Neutrinoless Double Beta Decay Search with 76^{76}Ge: Status and Prospect with LEGEND

The search for neutrinoless double beta ($0\nu\beta\beta$) decay is the best way to test lepton number violation and Majorana nature of neutrinos. One of the most promising techniques to discover $0\nu\beta\beta$ decay is by operating High-Purity Ge detectors enriched in $^{76}$Ge. The current generation of $^{76}$Ge experiments, GERDA and MAJORANA, lead the field in the achieved energy resolution and ultra-low background. These are two of the most important characteristics for sensitive searches of this undiscovered decay. The next generation of $0\nu\beta\beta$ decay experiments requires more mass and further reduction of backgrounds to maximize the discovery potential. Building on the successes of GERDA and MAJORANA, the LEGEND collaboration has been formed to pursue a tonne-scale $^{76}$Ge experiment, with a discovery potential projected to be a half-life beyond 10^{28} years. The collaboration aims to develop a phased experimental program, starting with a 200 kg measurement by repurposing the existing Gerda infrastructure.Comment: Contribution to the 2019 EW session of the 54th Rencontres de Moriond, 6 pages, 7 figure

Polariton-polariton scattering in microcavities: A microscopic theory

We apply the fermion commutation technique for composite bosons to polariton-polariton scattering in semiconductor planar microcavities. Derivations are presented in a simple and physically transparent fashion. A procedure of orthogonolization of the initial and final two-exciton state wavefunctions is used to calculate the effective scattering matrix elements and the scattering rates. We show how the bosonic stimulation of the scattering appears in this full fermionic approach whose equivalence to the bosonization method is thus demonstrated in the regime of low exciton density. We find an additional contribution to polariton-polariton scattering due to the exciton oscillator strength saturation, which we analyze as well. We present a theory of the polariton-polariton scattering with opposite spin orientations and show that this scattering process takes place mainly via dark excitonic states. Analytical estimations of the effective scattering amplitudes are given.Comment: Theoretical paper on polariton-polariton scattering in planar microcavities. The new version contains a slightly modified abstract and a revised introduction. Typos have been corrected wherever spotted. 16 page

The Collaborative Development of New CFD Methods Adapted for Tilt Rotor Aircraft in the HiPerTilt Project

No abstract available

Is contrast-enhanced US alternative to spiral CT in the assessment of treatment outcome of radiofrequency ablation in hepatocellular carcinoma?

Purpose: The present study was conducted to assess the efficacy of contrast-enhanced ultrasound with low mechanical index in evaluating the response of percutaneous radiofrequency ablation treatment of hepatocellular carcinoma by comparing it with 4-row spiral computed tomography. Materials and Methods: 100 consecutive patients (65 men and 35 women; age range: 62 – 76 years) with solitary hepatocellular carcinomas (mean lesion diameter: 3.7cm± 1.1cm SD) underwent internally cooled radiofrequency ablation. Therapeutic response was evaluated at one month after the treatment with triple-phasic contrast-enhanced spiral CT and low-mechanical index contrast-enhanced ultrasound following bolus injection of 2.4 ml of Sonovue (Bracco, Milan). 60 out of 100 patients were followed up for another 3 months. Contrast-enhanced sonographic studies were reviewed by two blinded radiologists in consensus. Sensitivity, specificity, NPV and PPV of contrast-enhanced ultrasound examination were determined. Results: After treatment, contrast-enhanced ultrasound identified persistent signal enhancement in 24 patients (24%), whereas no intratumoral enhancement was detected in the remaining 76 patients (76%). Using CT imaging as gold standard, the sensitivity, specificity, NPV, and PPV of contrast enhanced ultrasound were 92.3% (95% CI = 75.9 – 97.9%), 100% (95% CI = 95.2 – 100%), 97.4% (95% CI = 91.1 – 99.3%), and 100% (95% CI = 86.2 – 100%). Conclusion: Contrast-enhanced ultrasound with low mechanical index using Sonovue is a feasible tool in evaluating the response of hepatocellular carcinoma to radiofrequency ablation. Accuracy is comparable to 4-row spiral CT

Optimum Filter Synthesis with DPLMS Method for Energy Reconstruction

Optimum filters are granted increasing recognition as valuable tools for parametric estimation in many scientific and technical fields. The DPLMS method, introduced some twenty years ago, is effective among the synthesis algorithms since it derives the optimum filters directly from the experimental signal and noise waveforms. Two new extensions of the DPLMS method are here presented. The first one speeds up the synthesis phase and improves the energy estimation by synthesizing optimum filters with automatically designed flat-top length. The second one improves the quality of parameter estimation in multi-channel systems by taking advantage of the inter-channel noise correlation properties. The theoretical and functional aspects behind the DPLMS method for optimum filter synthesis are first recalled and illustrated in more detail. The two new DPLMS extensions are subsequently introduced from the theoretical viewpoint and more thoroughly considered from the applicative perspective. The DPLMS optimum filters have been applied first to simulated signals with various amounts and characteristics of superimposed noise and then to the experimental waveforms acquired from a solid-state Ge detector. The results obtained are considered from both the absolute viewpoint and in comparison with those of more traditional, suboptimal filters. The results demonstrate the effectiveness of the two new DPLMS extensions. For single-channel energy estimations, the optimum filters provide comparatively better results than the other filters. The DPLMS multi-channel optimum filters further enhance the quality of the estimations, compared to single-channel optimum filters, with non-negligible inter-channel noise correlation. The effectiveness and robustness of the DPLMS method in synthesizing high-quality filters for energy estimation will be tested soon within leading-edge multi-channel physics experiments.Comment: 15 pages, 13 figure

Genomics knowledge and attitudes among European public health professionals. Results of a cross-sectional survey

Background The international public health (PH) community is debating the opportunity to incorporate genomic technologies into PH practice. A survey was conducted to assess attitudes of the European Public Health Association (EUPHA) members towards their role in the implementation of public health genomics (PHG), and their knowledge and attitudes towards genetic testing and the delivery of genetic services. Methods EUPHA members were invited via monthly newsletter and e-mail to take part in an online survey from February 2017 to January 2018. A descriptive analysis of knowledge and attitudes was conducted, along with a univariate and multivariate analysis of their determinants. Results Five hundred and two people completed the questionnaire, 17.9% were involved in PHG activities. Only 28.9% correctly identified all medical conditions for which there is (or not) evidence for implementing genetic testing; over 60% thought that investing in genomics may divert economic resources from social and environmental determinants of health. The majority agreed that PH professionals may play different roles in incorporating genomics into their activities. Better knowledge was associated with positive attitudes towards the use of genetic testing and the delivery of genetic services in PH (OR = 1.48; 95% CI 1.01–2.18). Conclusions Our study revealed quite positive attitudes, but also a need to increase awareness on genomics among European PH professionals. Those directly involved in PHG activities tend to have a more positive attitude and better knowledge; however, gaps are also evident in this group, suggesting the need to harmonize practice and encourage greater exchange of knowledge among professionals

Thymomas: a review.

Thymomas are neoplasma of thymic epithelial cells. They may be benign or malignant and may associate with locai ìnvasiveness and paraneoplastic diseases. Myasthenia gravis is often associated with thymomas, bui this is not thè rule. Several classifications have been proposed: some of them follow thè histopathological findings (Rosai and Levine, Snover, Marino and Muller- Hermelink classification), other emphasizes thè clinic-pathological stage (Masaoka, Verley and Hollmann stadiation). One third of thymomas is asymptomatic. Diagnosis is made often by plain X-ray and confirmed by Computed Tomography or fine needle biopsy. Surgery is effective in 100% of noninvasive cases and in 58% of invasive ones. Radio and chemotherapy are recommended only in advanced or inoperable stages

Predictors of mortality in primary antiphospholipid syndrome. A single-centre cohort study.

The vascular mortality of antiphospholipid syndrome (APS) ranges from 1.4 % to 5.5 %, but its predictors are poorly known. It was the study objective to evaluate the impact of baseline lupus anticoagulant assays, IgG anticardiolipin (aCL), plasma fibrinogen (FNG) and von Willebrand factor (VWF), platelets (PLT) and of genetic polymorphisms of methylenetetrahydrofolate reductase C677T, of prothrombin G20210A and of paraoxonase-1 Q192R on mortality in primary APS (PAPS). Cohort study on 77 thrombotic PAPS and 33 asymptomatic carriers of aPL (PCaPL) seen from 1989 to 2015 and persistently positive for aPL as per annual review. At baseline all participants were tested twice for the ratios of kaolin clotting time (KCTr), activated partial thromboplastin time (aPTTr), dilute Russell viper venom time (DRVVTr), IgG aCL, FNG, VWF and once for PLT. All thrombotic PAPS were on warfarin with regular INR monitoring. During follow-up 11 PAPS deceased (D-PAPS) of recurrent thrombosis despite adequate anticoagulation yielding an overall vascular mortality of 10 %. D-PAPS had the strongest baseline aPTTr and DRVVTr and the highest mean baseline IgG aCL, FNG, VWF and PLT. Cox proportional hazards model identified baseline DRVVTr and FNG as main predictors of mortality with adjusted hazard ratios of 5.75 (95 % confidence interval [CI]: 1.5, 22.4) and of 1.03 (95 %CI: 1.01, 1.04), respectively. In conclusion, plasma DRVVTr and FNG are strong predictors of vascular mortality in PAPS; while FNG lowering agents exist further research should be directed at therapeutic strategies able to dampen aPL production