Low-energy electronic recoil in xenon detectors by solar neutrinos

Low-energy electronic recoil caused by solar neutrinos in multi-ton xenon detectors is an important subject not only because it is a source of the irreducible background for direct searches of weakly-interacting massive particles (WIMPs), but also because it provides a viable way to measure the solar $pp$ and $^{7}\textrm{Be}$ neutrinos at the precision level of current standard solar model predictions. In this work we perform $\textit{ab initio}$ many-body calculations for the structure, photoionization, and neutrino-ionization of xenon. It is found that the atomic binding effect yields a sizable suppression to the neutrino-electron scattering cross section at low recoil energies. Compared with the previous calculation based on the free electron picture, our calculated event rate of electronic recoil in the same detector configuration is reduced by about $25\%$. We present in this paper the electronic recoil rate spectrum in the energy window of 100 eV - 30 keV with the standard per ton per year normalization for xenon detectors, and discuss its implication for low energy solar neutrino detection (as the signal) and WIMP search (as a source of background).Comment: 12 pages, 3 figure

Atomic ionization by sterile-to-active neutrino conversion and constraints on dark matter sterile neutrinos with germanium detectors

The transition magnetic moment of a sterile-to-active neutrino conversion gives rise to not only radiative decay of a sterile neutrino, but also its non-standard interaction (NSI) with matter. For sterile neutrinos of keV-mass as dark matter candidates, their decay signals are actively searched for in cosmic X-ray spectra. In this work, we consider the NSI that leads to atomic ionization, which can be detected by direct dark matter experiments. It is found that this inelastic scattering process for a nonrelativistic sterile neutrino has a pronounced enhancement in the differential cross section at energy transfer about half of its mass, manifesting experimentally as peaks in the measurable energy spectra. The enhancement effects gradually smear out as the sterile neutrino becomes relativistic. Using data taken with germanium detectors that have fine energy resolution in keV and sub-keV regimes, constraints on sterile neutrino mass and its transition magnetic moment are derived and compared with those from astrophysical observations

Risk of respiratory depression with opioids and concomitant gabapentinoids.

Introduction:The combination of opioids and central nervous system depressants such as benzodiazepines and barbiturates has an additive effect on the frequency of oversedation and respiratory depression requiring naloxone use in hospitalized patients. Gabapentinoids (gabapentin and pregabalin) are frequently prescribed with opioids for their opioid-sparing and adjuvant analgesic effects. There is limited literature on the risk of respiratory depression due to the combination of opioids and gabapentinoids requiring naloxone administration. Methods:This retrospective study evaluated patients who were prescribed opioids and at least one dose of naloxone between March 1, 2014 and September 30, 2016. The primary objective of this study was to compare the frequency of respiratory depression among patients who received naloxone and opioids (non-gabapentinoid group) with those who received naloxone, opioids, and gabapentinoids (gabapentinoid group). Secondary objectives included comparing the association of oversedation, using the Pasero Opioid-induced Sedation Scale, and various risk factors with those in the gabapentinoid group. Results:A total of 153 patient episodes of naloxone administration (102 in the non-gabapentinoid and 51 in the gabapentinoid groups) in 125 unique patients were included in the study. For the primary objective, there were 33 episodes of respiratory depression associated with the non-gabapentinoid group (33/102=32.4%) versus 17 episodes of respiratory depression with the gabapentinoid group (17/51=33.3%) (p=0.128). Secondary objectives showed a significant association between respiratory depression and surgery in the previous 24 hours (p=0.036) as well as respiratory depression and age >65 years (p=0.031) for patients in the non-gabapentinoid group compared to the gabapentinoid group. Conclusion:There was no significant association of respiratory depression in the gabapentinoid group versus the non-gabapentinoid group. There was an increased risk of respiratory depression in the gabapentinoid group, specifically in patients who had surgery within the previous 24 hours

Ultrasound-Guided Glenohumeral Joint Injection Using the Posterior Approach

Injection treatment to the glenohumeral joint is often needed to treat shoulder problems such as adhesive capsulitis. This can be done through blind palpation technique and fluoroscopic or musculoskeletal ultrasound guidance. In recent years, ultrasound has been proven to increase the accuracy of needle placement into the glenohumeral joint. Ultrasound is radiation free and offers real-time images in performing needle-guided injection procedures. Glenohumeral joint injection can be done using the anterior rotator interval approach or the posterior approach technique. Both techniques are generally well tolerated by the patients. However, it was shown that the posterior injection technique offers an easier and a more effective approach to the glenohumeral joint with less extravasation rate as compared with the anterior approach. The posterior approach also avoids the potential risk of accidental puncture or injection into the axillary neurovascular structures. A linear transducer of 5–12 MHz is usually used. This technique is often applied to inject corticosteroid for the treatment of frozen shoulder or contrast medium for computed tomography or magnetic resonance shoulder arthrography

The spontaneous emergence of ordered phases in crumpled sheets

X-ray tomography is performed to acquire 3D images of crumpled aluminum foils. We develop an algorithm to trace out the labyrinthian paths in the three perpendicular cross sections of the data matrices. The tangent-tangent correlation function along each path is found to decay exponentially with an effective persistence length that shortens as the crumpled ball becomes more compact. In the mean time, we observed ordered domains near the crust, similar to the lamellae phase mixed by the amorphous portion in lyotropic liquid crystals. The size and density of these domains grow with further compaction, and their orientation favors either perpendicular or parallel to the radial direction. Ordering is also identified near the core with an arbitrary orientation, exemplary of the spontaneous symmetry breaking