trapped by substitutional Cu+ ions that have no nearby defects. These two Cu2+ trapped-hole centers are referred to as Cu2+-VLi and Cu2+active, respectively. Also during the irradiation, two trapped-electron centers in the form of interstitial Cu0 atoms are produced when interstitial Cu+ ions trap electrons. They are observed with EPR and are labeled Cu0A and Cu0B. When an irradiated crystal is warmed from 25 to 150 ◦C, the Cu2+active centers have a partial decay step that correlates with the TL peak near 100 ◦C. The concentrations of Cu0A and Cu0B centers, however, increase as the crystal is heated through this range. As the crystal is futher warmed between 150 and 250 ◦C, the EPR signals from the Cu2+active hole centers and Cu0A and Cu0B electron centers decay simultaneously. This decay step correlates with the intense TL peak near 200 ◦C

Quality review and education as method of improving guideline adherence for medication prescription and outcomes among vascular interventionalists performing non-cardiac vascular surgeries

Background: Medical management of patients undergoing non-cardiac vascular procedures often sub-optimally follow evidence based guidelines. We hypothesized that feedback to practitioners in regards to outcomes and medications prescribed would improve care. Methods: With conversion to new database in 2015 that allowed for more comprehensive tracking of vascular surgery outcomes, a decision was made to share these data with practitioners on regular basis as well as relay medications prescribed at discharge. Carotid and abdominal aortic surgeries were evaluated. The most frequent format for presentation of data was vascular morbidity and mortality conference. Medications included in presentations were antiplatelet and statin therapies. Comparisons were made between adherence to guideline based therapies 2 years before and 2 years after new database implementation. ACE inhibitor/aldosterone receptor blocker (ARB) therapy prescribing data were not included in these presentations. SAS Enterprise Guide 7.1 and R 3.6.1 software used for analysis. Results: 826 patients were evaluated. 400 patients were in pre new database implementation and 426 were included after implementation. No significant difference found with prescribing of ACE inhibitors/ARB, changing only from 47 to 48%. There was difference with univariate analysis of antiplatelet and statin prescribing. Antiplatelet prescribing improved from 89 to 93%, Odds Ratio (OR) = 1.7 (95% confidence interval, 1-2.8) and statin prescribing improved from 74 to 86%, OR= 2.1 (95% confidence interval, 1.5-3). Access site and bleeding complications also demonstrated improvement. See Figure. Conclusion: Regular feedback to vascular practitioners improves adherence to guideline based therapies and can improve surgical outcomes

A pilot clinical trial of intravesical mitomycin-C and external deep pelvic hyperthermia for non-muscle-invasive bladder cancer.

PURPOSE: This paper aims to evaluate the safety and heating efficiency of external deep pelvic hyperthermia combined with intravesical mitomycin C (MMC) as a novel therapy for non-muscle-invasive bladder cancer (NMIBC). MATERIALS AND METHODS: We enrolled subjects with bacillus Calmette-Guérin (BCG) refractory NMIBC to an early phase clinical trial of external deep pelvic hyperthermia (using a BSD-2000 device) combined with MMC. Bladders were heated to 42 °C for 1 h during intravesical MMC treatment. Treatments were given weekly for 6 weeks, then monthly for 4 months. Heating parameters, treatment toxicity, and clinical outcomes were systematically measured. RESULTS: Fifteen patients were enrolled on the clinical trial. Median age was 66 years and 87% were male. Median European Organisation for Research and Treatment of Cancer (EORTC) recurrence and progression scores were 6 and 8, respectively. The full treatment course was attained in 73% of subjects. Effective bladder heating was possible in all but one patient who could not tolerate the supine position due to lung disease. Adverse events were all minor (grade 2 or less) and no systemic toxicity was observed. The most common adverse effects were Foley catheter pain (40%), abdominal discomfort (33%), chemical cystitis symptoms (27%), and abdominal skin swelling (27%). With a median follow-up of 3.18 years, 67% experienced another bladder cancer recurrence (none were muscle invasive) and 13% experienced an upper tract recurrence. CONCLUSIONS: External deep pelvic hyperthermia using the BSD-2000 device is a safe and reproducible method of heating the bladder in patients undergoing intravesical MMC. The efficacy of this treatment modality should be explored further in clinical trials

Disk Galaxy Formation in a LambdaCDM Universe

We describe hydrodynamical simulations of galaxy formation in a Lambda cold dark matter (CDM) cosmology performed using a subresolution model for star formation and feedback in a multiphase interstellar medium (ISM). In particular, we demonstrate the formation of a well-resolved disk galaxy. The surface brightness profile of the galaxy is exponential, with a B-band central surface brightness of 21.0 mag arcsec^-2 and a scale-length of R_d = 2.0 h^-1 kpc. We find no evidence for a significant bulge component. The simulated galaxy falls within the I-band Tully-Fisher relation, with an absolute magnitude of I = -21.2 and a peak stellar rotation velocity of V_rot=121.3 km s^-1. While the total specific angular momentum of the stars in the galaxy agrees with observations, the angular momentum in the inner regions appears to be low by a factor of ~2. The star formation rate of the galaxy peaks at ~7 M_sun yr^-1 between redshifts z=2-4, with the mean stellar age decreasing from \~10 Gyrs in the outer regions of the disk to ~7.5 Gyrs in the center, indicating that the disk did not simply form inside-out. The stars exhibit a metallicity gradient from 0.7 Z_sun at the edge of the disk to 1.3 Z_sun in the center. Using a suite of idealized galaxy formation simulations with different models for the ISM, we show that the effective pressure support provided by star formation and feedback in our multiphase model is instrumental in allowing the formation of large, stable disk galaxies. If ISM gas is instead modeled with an isothermal equation of state, or if star formation is suppressed entirely, growing gaseous disks quickly violate the Toomre stability criterion and undergo catastrophic fragmentation.Comment: 14 pages, 12 figures, LaTex (emulateapj.cls), submitted to ApJ, high resolution images available at http://www-cfa.harvard.edu/~brobertson/papers/galaxy

EPR identification of defects responsible for thermoluminescence in Cu-doped lithium tetraborate (Li2B4O7) crystals

Electron paramagnetic resonance (EPR) is used to identify the electron and hole traps responsible for thermoluminescence (TL) peaks occurring near 100 and 200 ◦C in copper-doped lithium tetraborate (Li2B4O7) crystals. As-grown crystals have Cu+ and Cu2+ ions substituting for lithium and have Cu+ ions at interstitial sites. All of the substitutional Cu2+ ions in the as-grown crystals have an adjacent lithium vacancy and give rise to a distinct EPR spectrum. Exposure to ionizing radiation at room temperature produces a second and different Cu2+ EPR spectrum when a hole is trapped by substitutional Cu+ ions that have no nearby defects. These two Cu2+ trapped-hole centers are referred to as Cu2+-VLi and Cu2+active, respectively. Also during the irradiation, two trapped-electron centers in the form of interstitial Cu0 atoms are produced when interstitial Cu+ ions trap electrons. They are observed with EPR and are labeled Cu0A and Cu0B. When an irradiated crystal is warmed from 25 to 150 ◦C, the Cu2+active centers have a partial decay step that correlates with the TL peak near 100 ◦C. The concentrations of Cu0A and Cu0B centers, however, increase as the crystal is heated through this range. As the crystal is futher warmed between 150 and 250 ◦C, the EPR signals from the Cu2+active hole centers and Cu0A and Cu0B electron centers decay simultaneously. This decay step correlates with the intense TL peak near 200 ◦C

Thermal dosimetry characteristics of deep regional heating of non-muscle invasive bladder cancer.

PURPOSE: The aim of this paper is to report thermal dosimetry characteristics of external deep regional pelvic hyperthermia combined with intravesical mitomycin C (MMC) for treating bladder cancer following transurethral resection of bladder tumour, and to use thermal data to evaluate reliability of delivering the prescribed hyperthermia dose to bladder tissue. MATERIALS AND METHODS: A total of 14 patients were treated with MMC and deep regional hyperthermia (BSD-2000, Sigma Ellipse or Sigma 60). The hyperthermia objective was 42° ± 2 °C to bladder tissue for ≥40 min per treatment. Temperatures were monitored with thermistor probes and recorded values were used to calculate thermal dose and evaluate treatment. Anatomical characteristics were examined for possible correlations with heating. RESULTS: Combined with BSD-2000 standard treatment planning and patient feedback, real-time temperature monitoring allowed thermal steering of heat sufficient to attain the prescribed thermal dose to bladder tissue within patient tolerance in 91.6% of treatments. Mean treatment time for bladder tissue \u3e40 °C was 61.9 ± 11.4 min and mean thermal dose was 21.3 ± 16.5 CEM43. Average thermal doses obtained in normal tissues were 1.6 ± 1.2 CEM43 for the rectum and 0.8 ± 1.3 CEM43 in superficial normal tissues. No significant correlation was seen between patient anatomical characteristics and thermal dose achieved in bladder tissue. CONCLUSIONS: This study demonstrates that a hyperthermia prescription of 42° ± 2 °C for 40-60 min can be delivered safely to bladder tissue with external radiofrequency phased array applicators for a typical range of patient sizes. Using the available thermometry and treatment planning, the BSD-2000 hyperthermia system was shown to be an effective method of focusing heat regionally around the bladder with good patient tolerance

Identification of electron and hole traps in lithium tetraborate (Li2B4O7) crystals: Oxygen vacancies and lithium vacancies

Electron paramagnetic resonance (EPR) and electron-nuclear double resonance (ENDOR) are used to identify and characterize electrons trapped by oxygen vacancies and holes trapped by lithium vacancies in lithium tetraborate (Li2B4O7) crystals. Our study includes a crystal with the natural abundances of 10B and 11B and a crystal highly enriched with 10B. The as-grown crystals contain isolated oxygen vacancies, lithium vacancies, and copper impurities, all in nonparamagnetic charge states. During an irradiation at 77 K with 60 kV x-rays, doubly ionized oxygen vacancies trap electrons while singly ionized lithium vacancies and monovalent copper impurities trap holes. The vacancies return to their preirradiation charge states when the temperature of the sample is increased to approximately 90 K. Hyperfine interactions with 10B and 11B nuclei, observed between 13 and 40 K in the radiation-induced EPR and ENDOR spectra, provide models for the two vacancy-related defects. The electron trapped by an oxygen vacancy is localized primarily on only one of the two neighboring boron ions while the hole stabilized by a lithium vacancy is localized on a neighboring oxygen ion with nearly equal interactions with the two boron ions adjacent to the oxygen ion

Evaluation of a chest radiograph reading and recording system for tuberculosis in a HIV-positive cohort.

Aim To assess the impact of introducing a chest radiograph reading and recording system (CRRS) with a short training session, on the accuracy and inter-reader variability of tuberculosis (TB) interpretation of chest radiographs (CXRs) by a group of non-expert readers in a human immunodeficiency virus (HIV)-positive cohort. Materials and methods A set of 139 CXRs was reviewed by a group of eight physicians pre- and post-intervention at two clinics in Shan State, Myanmar, providing HIV/TB diagnosis and treatment services. The results were compared against the consensus of expert radiologists for accuracy. Results Overall accuracy was similar pre- and post-intervention for most physicians with an average area under the receiver operating characteristic curve difference of 0.02 (95% confidence interval: –0.03, 0.07). The overall agreement among physicians was poor pre- and post-intervention (Fleiss κ=0.35 and κ=0.29 respectively). The assessment of agreement for specific disease patterns associated with active TB in HIV-infected patients showed that for intrinsically subtle findings, the agreement was generally poor but better for the more intrinsically obvious disease patterns: pleural effusion (Cohen’s kappa range = 0.37–0.67) and milliary nodular pattern (Cohen’s kappa range = 0.25–0.52). Conclusion This study demonstrated limited impact of the introduction of a CRRS on CXR accuracy and agreement amongst non-expert readers. The role in which CXRs are used for TB diagnosis in a HIV-positive cohort in similar clinical contexts should be reviewed

Dual Role of Sb Ions as Electron Traps and Hole Traps in Photorefractive Sn\u3csub\u3e2\u3c/sub\u3eP\u3csub\u3e2\u3c/sub\u3eS\u3csub\u3e6\u3c/sub\u3e Crystals

Doping photorefractive single crystals of Sn2P2S6 with antimony introduces both electron and hole traps. In as-grown crystals, Sb3+ (5s2) ions replace Sn2+ ions. These Sb3+ ions are either isolated (with no nearby perturbing defects) or they have a charge-compensating Sn2+ vacancy at a nearest-neighbor Sn site. When illuminated with 633 nm laser light, isolated Sb3+ ions trap electrons and become Sb2+ (5s25p1) ions. In contrast, Sb3+ ions with an adjacent Sn vacancy trap holes during illumination. The hole is primarily localized on the (P2S6)4− anionic unit next to the Sb3+ ion and Sn2+ vacancy. These trapped electrons and holes are thermally stable below ∼200 K, and they are observed with electron paramagnetic resonance (EPR) at temperatures below 150 K. Resolved hyperfine interactions with 31P, 121Sb, and 123Sb nuclei are used to establish the defect models. Abstract © 2016 Optical Society of Americ

Molecular-orbital theory for the stopping power of atoms in the low velocity regime:the case of helium in alkali metals

A free-parameter linear-combination-of-atomic-orbitals approach is presented for analyzing the stopping power of slow ions moving in a metal. The method is applied to the case of He moving in alkali metals. Mean stopping powers for He present a good agreement with local-density-approximation calculations. Our results show important variations in the stopping power of channeled atoms with respect to their mean values.Comment: LATEX, 3 PostScript Figures attached. Total size 0.54