Conformity Between Ileoscopy Appearance with Terminal Ileum Histopathology Appearance in Normal Colonoscopy Chronic Diarrhea Patients

Background: Chronic diarrhea is one of the most common problem in gastroenterology cases. Ileoscopy is one of the modalities to determine the etiology of chronic diarrhea by normal colonoscopy appearance. Recently, there is still controversy in the need of this examination in normal macroscopic appearance. The aim of this study is to study the conformity of histopathology abnormalities with ileoscopy appearance in chronic diarrhea patients with normal colonoscopy.Methods: This study uses cross sectional study design by collecting 60 medical record data in several hospitals in Jakarta in the period of 1 January 2005 to 31 December 2011. Diagnostic test between ileoscopy and histopathology is performed by histopathology examination as a gold standard.Results: Study results revealed conformity between both examinations for 93.33%. Sensitivity value of ileoscopy examination compared to histopathology as a gold standard was 94%, specificity 90%, positive predictive value 97.9%, and negative predictive value 75%.Conclusion: Ileoscopy examination in chronic diarrhea patients and normal colonoscopy showed similar results with histopathology examination

National Consensus on the Use of Sedation Drugs in the Gastrointestinal Endoscopic Procedures

Gastrointestinal endoscopy is rapidly developing and several gastrointestinal endoscopy equipment are available for both diagnostic and therapeutic purposes. Proper sedation is critical in performing endoscopic procedures, both for patients and physicians. This consensus is used as a guideline and not as a legal standard in performing endoscopic services. This consensus explained the definition, indication, contraindication, and complication prevention during sedation. Factors affecting the need of sedation is patient factors, procedure factors, and sedation level. Diagnostic or therapeutic upper gastrointestinal tract endoscopy which not complicated can be performed with minimal sedation or moderate sedation, while deep sedation can be considered for longer and more complex procedures. Furthermore, assessment and selection of sedation was explained, followed by the guide to choose pharmacological sedation and analgesics. Currently, diazepam, midazolam, propofol, fentanyl, and pethidine is the most likely used sedation during gastrointestinal endoscopy, with midazolam as the preferred medication of choice. This consensus also explained the antidote of each drug and the recovery after procedure. This consensus aimed to improve gastrointestinal endoscopic procedure services in Indonesia

Measurement of the CKM angle γ from a combination of B±→Dh± analyses

A combination of three LHCb measurements of the CKM angle γ is presented. The decays B±→D K± and B±→Dπ± are used, where D denotes an admixture of D0 and D0 mesons, decaying into K+K−, π+π−, K±π∓, K±π∓π±π∓, K0Sπ+π−, or K0S K+K− final states. All measurements use a dataset corresponding to 1.0 fb−1 of integrated luminosity. Combining results from B±→D K± decays alone a best-fit value of γ =72.0◦ is found, and confidence intervals are set γ ∈ [56.4,86.7]◦ at 68% CL, γ ∈ [42.6,99.6]◦ at 95% CL. The best-fit value of γ found from a combination of results from B±→Dπ± decays alone, is γ =18.9◦, and the confidence intervals γ ∈ [7.4,99.2]◦ ∪ [167.9,176.4]◦ at 68% CL are set, without constraint at 95% CL. The combination of results from B± → D K± and B± → Dπ± decays gives a best-fit value of γ =72.6◦ and the confidence intervals γ ∈ [55.4,82.3]◦ at 68% CL, γ ∈ [40.2,92.7]◦ at 95% CL are set. All values are expressed modulo 180◦, and are obtained taking into account the effect of D0–D0 mixing

ИСПАРЕНИЕ КАДМИЯ ИЗ РАСПЛАВОВ С КРИСТАЛЛИЗАЦИЕЙ ПРИМЕСЕЙ

The continuous weighing technique has been used for determination of cadmium evaporation degree (α) and rate (V) from binary alloys with nickel, copper and silver (2 wt.% each) at the temperature of 400–500 °C and the pressure of 13–2660 Pa with liquidus line transition from the liquid solution range to the impurity crystallization range under the isothermal conditions. The αand V change curves in time are characteristic for the impurity accumulation processes in the residue and the growing effect of the diffusion factor of more volatile component – cadmium supply to the evaporation surface. When the system passes the liquidus line, the V(τ) curves show a specific kink with V value decrease caused by the evaporation mechanism change. The cadmium evaporation rate in the two-phase field of coexistence cadmium intermetallic compound and liquid solutions on its basis is comparable to that from homogeneous alloy and it is admissible in the process technology.Методом непрерывного взвешивания определены степень (α) и скорость испарения (V) кадмия из бинарных сплавов с никелем, медью и серебром (по 2 мас.%) при температурах 400–500 °С и давлениях 13–2660 Па с переходом линии ликвидуса из области жидких растворов в область кристаллизации примеси в изотермических условиях. Кривые изменения α и V во времени характерны для процессов накопления примесей в остатке и нарастания влияния диффузионного фактора подвода к поверхности испарения более летучего компонента – кадмия. При переходе системой линии ликвидуса на кривых V(τ) отмечен характерный излом с понижением величины V, обусловленный сменой механизма процесса испарения. Скорость испарения Cd в двухфазной области сосуществования интерметаллидов кадмия и жидких растворов на его основе сопоставима с таковой из гомогенного сплава и приемлема в технологическом процессе

A compact and cost-effective hard X-ray free-electron laser driven by a high-brightness and low-energy electron beam

We present the first lasing results of SwissFEL, a hard X-ray free-electron laser (FEL) that recently came into operation at the Paul Scherrer Institute in Switzerland. SwissFEL is a very stable, compact and cost-effective X-ray FEL facility driven by a low-energy and ultra-low-emittance electron beam travelling through short-period undulators. It delivers stable hard X-ray FEL radiation at 1-Å wavelength with pulse energies of more than 500 μJ, pulse durations of ~30 fs (root mean square) and spectral bandwidth below the per-mil level. Using special configurations, we have produced pulses shorter than 1 fs and, in a different set-up, broadband radiation with an unprecedented bandwidth of ~2%. The extremely small emittance demonstrated at SwissFEL paves the way for even more compact and affordable hard X-ray FELs, potentially boosting the number of facilities worldwide and thereby expanding the population of the scientific community that has access to X-ray FEL radiation

Observation of the B0 → ρ0ρ0 decay from an amplitude analysis of B0 → (π+π-)(π+π-) decays

Proton-proton collision data recorded in 2011 and 2012 by the LHCb experiment, corresponding to an integrated luminosity of 3.0 fb-1, are analysed to search for the charmless B0→ρ0ρ0 decay. More than 600 B0→(π+π-)(π+π-) signal decays are selected and used to perform an amplitude analysis, under the assumption of no CP violation in the decay, from which the B0→ρ0ρ0 decay is observed for the first time with 7.1 standard deviations significance. The fraction of B0→ρ0ρ0 decays yielding a longitudinally polarised final state is measured to be fL=0.745-0.058+0.048(stat)±0.034(syst). The B0→ρ0ρ0 branching fraction, using the B0→ϕK*(892)0 decay as reference, is also reported as B(B0→ρ0ρ0)=(0.94±0.17(stat)±0.09(syst)±0.06(BF))×10-6

A simple dynamic model explains the diversity of island birds worldwide

International audienc

Scaling Constraints for Urban Air Mobility Operations: Air Traffic Control, Ground Infrastructure, and Noise

The scalability of the current air traffic control system, the availability of aviation ground infrastructure, and the acceptability of aircraft noise to local communities have been identified as three key operational constraints that may limit the implementation or growth of Urban Air Mobility (UAM) systems. This paper identifies the primary mechanisms through which each constraint emerges to limit the number of UAM operations in an area (i.e. the scale of the service). Technical, ecosystem, or operational factors that influence each of the mechanisms are also identified. Interdependencies between the constraints are shown. Potential approaches to reduce constraint severity through adjustments to the mechanisms are introduced. Finally, an effort is made to characterize the severity of each operational constraint as a function of the density of UAM operations in a region of interest. To this end, a measure of severity is proposed for each constraint. This measure is used to notionally display how the severity of the constraint responds to UAM scaling, and to identify scenarios where efforts to relieve the constraint are most effective. The overall purpose of this paper is to provide an abstraction of the workings of the key UAM operational constraints so that researchers, developers, and practitioners may guide their efforts to mitigation pathways that are most likely to increase achievable UAM system scale