Etiological Profile and Treatment Outcome of Epistaxis at a Tertiary Care Hospital in Northwestern Tanzania: A Prospective Review of 104 Cases.

Epistaxis is the commonest otolaryngological emergency affecting up to 60% of the population in their lifetime, with 6% requiring medical attention. There is paucity of published data regarding the management of epistaxis in Tanzania, especially the study area. This study was conducted to describe the etiological profile and treatment outcome of epistaxis at Bugando Medical Centre, a tertiary care hospital in Northwestern Tanzania. This was a prospective descriptive study of the cases of epistaxis managed at Bugando Medical Centre from January 2008 to December 2010. Data collected were analyzed using SPSS computer software version 15. A total of 104 patients with epistaxis were studied. Males were affected twice more than the females (2.7:1). Their mean age was 32.24 ± 12.54 years (range 4 to 82 years). The modal age group was 31-40 years. The commonest cause of epistaxis was trauma (30.8%) followed by idiopathic (26.9%) and hypertension (17.3%). Anterior nasal bleeding was noted in majority of the patients (88.7%). Non surgical measures such as observation alone (40.4%) and anterior nasal packing (38.5%) were the main intervention methods in 98.1% of cases. Surgical measures mainly intranasal tumor resection was carried out in 1.9% of cases. Arterial ligation and endovascular embolization were not performed. Complication rate was 3.8%. The overall mean of hospital stay was 7.2 ± 1.6 days (range 1 to 24 days). Five patients died giving a mortality rate of 4.8%. Trauma resulting from road traffic crush (RTC) remains the most common etiological factor for epistaxis in our setting. Most cases were successfully managed with conservative (non-surgical) treatment alone and surgical intervention with its potential complications may not be necessary in most cases and should be the last resort. Reducing the incidence of trauma from RTC will reduce the incidence of emergency epistaxis in our centre

First Measurement of the Transverse Spin Asymmetries of the Deuteron in Semi-Inclusive Deep Inelastic Scattering

First measurements of the Collins and Sivers asymmetries of charged hadrons produced in deep-inelastic scattering of muons on a transversely polarized 6-LiD target are presented. The data were taken in 2002 with the COMPASS spectrometer using the muon beam of the CERN SPS at 160 GeV/c. The Collins asymmetry turns out to be compatible with zero, as does the measured Sivers asymmetry within the present statistical errors.Comment: 6 pages, 2 figure

Gluon polarization in the nucleon from quasi-real photoproduction of high-pT hadron pairs

We present a determination of the gluon polarization Delta G/G in the nucleon, based on the helicity asymmetry of quasi-real photoproduction events, Q^2<1(GeV/c)^2, with a pair of large transverse-momentum hadrons in the final state. The data were obtained by the COMPASS experiment at CERN using a 160 GeV polarized muon beam scattered on a polarized 6-LiD target. The helicity asymmetry for the selected events is = 0.002 +- 0.019(stat.) +- 0.003(syst.). From this value, we obtain in a leading-order QCD analysis Delta G/G=0.024 +- 0.089(stat.) +- 0.057(syst.) at x_g = 0.095 and mu^2 =~ 3 (GeV}/c)^2.Comment: 10 pages, 3 figure

Measurement of the Spin Structure of the Deuteron in the DIS Region

We present a new measurement of the longitudinal spin asymmetry A_1^d and the spin-dependent structure function g_1^d of the deuteron in the range 1 GeV^2 < Q^2 < 100 GeV^2 and 0.004< x <0.7. The data were obtained by the COMPASS experiment at CERN using a 160 GeV polarised muon beam and a large polarised 6-LiD target. The results are in agreement with those from previous experiments and improve considerably the statistical accuracy in the region 0.004 < x < 0.03.Comment: 10 pages, 6 figures, subm. to PLB, revised: author list, Fig. 4, details adde

An optical recording system based on a fast CCD sensor for biological imaging

This paper presents technical details, hardware and software of a complete imaging system which uses a fast CCD sensor and a 41 Msample/s A/D converter to acquire full-frame 12 bit/pixel digitized images with a time resolution of 1.25 ms/image. This apparatus permits to resolve intracellular Ca2+ gradients in individual cells as well as the spatio-temporal pattern of neural activity of cell assemblies in neural tissue

Intracellular Gradients of Free Calcium Visualized in Sensory and Neuronal Cells By a High-Performance Fluorescence Imaging System

This paper describes results obtained with a novel imaging system based on a fast CCD device. Sensor&apos;s output was digitized at 12 bit/pixel by customized electronics, reaching acquisition rates as high as 800 frames/s with a full-frame resolution of 128128 pixels. The software developed for the project permitted the sequential capture of thousands of images directly to host PC RAM without frame loss even at the maximum readout rate (16 MHz). It is shown that the high spatio-temporal resolution of this apparatus is of value when investigating the time-course of rapid intracellular Ca2 fluorescence transients, particularly those associated with neuronal action potentials near physiological temperature

RICHONE: a software package for the analysis of COMPASS RICH-1 data

Baum G, Birsa R, Bradamante F, et al. RICHONE: a software package for the analysis of COMPASS RICH-1 data. In: Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment. Nucl.Instrum.Meth. A. Vol 502. Elsevier Science BV; 2003: 315-317.RICHONE is the pattern recognition and PID code for COMPASS RICH-1. RICHONE is part of CORAL, the COMPASS software system, a C++ framework developed within the collaborations using up-to-date techniques and tools. (C) 2003 Elsevier Science B.V. All rights reserved

The radiator gas and the gas system of COMPASS RICH-1

Albrecht E, Baum G, Bellunato T, et al. The radiator gas and the gas system of COMPASS RICH-1. In: Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment. Nucl.Instrum.Meth. A. Vol 502. Elsevier Science BV; 2003: 266-269.The design of the COMPASS RICH-1 gas system, its operational modes, the cleaning setups for the preparation of the radiator gas and transmission measurement installations are described. The gas system in presently fully operational and satisfactory transmission of VUV light through the radiator gas has been reached. (C) 2003 Elsevier Science B.V. All rights reserved

The COMPASS RICH-1 read-out system

Baum G, Birsa R, Bradamante F, et al. The COMPASS RICH-1 read-out system. In: Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment. Nucl.Instrum.Meth. A. Vol 502. Elsevier Science BV; 2003: 246-250.This paper describes the reconfigurable read-out system for the 82944 RICH-1 channels of the COMPASS experiment (NA58) at CERN. The system is based on 192 identical large front-end boards (BORA board). BORA was designed for acquiring, digitizing, threshold subtracting and transmitting event data. The overall operation of the board is controlled and supervised by a DSP tightly interacting with an FPGA that acts as a parallel co-processor. The DSP allows characterizing each analog channel by locally calculating noise and pedestal. Each BORA communicates with the outside world through two optical fibers and through a dedicated DSP network. One optical fiber is used to receive event triggers, and the other one is used to transmit event data to subsequent processing stages of the acquisition system. The DSP network allows reconfiguring and reprogramming the DSPs and FPGAs as well as acquiring sample events to visualize the overall operation of the system. The whole RICH has eight DSP networks working in parallel. These networks are handled by DOLINA. a PC resident multiprocessor board containing eight DSPs. Each network is formed by 24 BORA DSPs and I DOLINA DSP. The read-out system can steadily work up to a trigger rate of 75 kHz with maximum pixel occupancy of 20%, reaching a transmission data rate of 5.13 Gbytes/s. (C) 2003 Elsevier Science B.V. All rights reserved