Significance of the high charge state of projectile ions inside the target and its role in electron capture leading to target-ionization phenomena

The K x-ray spectra of different targets (Cu, Zn, and Ge) induced by 3-5 MeV/u Si projectile ions have been measured to determine the K-shell ionization cross section. A significant difference is observed between the measurements and theoretical estimates, with the latter being about 50% below the experimental results. This underestimation is attributed to the charge exchange from the target K shell to projectile K and L shells. Such an observation can only be possible if the projectile ions attain up to H- and He-like charge states. Corresponding projectile charge state fractions have been evaluated from the Lorentzian charge state distribution, where the mean charge state is taken from the Fermi gas model [W. Brandt, Phys. Rev. Lett. 30, 358 (1973)PRLTAO0031-900710.1103/PhysRevLett.30.358] and the width from the Novikov and Teplova approach [Phys. Lett. A 378, 1286 (2014)10.1016/j.physleta.2014.03.004]. The sum of the direct ionization cross section and K-K+K-L capture cross sections gives a good agreement with the measured cross sections. Furthermore, we have validated this methodology with available data for a Si ion on Ti target. Such results may be useful in many solid target-based applications.Fil: Chatterjee, Soumya. University Of Kalyani; IndiaFil: Sharma, Prashant. Weizmann Institute Of Science Israel; IsraelFil: Singh, Shashank. Panjab University; IndiaFil: Oswal, Mumtaz. No especifíca;Fil: Kumar, Sunil. No especifíca;Fil: Montanari, Claudia Carmen. Consejo Nacional de Investigaciónes Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Mitra, D.. University Of Kalyani; IndiaFil: Nandi, T.. No especifíca

Experimental and theoretical L-shell ionization cross sections of heavy atoms by impact of Si ions

We present a theoretical and experimental study of the subshell resolved L-shell ionization of relativistic targets such as 73Ta, 78Pt,90Th, and 92U. The measurements of x-ray production cross sections by (84?140 MeV) Si+q ions (q = 8; 12), were held at the Inter-University Accelerator Centre of New Delhi. Multiple-hole fluorescence and Coster-Kronig yields were used to obtain the Li(i = 1?3)ionization cross sections from the measured x-ray production cross sections of Lℓ, Lα, and Lβ, Lη, and Lγ lines. The experimental results are compared with ab initio theoretical calculations by means of the shell-wise local plasma approximation (SLPA). This model uses the quantum dielectric formalism to obtain the total ionization cross sections from an initial ground state. The wave functions and binding energies of the different targets were obtained by solving the fully-relativistic Dirac equation using the HULLAC code package. These calculations are based on first-order perturbation theory with a central field, including Breit interaction and quantum electrodynamics corrections. The present SLPA ionization cross sections of the L-shell are found to be independent of the charge state of the Si ions. The experimental observations display also quite similar character if the correct mean projectile charge state inside the target is used for including the multiple ionization effect during ion-solid collisions. A general good agreement between the experimental measurements and full theoretical calculations supports the reliability of present results. The comparison also includes the well-known ECPSSR and ECUSAR semi empirical approximations. We noted that the ECUSAR results agree well with the SLPA, while the ECPSSR cross sections are rather low.Fil: Oswal, M.. Dev Samaj College; India. Panjab University; IndiaFil: Kumar, Sunil. Panjab University; India. Degree college; IndiaFil: Singh, Udai. Jagiellonian University; PoloniaFil: Singh, G.. Panjab University; IndiaFil: Singh, K.P.. Panjab University; IndiaFil: Mehta, D.. Panjab University; IndiaFil: Mendez, Marta Patricia Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Mitnik, Dario Marcelo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Montanari, Claudia Carmen. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Astronomía y Física del Espacio. - Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Astronomía y Física del Espacio; ArgentinaFil: Mitra, D.. Kalyani University; IndiaFil: Nandi, T.. Inter-University Accelerator Centre; Indi

Balance between competing spectral states in subthalamic nucleus is linked to motor impairment in Parkinson's disease

Exaggerated bursts of activity at frequencies in the low beta band are a well-established phenomenon in the subthalamic nucleus (STN) of patients with Parkinson's disease. However, such activity is only moderately correlated with motor impairment. Here we test the hypothesis that beta bursts are just one of several dynamic states in the STN local field potential (LFP) in Parkinson's disease, and that together these different states predict motor impairment with high fidelity. LFPs were recorded in 32 patients (64 hemispheres) undergoing deep brain stimulation surgery targeting the STN. Recordings were performed following overnight withdrawal of anti-parkinsonian medication, and after administration of levodopa. LFPs were analysed using Hidden Markov Modelling to identify transient spectral states with frequencies under 40 Hz. Findings in the low beta frequency band were similar to those previously reported; levodopa reduced occurrence rate and duration of low beta states, and the greater the reductions, the greater the improvement in motor impairment. However, additional LFP states were distinguished in the theta, alpha and high beta bands, and these behaved in an opposite manner. They were increased in occurrence rate and duration by levodopa, and the greater the increases, the greater the improvement in motor impairment. In addition, levodopa favoured the transition of low beta states to other spectral states. When all LFP states and corresponding features were considered in a multivariate model it was possible to predict 50% of the variance in patients' hemibody impairment OFF medication, and in the change in hemibody impairment following levodopa. This only improved slightly if signal amplitude or gamma band features were also included in the multivariate model. In addition, it compares with a prediction of only 16% of the variance when using beta bursts alone. We conclude that multiple spectral states in the STN LFP have a bearing on motor impairment, and that levodopa-induced shifts in the balance between these states can predict clinical change with high fidelity. This is important in suggesting that some states might be upregulated to improve parkinsonism and in suggesting how LFP feedback can be made more informative in closed-loop deep brain stimulation systems

Efficacy and Tolerability of Fixed-Dose Combination of Dexketoprofen and Dicyclomine Injection in Acute Renal Colic

Objective. To evaluate the efficacy and tolerability of a fixed-dose combination of dexketoprofen and dicyclomine (DXD) injection in patients with acute renal colic. Patients and Methods. Two hundred and seventeen patients were randomized to receive either DXD (n = 109) or fixed-dose combination of diclofenac and dicyclomine injection (DLD; n = 108), intramuscularly. Pain intensity (PI) was self-evaluated by patients on visual analogue scale (VAS) at baseline and at 1, 2, 4, 6, and 8 hours. Efficacy parameters were proportion of responders, difference in PI (PID) at 8 hours, and sum of analogue of pain intensity differences (SAPID). Tolerability was assessed by patients and physicians. Results. DXD showed superior efficacy in terms of proportion of responders (98.17% versus 81.48; P < 0.0001), PID at 8 hours (P = 0.002), and SAPID0–8 hours (P = 0.004). The clinical global impression for change in pain was significantly better for DXD than DLD. The incidence of adverse events was comparable in both groups. However, global assessment of tolerability was rated significantly better for DXD. Conclusion. DXD showed superior efficacy and tolerability than DLD in patients clinically diagnosed to be suffering from acute renal colic

Neural signatures of hyperdirect pathway activity in Parkinson’s disease

Parkinson’s disease (PD) is characterised by the emergence of beta frequency oscillatory synchronisation across the cortico-basal-ganglia circuit. The relationship between the anatomy of this circuit and oscillatory synchronisation within it remains unclear. We address this by combining recordings from human subthalamic nucleus (STN) and internal globus pallidus (GPi) with magnetoencephalography, tractography and computational modelling. Coherence between supplementary motor area and STN within the high (21–30 Hz) but not low (13-21 Hz) beta frequency range correlated with ‘hyperdirect pathway’ fibre densities between these structures. Furthermore, supplementary motor area activity drove STN activity selectively at high beta frequencies suggesting that high beta frequencies propagate from the cortex to the basal ganglia via the hyperdirect pathway. Computational modelling revealed that exaggerated high beta hyperdirect pathway activity can provoke the generation of widespread pathological synchrony at lower beta frequencies. These findings suggest a spectral signature and a pathophysiological role for the hyperdirect pathway in PD

background laser technology and applications to clinical surgery

The goal of this chapter is to provide the background that frames the research described in this dissertation. Principles and concepts relevant to the content of subsequent chapters are introduced here. Because this work resides at the intersection of laser-tissue interaction with computer-assisted surgery, the basics of laser technology are introduced here

Implementation of neuro-oncology service reconfiguration in accordance with NICE guidance provides enhanced clinical care for patients with glioblastoma multiforme.

BACKGROUND: Brain tumours account for <2% of all primary neoplasms but are responsible for 7% of the years of life lost from cancer before age 70 years. The latest survival trends for patients with CNS malignancies have remained largely static. The objective of this study was to evaluate the change in practice as a result of implementing the Improving Outcomes Guidance from the UK National Institute for Health and Clinical Excellence (NICE). METHODS: Patients were identified from the local cancer registry and hospital databases. We compared time from diagnosis to treatment, proportion of patients discussed at multidisciplinary team (MDT) meetings, treatment received, length of inpatient stay and survival. Inpatient and imaging costs were also estimated. RESULTS: Service reconfiguration and implementation of NICE guidance resulted in significantly more patients being discussed by the MDT--increased from 66 to 87%, reduced emergency admission in favour of elective surgery, reduced median hospital stay from 8 to 4.5 days, increased use of post-operative MRI from 17 to 91% facilitating early discharge and treatment planning, and reduced cost of inpatient stay from £2096 in 2006 to £1316 in 2009. Patients treated with optimal surgery followed by radiotherapy with concomitant and adjuvant temozolomide achieved outcomes comparable to those reported in clinical trials: median overall survival 18 months (2-year survival 35%). CONCLUSIONS: Advancing the management of neuro-oncology patients by moving from an emergency-based system of patient referral and management to a more planned elective outpatient-based pattern of care improves patient experience and has the potential to deliver better outcomes and research opportunities