Faisceau intense de mésons μ— de grande pureté

A focusing and analyzing device, 24 quadrupole lenses with an alternating gradient magnet, has been constructed near the C. E. R. N. synchrocyclotron. It provides strong fluxes of μ— mesons (about 104 μ—/sec on a 10 × 10 cm2 target) with a low π meson contamination (1 % or less) for high and low energy.Un dispositif de focalisation et d'analyse constitué d'un ensemble de 24 lentilles quadrupolaires magnétiques, et d'un électro-aimant à focalisation forte est en fonctionnement auprès du synchro-cyclotron du C. E. R. N. On donne l'intensité du faisceau de mésons μ— obtenu (environ 10 4 μ—/s dans une cible de 10 × 10 cm2) et la contamination en mésons π— (de l'ordre de 1 %) pour différentes bandes d'énergie. On cite les utilisateurs actuels de ce faisceau

Patient and provider characteristics associated with therapeutic intervention selection in a chiropractic clinical encounter: a cross-sectional analysis of the COAST and O-COAST study data

Abstract Background Chiropractors use a variety of therapeutic interventions in clinical practice. How the selection of interventions differs across musculoskeletal regions or with different patient and provider characteristics is currently unclear. This study aimed to describe how frequently different interventions are used for patients presenting for chiropractic care, and patient and provider characteristics associated with intervention selection. Methods Data were obtained from the Chiropractic Observation and Analysis STudy (COAST) and Ontario (O-COAST) studies: practice-based, cross-sectional studies in Victoria, Australia (2010–2012) and Ontario, Canada (2014–2015). Chiropractors recorded data on patient diagnosis and intervention selection from up to 100 consecutive patient visits. The frequency of interventions selected overall and for each diagnostic category (e.g., different musculoskeletal regions) were descriptively analysed. Univariable multi-level logistic regression (provider and patient as grouping factors), stratified by diagnostic category, was used to assess the association between patient/provider variables and intervention selection. Results Ninety-four chiropractors, representative of chiropractors in Victoria and Ontario for age, sex, and years in practice, participated. Data were collected on 7,966 patient visits (6419 unique patients), including 10,731 individual diagnoses (mean age: 43.7 (SD: 20.7), 57.8% female). Differences in patient characteristics and intervention selection were observed between chiropractors practicing in Australia and Canada. Overall, manipulation was the most common intervention, selected in 63% (95%CI:62–63) of encounters. However, for musculoskeletal conditions presenting in the extremities only, soft tissue therapies were more commonly used (65%, 95%CI:62–68). Manipulation was less likely to be performed if the patient was female (OR:0.74, 95%CI:0.65–0.84), older (OR:0.79, 95%CI:0.77–0.82), presenting for an initial visit (OR:0.73, 95%CI:0.56–0.95) or new complaint (OR:0.82, 95%CI:0.71–0.95), had one or more comorbidities (OR:0.63, 95%CI:0.54–0.72), or was underweight (OR:0.47, 95%CI:0.35–0.63), or obese (OR:0.69, 95%CI:0.58–0.81). Chiropractors with more than five years clinical experience were less likely to provide advice/education (OR:0.37, 95%CI:0.16–0.87) and exercises (OR:0.17, 95%CI:0.06–0.44). Conclusion In more than 10,000 diagnostic encounters, manipulation was the most common therapeutic intervention for spine-related problems, whereas soft tissue therapies were more common for extremity problems. Different patient and provider characteristics were associated with intervention selection. These data may be used to support further research on appropriate selection of interventions for common musculoskeletal complaints

Additional file 1 of Patient and provider characteristics associated with therapeutic intervention selection in a chiropractic clinical encounter: a cross-sectional analysis of the COAST and O-COAST study data

Supplementary Material

Patient and provider characteristics associated with therapeutic intervention selection in a chiropractic clinical encounter: A cross-sectional analysis of the COAST and O-COAST study data

Background: Chiropractors use a variety of therapeutic interventions in clinical practice. How the selection of interventions differs across musculoskeletal regions or with different patient and provider characteristics is currently unclear. This study aimed to describe how frequently different interventions are used for patients presenting for chiropractic care, and patient and provider characteristics associated with intervention selection. Methods: Data were obtained from the Chiropractic Observation and Analysis STudy (COAST) and Ontario (O-COAST) studies: practice-based, cross-sectional studies in Victoria, Australia (2010–2012) and Ontario, Canada (2014–2015). Chiropractors recorded data on patient diagnosis and intervention selection from up to 100 consecutive patient visits. The frequency of interventions selected overall and for each diagnostic category (e.g., different musculoskeletal regions) were descriptively analysed. Univariable multi-level logistic regression (provider and patient as grouping factors), stratified by diagnostic category, was used to assess the association between patient/provider variables and intervention selection. Results: Ninety-four chiropractors, representative of chiropractors in Victoria and Ontario for age, sex, and years in practice, participated. Data were collected on 7,966 patient visits (6419 unique patients), including 10,731 individual diagnoses (mean age: 43.7 (SD: 20.7), 57.8% female). Differences in patient characteristics and intervention selection were observed between chiropractors practicing in Australia and Canada. Overall, manipulation was the most common intervention, selected in 63% (95%CI:62–63) of encounters. However, for musculoskeletal conditions presenting in the extremities only, soft tissue therapies were more commonly used (65%, 95%CI:62–68). Manipulation was less likely to be performed if the patient was female (OR:0.74, 95%CI:0.65–0.84), older (OR:0.79, 95%CI:0.77–0.82), presenting for an initial visit (OR:0.73, 95%CI:0.56–0.95) or new complaint (OR:0.82, 95%CI:0.71–0.95), had one or more comorbidities (OR:0.63, 95%CI:0.54–0.72), or was underweight (OR:0.47, 95%CI:0.35–0.63), or obese (OR:0.69, 95%CI:0.58–0.81). Chiropractors with more than five years clinical experience were less likely to provide advice/education (OR:0.37, 95%CI:0.16–0.87) and exercises (OR:0.17, 95%CI:0.06–0.44). Conclusion: In more than 10,000 diagnostic encounters, manipulation was the most common therapeutic intervention for spine-related problems, whereas soft tissue therapies were more common for extremity problems. Different patient and provider characteristics were associated with intervention selection. These data may be used to support further research on appropriate selection of interventions for common musculoskeletal complaints

Additional file 2 of Patient and provider characteristics associated with therapeutic intervention selection in a chiropractic clinical encounter: a cross-sectional analysis of the COAST and O-COAST study data

Supplementary Material

Additional file 3 of Patient and provider characteristics associated with therapeutic intervention selection in a chiropractic clinical encounter: a cross-sectional analysis of the COAST and O-COAST study data

Supplementary Material

Flavour universality of neutrino couplings with the Z

We are reporting the first experimental result of the coupling of the muon neutrino with the Z. This result is in good agreement with the average value of the coupling of the three neutrino families as derived from the invisible decay width of the Z. We also determined gντ assuming Nν=3. © 1994.0SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Search for heavy isosinglet neutrinos

A new search for decays of heavy isosinglet neutrinos produced by neutral-current neutrino interactions in the CERN wide-band neutrino beam has been conducted by the CHARM-II Collaboration. We searched for heavy neutrinos created by scattering muon neutrinos on nucleons and decaying into μ+μ-νμ. Production and decay of heavy neutrinos would appear as double events in the detector. Each double event candidate was tested wheather the measured quantities are compatible with the kinematics of this process. No event passed this test. The analysis is based on 2 × 107 neutral-current neutrino events collected from 1987-1991

SEARCH FOR HEAVY ISOSINGLET NEUTRINOS

A new search for decays of heavy isosinglet neutrinos produced by neutral-current neutrino interactions in the CERN wide-band neutrino beam has been conducted by the CHARM-II Collaboration. We searched for heavy neutrinos created by scattering muon neutrinos on nucleons and decaying into mu(+) mu(-) v(mu). Production and decay of heavy neutrinos would appear as double events in the detector. Each double event candidate was tested wheather the measured quantities are compatible with the kinematics of this process. No event passed this test. The analysis is based on 2 x 10(7) neutral-current neutrino events collected from 1987-1991. The experiment is sensitive to heavy neutrinos in the mass range 0.3-2.4 GeV/c(2). The best limit for the mixing parameter is \U-mu i\(2) < 3 X 10(-5) for a mass around 2 GeV/c(2). The analysis improved by an order of magnitude previous results derived from wide-band neutrino beam exposures of the CHARM detector