Design and Studies of μ-strip Stacked Module Prototypes for Tracking at Super-LHC

AbstractExperience at high luminosity hadrons collider experiments shows that tracking information enhances the trigger rejection capabilities while retaining high efficiency for interesting physics events. The design of a tracking based trigger for Super LHC (S-LHC), the already envisaged high luminosity upgrade of the LHC collider, is an extremely challenging task, and requires the identification of high-momentum particle tracks as a part of the Level 1 Trigger.Simulation studies show that this can be achieved by correlating hits on two closely spaced silicon strip sensors. The progresses on the design and development of this micro-strip stacked prototype modules and the performance of few prototype detectors will be presented. The prototypes have been built with the silicon sensors and electronics used to equip the present CMS[1] Tracker.Preliminary results of a simulated tracker layout equipped with stacked modules are discussed in terms of pT resolution and triggering capabilities.The study of real prototypes in terms of signal over noise and tracking performance with cosmic rays and a dedicated beam test experiment will also be shown

Genetic and environmental influences on in vitro digestibility of alfalfa

To study the relationships between in vitro NDF or true dry matter digestibility (NDFD and IVTDMD) and forage fibre content, 95 alfalfa samples from 5 cultivars grown in 3 different locations and from different cuts were analysed for fibre fractions and evaluated for NDFD and IVTDMD. NDFD was mainly influenced by order of cut and age of the fields. The multifoliate cultivar controlled did not appear to differ for fibre composition and NDFD from the other ones. Fibre fractions contents explained a large part of the difference in NDFD and IVTDMD, and no significant differences in this relationships appeared for first-cut vs. aftermath forage. The best predictive equation of NDFD from fibre factions was: NDFD = 73.61 -0.62 * NDF (% DM) – 56.33 * ADL/NDF (R2=0.39). Variations in fibre content and quality do not completely explain differences in NDFD suggesting the interference of other factors that are worth to be better studied

Results on Multiple Coulomb Scattering from 12 and 20 GeV electrons on Carbon targets

Multiple scattering effects of 12 and 20 GeV electrons on 8 and 20 mm thickness carbon targets have been studied with high-resolution silicon microstrip detectors of the UA9 apparatus at the H8 line at CERN. Comparison of the scattering angle between data and GEANT4 simulation shows excellent agreement in the core of the distributions leaving some residual disagreement in the tails.Comment: 14 pages, 16 figures. Updated to match published versio

Clinical Predictors of Nondiabetic Kidney Disease in Patients with Diabetes: A Single-Center Study

Background. Although diabetic kidney disease (DKD) could affect up to one-third of patients with diabetes mellitus (DM), these patients can develop kidney diseases different from DKD, or these conditions can superimpose on DKD. Several potential predictors of nondiabetic kidney disease (NDKD) have been proposed, but there are no definitive indications available for kidney biopsy in diabetic patients. Methods. We designed a single-center, cross-sectional, and retrospective cohort study to identify clinical and laboratory factors associated with a diagnosis of NDKD after native kidney biopsy in diabetic patients and to investigate differences in time to end-stage kidney disease (ESKD) in patients with a diagnosis of DKD and NDKD. Results. Of 142 patients included in our analysis, 89 (62.68%) had a histopathological diagnosis of NDKD or mixed NDKD + DKD. Patients in the NDKD group had significantly lower HbA1C, lower prevalence of diabetic retinopathy (DR), and less severe proteinuria, and there was a lower proportion of patients with nephrotic syndrome; the DKD group had significantly lower proportion of patients with hematological conditions. In the multivariate binary logistic regression, only absence of DR and presence of a hematological condition significantly predicted NDKD after adjustment for age and sex. Time to ESKD was significantly higher in patients with NDKD or mixed forms than in those with DKD. Conclusions. After a careful selection, more than half of kidney biopsies performed in diabetic patients can identify NDKD (alone or with concomitant DKD). Absence of DR and coexistence of a hematological condition (especially MGUS) were strong predictors of NDKD in our cohort

Relapse of atypical hemolytic uremic syndrome during pregnancy in a patient on eculizumab maintenance treatment: A case report

Objective: Rare disease Background: Atypical hemolytic uremic syndrome (aHUS) is a genetic disorder with uncontrolled complement activation leading to systemic thrombotic microangiopathy; kidneys are almost invariably involved. Eculizumab has dramatically improved the prognosis of aHUS and affected women in the childbearing age are more likely to consider pregnancy, even if this could represent a risk for disease reactivation. Pregnancies in women with aHUS during Eculizumab treatment have been reported, with no cases of aHUS relapse. Case Report: We report the case of a female patient affected by aHUS with no specific gene mutations who had a pregnancyassociated aHUS relapse at 26-weeks of gestation during maintenance Eculizumab treatment. The patient developed stage II acute kidney injury and microangiopathic hemolytic anemia. Delivery by cesarean section at week 27, plasma exchange sessions and several supplemental Eculizumab administrations were required. After appropriate treatment, the patient partially recovered kidney function; the baby had a prolonged stay in the intensive care unit and showed no signs of neurologic damage. Conclusions: Previous reports indicated that pregnancy-related aHUS relapses were unlikely in women undergoing Eculizumab treatment. Based on our case, we suggest caution in counselling pregnancy in women with aHUS treated with Eculizumab, especially in the absence of pathogenic mutations in complement-regulating genes. Clinicians should be aware of possible aHUS relapse in pregnancy during Eculizumab treatment

Accidental neck and chest penetration by a metal sliver derived from an axe for wood chopping: A case report

Background: Penetrating neck and chest trauma is a very common entity in emergency medicine that usually requires surgical treatment. Our case report illustrates the case of a 27-year-old Arabian man with hemopneumothorax associated with pneumomediastinum due to an unusual occupational injury. Case presentation: A metal sliver, coming from an axe using for wood chopping, penetrated the neck of a 27-year-old Arabian man in the left supraclavicular region mimicking a gun bullet; the entrance hole was at the left pleural dome where the sliver had just penetrated the apex of the lung passing through the upper lobe of his left lung creating an exit wound in the dorsal segment of the same lobe arriving in the posterior thoracic wall. Biportal video-assisted thoracic surgery was performed to remove blood clots and the unusual foreign body. Conclusion: In the literature, there are several case series about this topic, with some of them reporting unusual foreign bodies that lead to penetrating trauma. However, to the best of our knowledge, no cases like the one we have reported are described in the current literature

Anticorrosion Protection by Amine-Ionic Liquid Mixtures: Experiments and Simulations

The mixtures of aqueous amines and ionic liquids (ILs) are considered as potential solvents for CO2 capture. We report corrosion and CO2 absorption behavior of the mixed IL-amine solutions. The absorption tests were performed at 318.15 K under 0.1-2.7 MPa. The corrosion tests were carried out at 318.15 K under 2.7 MPa. Addition of [bmim][BF4] in aqueous alkanolamine solutions reduces corrosion rate for MEA by up to 72%. The CO, absorption capacity in the mixtures falls between those of aqueous MDEA and pure IL. These results allow to choose the working pressure range as a function of other parameters, such as gas pressure and mixture viscosity. According to the simulations, [bmim][BF4] participates in the gas capture through H-bonding, although the number of amine molecules is enough to capture all supplied CO, molecules. The equilibrium of the chemisorption reaction is, therefore, modified upon the stepwise IL addition. An ideal IL content for preventing corrosion is 10% w/w.CNPqHewlett-Packard Brasil LtdaCAPESPontif Catholic Univ Rio Grande Sul PUCRS, Postgrad Program Mat Engn & Technol, Ave Ipiranga 6681, BR-90619900 Porto Alegre, RS, BrazilPontif Catholic Univ Rio Grande Sul PUCRS, Sch Chem, Ave Ipiranga 6681, BR-90619900 Porto Alegre, RS, BrazilPontif Catholic Univ Rio Grande Sul PUCRS, Sch Engn, Ave Ipiranga 6681, BR-90619900 Porto Alegre, RS, BrazilUniv Fed Sao Paulo, BR-04021001 Sao Paulo, SP, BrazilUniv Fed Sao Paulo, BR-04021001 Sao Paulo, SP, BrazilWeb of Scienc

Influence of dialysate temperature on creatinine peritoneal clearance in peritoneal dialysis patients: a randomized trial

Background: Patients on continuous ambulatory peritoneal dialysis (PD) are encouraged to warm dialysate to 37 \ub0C before peritoneal infusion; main international PD guidelines do not provide specific recommendation, and patients generally warm dialysate batches partially or do not warm them at all. Warming of dialysate is a time-consuming procedure, not free from potential risks (i.e. degradation of glucose), and should be justified by a clear clinical benefit. Methods: We designed a single blind randomized controlled trial where 18 stable PD patients were randomized to receive a peritoneal equilibration test either with dialysate at a controlled temperature of 37 \ub0C (intervention group) or with dialysate warmed with conventional methods (control group). Primary end-point was a higher peritoneal creatinine clearance in patients in the intervention group. Results: Patients in the intervention group did not show a significantly higher peritoneal creatinine clearance when compared to the control group (6.38 \ub1 0.52 ml/min vs 5.65 \ub1 0.37 ml/min, p = 0.2682). Similar results were obtained for urea peritoneal clearance, mass transfer area coefficient of creatinine and urea. There were no significant differences in total abdominal discomfort questionnaire score, blood pressure and body temperature between the two groups. Conclusions: Using peritoneal dialysate at different temperatures without causing significant side effects to patients appears feasible. We report a lack of benefit of warming peritoneal dialysate to 37 \ub0C on peritoneal clearances; future PD guidelines should not reinforce this recommendation. Trial registration: NCT04302649, ClinicalTrials.gov; date of registration 10/3/2020 (retrospectively registered)