57 research outputs found

    Advanced simulation code for alpha spectrometry

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    A Monte Carlo code, known as AASI, is developed for simulating energy spectra in alpha spectrometry. The code documented here is a comprehensive package where all the major processes affecting the spectrum are included. A unique feature of the code is its ability to take into account coincidences between the particles emitted from the source. Simulations and measurements highlight the importance of coincidences in high-resolution alpha spectrometry. To show the validity of the simulated results, comparisons with measurements and other simulation codes are presented.Comment: 21 pages, 4 figures, to be published in Nucl. Instr. and Meth.

    Postnatal parental smoking: an important risk factor for SIDS

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    Background: Sudden infant death syndrome (SIDS) is the unexpected death of an infant that remains unexplained after a thorough investigation of the circumstances, family history, paediatric investigation and complete autopsy. In Western society, it is the leading cause of post-neonatal death below 1 year of age. In the Netherlands, the SIDS incidence is very low, which offers opportunities to assess the importance of old and new environmental risk factors. For this purpose, cases were collected through pathology departments and the working group on SIDS of the Dutch Paediatrician Foundation. A total of 142 cases were included; these occurred after the parental education on sleeping position (1987), restricted to the international age criteria and had no histological explanation. Age-matched healthy controls (N∈=∈2,841) came from a survey of the Netherlands Paediatric Surveillance Unit, completed between November 2002 and April 2003. A multivariate analysis was performed to determine the risk factors for SIDS, including sleeping position, antenatal maternal smoking, postnatal parental smoking, premature birth, gender, lack of breastfeeding and socio-economic status. Postnatal smoking was identified as an important environmental risk factor for SIDS (OR one parent∈=∈2.5 [1.2, 5.0]; both parents∈=∈5.77 [2.2, 15.5]; maternal∈=∈2.7 [1.0, 6.4]; paternal∈=∈2.4 [1.3, 4.5] ) as was prone sleeping (OR put prone to sleep∈=∈21.5 [10.6, 43.5]; turned prone during sleep∈=∈100 [46, 219]). Premature birth was also significantly associated with SIDS (OR∈=∈2.4 [1.2, 4.8]). Conclusion: Postnatal parental smoking is currently a major environmental risk factor for SIDS in the Netherlands together with the long-established risk of prone sleeping

    Study of ion emission from a germanium crystal surface under impact of fast Pb ions in channeling conditions

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    International audienceA thin germanium crystal has been irradiated at GANIL by Pb beams of 29 MeV/A (charge state Qin = 56 and 72) and of 5.6 MeV/A (Qin = 28). The induced ion emission from the sample entrance surface was studied, impact per impact, as a function of Qin, velocity vin and energy loss DE in the crystal. The Pb ions transmitted through the crystal were analyzed in charge (Qout) and energy using the SPEG spectrometer. The emitted ionized species were detected and analyzed in mass by a Time of Flight multianode detector (LAG). Channeling was used to select peculiar DE in Ge and hence peculiar Pb ion trajectories close to the emitting surface. The experiment was performed in standard vacuum. No Ge emission was found. The dominating emitted species are H+ and hydrocarbon ions originating from the contamination layer on top of the crystal. The mean value of the number of detected species per incoming Pb ion (multiplicity) varies as (Qin/vin)^p, with p values in agreement with previous results. We have clearly observed an influence of the energy deposition DE in Ge on the emission from the top contamination layer. When selecting increasing values of DE, we observed a rather slow increase of . On the contrary, the probabilities of high multiplicity values, that are essentially connected to fragmentation after emission, strongly increase with DE

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    Background: About 10 to 20% of children in West European countries have atopic dermatitis (AD), often as part of the atopic syndrome. The full atopic syndrome also consists of allergic asthma, allergic rhinitis and food allergy. Treatment approaches for atopic dermatitis and asthma include intermittent anti-inflammatory therapy with corticosteroids, health education and self-management training. However, symptoms persist in a subgroup of patients. Several observational studies have shown significant improvement in clinical symptoms in children and adults with atopic dermatitis or asthma after treatment at high altitude, but evidence on the efficacy when compared to treatment at sea level is still lacking.Methods/Design: This study is a pragmatic randomized controlled trial for children with moderate to severe AD within the atopic syndrome. Patients are eligible for enrolment in

    Surveillance study of apparent life-threatening events (ALTE) in the Netherlands

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    SIDS and ALTE are different entities that somehow show some similarities. Both constitute heterogeneous conditions. The Netherlands is a low-incidence country for SIDS. To study whether the same would hold for ALTE, we studied the incidence, etiology, and current treatment of ALTE in The Netherlands. Using the Dutch Pediatric Surveillance Unit, pediatricians working in second- and third-level hospitals in the Netherlands were asked to report any case of ALTE presented in their hospital from January 2002 to January 2003. A questionnaire was subsequently sent to collect personal data, data on pregnancy and birth, condition preceding the incident, the incident itself, condition after the incident, investigations performed, monitoring or treatment initiated during admission, any diagnosis made at discharge, and treatment or parental support offered after discharge. A total of 115 cases of ALTE were reported, of which 110 questionnaires were filled in and returned (response rate 97%). Based on the national birth rate of 200,000, the incidence of ALTE amounted 0.58/1,000 live born infants. No deaths occurred. Clinical diagnoses could be assessed in 58.2%. Most frequent diagnoses were (percentages of the total of 110 cases) gastro-esophageal reflux and respiratory tract infection (37.3% and 8.2%, respectively); main symptoms were change of color and muscle tone, choking, and gagging. The differences in diagnoses are heterogeneous. In 34%, parents shook their infants, which is alarmingly high. Pre- and postmature infants were overrepresented in this survey (29.5% and 8.2%, respectively). Ten percent had recurrent ALTE. In total, 15.5% of the infants were discharged with a home monitor. In conclusion, ALTE has a low incidence in second- and third-level hospitals in the Netherlands. Parents should be systematically informed about the possible devastating effects of shaking an infant. Careful history taking and targeted additional investigations are of utmost importance

    JGZ-richtlijn Gezonde slaap en slaapproblemen bij kinderen : Is het tijd voor een update?

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    Sinds 2017 maakt de jeugdgezondheidszorg (JGZ) voor de preventie en aanpak van slaapproblemen gebruik van de JGZ-richtlijn Gezonde slaap en slaapproblemen bij kinderen. Onlangs verscheen in het Nederlands Tijdschrift voor Geneeskunde naar aanleiding van de JGZ-richtlijn een discussiestuk over de beschreven interventies in de richtlijn. In dit artikel gaan wij in op het richtlijnontwikkelproces en de punten uit het discussiestuk. Bij een herziening van de richtlijn zal eventuele nieuwe evidentie over interventies worden beoordeeld en bij positieve beoordeling in de richtlijn worden opgenomen
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