A Modular Aortouniiliac Endovascular Stent-graft is a Useful Device for the Treatment of Symptomatic and Ruptured Infrarenal Abdominal Aortic Aneurysms: One-year Results from a Multicentre Study

IntroductionEndovascular repair (EVAR) of acute symptomatic and ruptured abdominal aortic aneurysm (rAAA) can be difficult without a large stock of suitable graft sizes. We report a prospective European multicentre study of a modular aortouniiliac stent-graft.Patients and methodsSeven centres, with elective EVAR experience, participated in the study. Sixty-five patients were enrolled from September 2002 – April 2005. Some 45 patients had rAAA and 20 were acutely symptomatic. Their median age was 74 (69–80.3) years, 49 (75%) were men. From a choice of 4 body and 4 limb sizes, stent-grafts were deployed under local or general anaesthesia.ResultsThe endovascular delivery system was introduced and the aneurysm excluded from the circulation in a median of 40 (30–60) minutes from the first incision.The median operative duration was 150 (120–190)mins, blood loss 300ml (200–800). 33 (51%) operations were performed by a vascular surgeon alone.There were a total of 4 (6%) peri-operative re-interventions, endovascular (n=1), open (n=2) and thrombectomy (n=1). The peri-operative mortality in the rupture group was 40% and 10% in the symptomatic group.ConclusionsAortouniiliac stent-grafts provide rapid exclusion of rAAA. Suitably trained surgeons can do the operation without a radiologist's support. The mortality rate from rAAA treated with EVAR remains high

Noncommutativity and Lorentz Violation in Relativistic Heavy Ion Collisions

The experimental detection of the effects of noncommuting coordinates in electrodynamic phenomena depends on the magnitude of |\theta B|, where \theta is the noncommutativity parameter and B a background magnetic field. With the present upper bound on \theta, given by \theta_{\rm bound} \simeq 1/(10 {\rm TeV})^2, there was no large enough magnetic field in nature, including those observed in magnetars, that could give visible effects or, conversely, that could be used to further improve \theta_{\rm bound}. On the other hand, recently it has been proposed that intense enough magnetic fields should be produced at the beginning of relativistic heavy ion collisions. We discuss here lepton pair production by free photons as one kind of signature of noncommutativity and Lorentz violation that could occur at RHIC or LHC. This allows us to obtain a more stringent bound on \theta, given by 10^{-3} \theta_{\rm bound}, if such "exotic" events do not occur.Comment: Five pages, no figures

On the Meaning of the String-Inspired Noncommutativity and its Implications

We propose an alternative interpretation for the meaning of noncommutativity of the string-inspired field theories and quantum mechanics. Arguments are presented to show that the noncommutativity generated in the stringy context should be assumed to be only between the particle coordinate observables, and not of the spacetime coordinates. Some implications of this fact for noncomutative field theories and quantum mechanics are discussed. In particular, a consistent interpretation is given for the wavefunction in quantum mechanics. An analysis of the noncommutative theories in the Schr\"odinger formulation is performed employing a generalized quantum Hamilton-Jacobi formalism. A formal structure for noncommutative quantum mechanics, richer than the one of noncommutative quantum field theory, comes out. Conditions for the classical and commutative limits of these theories have also been determined and applied in some examples.Comment: References, comments, and footnotes are included; some changes in section

Diagnosis and Management of Iliac Artery Endofibrosis: Results of a Delphi Consensus Study

Objective Iliac endofibrosis is a rare condition that may result in a reduction of blood flow to the lower extremity in young, otherwise healthy individuals. The data to inform everyday clinical management are weak and therefore a Delphi consensus methodology was used to explore areas of consensus and disagreement concerning the diagnosis and management of patients with suspected iliac endofibrosis. Methods A three-round Delphi questionnaire approach was used among vascular surgeons, sports physicians, sports scientists, radiologists, and clinical vascular scientists with experience of treating this condition to explore diagnosis and clinical management issues for patients with suspected iliac artery endofibrosis. Analysis is based on 18 responses to round 2 and 14 responses to round 3, with agreement reported when 70% of respondents were in agreement. Results Initially there was agreement on the typical symptoms at presentation and the need for an exercise test in the diagnosis. Round 3 clarified that duplex ultrasound was a useful tool in the diagnosis of endofibrosis. There was consensus on the most appropriate type of surgery (endarterectomy and vein patch) and that endovascular interventions were inadvisable. The final round helped to inform aspects of the natural history and post-operative surveillance. Progression of the disease was likely with continued exercise but cessation may prevent progression. Surveillance after surgery is generally recommended yearly with at least a clinical assessment. Conclusions There is broad agreement about the presenting symptoms and the investigations required to confirm (or exclude) the diagnosis of iliac endofibrosis. There was consensus on the surgical approach to repair. Disagreement existed about the specific diagnostic criteria that should be applied during non-invasive testing and about post-operative care and resumption of exercise

Measurement of the polarisation of W bosons produced with large transverse momentum in pp collisions at sqrt(s) = 7 TeV with the ATLAS experiment

This paper describes an analysis of the angular distribution of W->enu and W->munu decays, using data from pp collisions at sqrt(s) = 7 TeV recorded with the ATLAS detector at the LHC in 2010, corresponding to an integrated luminosity of about 35 pb^-1. Using the decay lepton transverse momentum and the missing transverse energy, the W decay angular distribution projected onto the transverse plane is obtained and analysed in terms of helicity fractions f0, fL and fR over two ranges of W transverse momentum (ptw): 35 < ptw < 50 GeV and ptw > 50 GeV. Good agreement is found with theoretical predictions. For ptw > 50 GeV, the values of f0 and fL-fR, averaged over charge and lepton flavour, are measured to be : f0 = 0.127 +/- 0.030 +/- 0.108 and fL-fR = 0.252 +/- 0.017 +/- 0.030, where the first uncertainties are statistical, and the second include all systematic effects.Comment: 19 pages plus author list (34 pages total), 9 figures, 11 tables, revised author list, matches European Journal of Physics C versio

Observation of a new chi_b state in radiative transitions to Upsilon(1S) and Upsilon(2S) at ATLAS

The chi_b(nP) quarkonium states are produced in proton-proton collisions at the Large Hadron Collider (LHC) at sqrt(s) = 7 TeV and recorded by the ATLAS detector. Using a data sample corresponding to an integrated luminosity of 4.4 fb^-1, these states are reconstructed through their radiative decays to Upsilon(1S,2S) with Upsilon->mu+mu-. In addition to the mass peaks corresponding to the decay modes chi_b(1P,2P)->Upsilon(1S)gamma, a new structure centered at a mass of 10.530+/-0.005 (stat.)+/-0.009 (syst.) GeV is also observed, in both the Upsilon(1S)gamma and Upsilon(2S)gamma decay modes. This is interpreted as the chi_b(3P) system.Comment: 5 pages plus author list (18 pages total), 2 figures, 1 table, corrected author list, matches final version in Physical Review Letter