Comparative Review of the Treatment Methodologies of Carotid Stenosis

The treatment of carotid stenosis entails three methodologies, namely, medical management, carotid angioplasty and stenting (CAS), as well as carotid endarterectomy (CEA). The North American Symptomatic Carotid Endarterectomy Trial (NASCET) and European Carotid Surgery Trial (ECST) have shown that symptomatic carotid stenosis greater than 70% is best treated with CEA. In asymptomatic patients with carotid stenosis greater than 60%, CEA was more beneficial than treatment with aspirin alone according to the Asymptomatic Carotid Atherosclerosis (ACAS) and Asymptomatic Carotid Stenosis Trial (ACST) trials. When CAS is compared with CEA, the CREST resulted in similar rates of ipsilateral stroke and death rates regardless of symptoms. However, CAS not only increased adverse effects in women, it also amplified stroke rates and death in elderly patients compared with CEA. CAS can maximize its utility in treating focal restenosis after CEA and patients with overwhelming cardiac risk or prior neck irradiation. When performing CEA, using a patch was equated to a more durable result than primary closure, whereas eversion technique is a new methodology deserving a spotlight. Comparing the three major treatment strategies of carotid stenosis has intrinsic drawbacks, as most trials are outdated and they vary in their premises, definitions, and study designs. With the newly codified best medical management including antiplatelet therapies with aspirin and clopidogrel, statin, antihypertensive agents, strict diabetes control, smoking cessation, and life style change, the current trials may demonstrate that asymptomatic carotid stenosis is best treated with best medical therapy. The ongoing trials will illuminate and reshape the treatment paradigm for symptomatic and asymptomatic carotid stenosis

PAMELA's cosmic positron from decaying LSP in SO(10) SUSY GUT

We propose two viable scenarios explaining the recent observations on cosmic positron excess. In both scenarios, the present relic density in the Universe is assumed to be still supported by thermally produced WIMP or LSP (\chi). One of the scenarios is based on two dark matter (DM) components (\chi,X) scenario, and the other is on SO(10) SUSY GUT. In the two DM components scenario, extremely small amount of non-thermally produced meta-stable DM component [O(10^{-10}) < n_X /n_\chi] explains the cosmic positron excess. In the SO(10) model, extremely small R-parity violation for LSP decay to e^\pm is naturally achieved with a non-zero VEV of the superpartner of one right-handed neutrino (\tilde{\nu}^c) and a global symmetry.Comment: 6 pages, Talks presented in PASCOS, SUSY, and COSMO/CosPA in 201

PDB91 Systematic Literature Review of Health State Utilities for Adults With Type 1 Diabetes

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Effects of 3D-printed polycaprolactone/��-tricalcium phosphate membranes on guided bone regeneration

This study was conducted to compare 3D-printed polycaprolactone (PCL) and polycaprolactone/��-tricalcium phosphate (PCL/��-TCP) membranes with a conventional commercial collagen membrane in terms of their abilities to facilitate guided bone regeneration (GBR). Fabricated membranes were tested for dry and wet mechanical properties. Fibroblasts and preosteoblasts were seeded into the membranes and rates and patterns of proliferation were analyzed using a kit-8 assay and by scanning electron microscopy. Osteogenic differentiation was verified by alizarin red S and alkaline phosphatase (ALP) staining. An in vivo experiment was performed using an alveolar bone defect beagle model, in which defects in three dogs were covered with different membranes. CT and histological analyses at eight weeks after surgery revealed that 3D-printed PCL/��-TCP membranes were more effective than 3D-printed PCL, and substantially better than conventional collagen membranes in terms of biocompatibility and bone regeneration and, thus, at facilitating GBR. ? 2017 by the authors. Licensee MDPI, Basel, Switzerland.118Ysciescopu

BKB_K using HYP-smeared staggered fermions in Nf=2+1N_f=2+1 unquenched QCD

We present results for kaon mixing parameter $B_K$ calculated using HYP-smeared improved staggered fermions on the MILC asqtad lattices. We use three lattice spacings ($a\approx 0.12$, $0.09$ and $0.06\;$fm), ten different valence quark masses ($m\approx m_s/10-m_s$), and several light sea-quark masses in order to control the continuum and chiral extrapolations. We derive the next-to-leading order staggered chiral perturbation theory (SChPT) results necessary to fit our data, and use these results to do extrapolations based both on SU(2) and SU(3) SChPT. The SU(2) fitting is particularly straightforward because parameters related to taste-breaking and matching errors appear only at next-to-next-to-leading order. We match to the continuum renormalization scheme (NDR) using one-loop perturbation theory. Our final result is from the SU(2) analysis, with the SU(3) result providing a (less accurate) cross check. We find $B_K(\text{NDR}, \mu = 2 \text{GeV}) = 0.529 \pm 0.009 \pm 0.032$ and $\hat{B}_K =B_K(\text{RGI})= 0.724 \pm 0.012 \pm 0.043$, where the first error is statistical and the second systematic. The error is dominated by the truncation error in the matching factor. Our results are consistent with those obtained using valence domain-wall fermions on lattices generated with asqtad or domain-wall sea quarks.Comment: 37 pages, 31 figures, most updated versio

The BKB_K Kaon Parameter in the Chiral Limit

We introduce four-point functions in the hadronic ladder resummation approach to large $N_c$ QCD Green functions. We determine the relevant one to calculate the $B_K$ kaon parameter in the chiral limit. This four-point function contains both the large momenta QCD OPE and the small momenta ChPT at NLO limits, analytically. We get $\hat B_K^\chi = 0.38 \pm 0.15$. We also give the ChPT result at NLO for the relevant four-point function to calculate $B_K$ outside the chiral limit, while the leading QCD OPE is the same as the chiral limit one.Comment: 17 page

A combinatorial approach to knot recognition

This is a report on our ongoing research on a combinatorial approach to knot recognition, using coloring of knots by certain algebraic objects called quandles. The aim of the paper is to summarize the mathematical theory of knot coloring in a compact, accessible manner, and to show how to use it for computational purposes. In particular, we address how to determine colorability of a knot, and propose to use SAT solving to search for colorings. The computational complexity of the problem, both in theory and in our implementation, is discussed. In the last part, we explain how coloring can be utilized in knot recognition