20,123 research outputs found

    Hip Arthroscopic Surgery for Femoroacetabular Impingement: A Prospective Analysis of the Relationship Between Surgeon Experience and Patient Outcomes.

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    Background:Hip arthroscopic surgery is a rapidly growing procedure, but it may be associated with a steep learning curve. Few studies have used patient-reported outcome (PRO) surveys to investigate the relationship between surgeon experience and patient outcomes after the arthroscopic treatment of femoroacetabular impingement (FAI). Hypothesis:Patients undergoing hip arthroscopic surgery for the treatment of FAI in the early stages of a surgeon's career will have significantly worse outcomes and longer procedure times compared with patients treated after the surgeon has gained experience. Study Design:Cohort study; Level of evidence, 2. Methods:Patients undergoing hip arthroscopic surgery for FAI and labral injuries were prospectively enrolled during a sports medicine fellowship-trained surgeon's first 15 months of practice. Patients were stratified into an early group, consisting of the first 30 consecutive cases performed by the surgeon, and a late group, consisting of the second 30 consecutive cases. Radiographic and physical examinations were performed preoperatively and postoperatively. PRO surveys, including the 12-item Short Form Health Survey (SF-12), the modified Harris Hip Score (mHHS), and the Hip disability and Osteoarthritis Outcome Score (HOOS), were administered preoperatively and at a minimum of 1 year postoperatively. Results:There was no difference between the early and late groups for patient age (37.2 ± 11.5 vs 35.3 ± 10.8 years, respectively; P = .489), body mass index (25.6 ± 4.0 vs 25.1 ± 4.5 kg/m2, respectively; P = .615), or sex (P = .465). There was a significantly increased procedure time (119.3 ± 21.0 vs 99.0 ± 28.6 minutes, respectively; P = .002) and traction time (72.7 ± 21.4 vs 59.0 ± 16.7 minutes, respectively; P = .007) in the early group compared with the late group. Mean postoperative PRO scores significantly improved in both groups compared with preoperative values for all surveys except for the SF-12 mental component summary. No differences were found in PRO score improvements or complication rates between the early and late groups. Conclusion:The total procedure time and traction time decrease after a surgeon's first 30 hip arthroscopic surgery cases for FAI and labral tears, but patient outcomes can similarly improve regardless of surgeon experience in the early part of his or her career

    Analyses of high mass resonances at ATLAS and CMS

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    Several plausible extensions of the Standard Model predict the existence of high mass resonances that can be reconstructed (either fully or partially) in the ATLAS and CMS detectors using leptons, jets and the missing transverse energy. We present the results of recent detailed studies of these searches performed by both collaborations, focusing on the potential for discovery and limits setting with an integrated luminosity of the order of 200/pb per experiment

    Standard Model Higgs Searches at the LHC

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    The search for the Higgs boson, a key component in the Standard Model description of electroweak symmetry breaking, is a major goal of the physics program at the Large Hadron Collider (LHC) at CERN. Both ATLAS and CMS, experimental collaborations at LHC, have done extensive simulation and performance studies to optimize their strategies for this search. Some of these studies are discussed, as well as the resulting discovery potential (as a function of the Higgs boson mass), for the main experimental signatures that will be addressed by the two collaborations

    Matrix elements of atomic interaction operators for d sup n configurations

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    Tabulation of matrix elements of atomic interaction operators for various configuration

    Validation of the 3-under-2 principle of cell wall growth in Gram-positive bacteria by simulation of a simple coarse-grained model

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    The aim of this work is to propose a first coarse-grained model of Bacillus subtilis cell wall, handling explicitly the existence of multiple layers of peptidoglycans. In this first work, we aim at the validation of the recently proposed "three under two" principle.Comment: Revised introduction, results unchange

    Radiative two-pion decay of the tau lepton

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    We consider the bremsstrahlung and model-dependent contributions to the radiative decay τππ0ντγ\tau^- \to \pi^-\pi^0\nu_{\tau}\gamma in the context of a meson dominance model. We focus on several observables related to this decay, including the branching ratio and the photon and di-pion spectra. Particular attention is paid to the sensitivity of different observables upon the effects of model-dependent contributions and of the magnetic dipole moment of the ρ(770)\rho^-(770) vector meson. Important numerical differences are found with respect to results obtained in the framework of chiral perturbation theory.Comment: 14 pages, 8 figures, submitted for publicatio

    Anderson Localization in Disordered Vibrating Rods

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    We study, both experimentally and numerically, the Anderson localization phenomenon in torsional waves of a disordered elastic rod, which consists of a cylinder with randomly spaced notches. We find that the normal-mode wave amplitudes are exponentially localized as occurs in disordered solids. The localization length is measured using these wave amplitudes and it is shown to decrease as a function of frequency. The normal-mode spectrum is also measured as well as computed, so its level statistics can be analyzed. Fitting the nearest-neighbor spacing distribution a level repulsion parameter is defined that also varies with frequency. The localization length can then be expressed as a function of the repulsion parameter. There exists a range in which the localization length is a linear function of the repulsion parameter, which is consistent with Random Matrix Theory. However, at low values of the repulsion parameter the linear dependence does not hold.Comment: 10 pages, 6 figure

    Low Gain Avalanche Detectors (LGAD) for particle physics and synchrotron applications

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    A new avalanche silicon detector concept is introduced with a low gain in the region of ten, known as a Low Gain Avalanche Detector, LGAD. The detector's characteristics are simulated via a full process simulation to obtain the required doping profiles which demonstrate the desired operational characteristics of high breakdown voltage (500 V) and a gain of 10 at 200 V reverse bias for X-ray detection. The first low gain avalanche detectors fabricated by Micron Semiconductor Ltd are presented. The doping profiles of the multiplication junctions were measured with SIMS and reproduced by simulating the full fabrication process which enabled further development of the manufacturing process. The detectors are 300 μm thick p-type silicon with a resistivity of 8.5 kΩcm, which fully depletes at 116 V. The current characteristics are presented and demonstrate breakdown voltages in excess of 500 V and a current density of 40 to 100 nAcm−2 before breakdown measured at 20oC. The gain of the LGAD has been measured with a red laser (660 nm) and shown to be between 9 and 12 for an external bias voltage range from 150 V to 300 V
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