Alien Registration- Landen, Isabelle B. (Millinocket, Penobscot County)

https://digitalmaine.com/alien_docs/8154/thumbnail.jp

Citalopram plus low-dose pipamperone versus citalopram plus placebo in patients with major depressive disorder: an 8-week, double-blind, randomized study on magnitude and timing of clinical response

Background: Selective serotonin reuptake inhibitors take several weeks to achieve their full antidepressant effects. Post-synaptic 5-HT<sub>2A</sub> receptor activation is thought to be involved in this delayed therapeutic effect. Pipamperone acts as a highly selective 5-HT<sub>2A</sub>/D<sub>4</sub> antagonist when administered in low doses. The purpose of this study was to compare citalopram 40 mg once daily plus pipamperone 5 mg twice daily (PipCit) versus citalopram plus placebo twice daily for magnitude and onset of therapeutic effect. Method: An 8-week, randomized, double-blind study in patients with major depressive disorder was carried out. Results: The study population comprised 165 patients (citalopram and placebo, n=82; PipCit, n=83) with a mean baseline Montgomery–Asberg Depression Rating Scale (MADRS) score of 32.6 (S.D.=5.5). In the first 4 weeks, more citalopram and placebo than PipCit patients discontinued treatment (18% v. 4%, respectively, p=0.003). PipCit patients had significantly greater improvement in MADRS score at week 1 [observed cases (OC), p=0.021; last observation carried forward (LOCF), p=0.007] and week 4 (LOCF, p=0.025) but not at week 8 compared with citalopram and placebo patients. Significant differences in MADRS scores favoured PipCit in reduced sleep, reduced appetite, concentration difficulties and pessimistic thoughts. Mean Clinical Global Impression–Improvement scores were significantly improved after 1 week of PipCit compared with citalopram and placebo (OC and LOCF, p=0.002). Conclusions: Although the MADRS score from baseline to 8 weeks did not differ between groups, PipCit provided superior antidepressant effects and fewer discontinuations compared with citalopram and placebo during the first 4 weeks of treatment, especially in the first week

High-energy x-ray microscopy of laser-fusion plasmas at the National Ignition Facility

Multi-keV x-ray microscopy will be an important laser-produced plasma diagnostic at future megajoule facilities such as the National Ignition Facility (NIF).In preparation for the construction of this facility, we have investigated several instrumentation options in detail, and we conclude that near normal incidence single spherical or toroidal crystals may offer the best general solution for high-energy x-raymicroscopy at NIF and at similar large facilities. Kirkpatrick-Baez microscopes using multi-layer mirrors may also be good secondary options, particularly if apertures are used to increase the band-width limited field of view

LLNL Contribution to LLE FY09 Annual Report: NIC and HED Results

In FY09, LLNL led 238 target shots on the OMEGA Laser System. Approximately half of these LLNL-led shots supported the National Ignition Campaign (NIC). The remainder was dedicated to experiments for the high-energy-density stewardship experiments (HEDSE). Objectives of the LLNL led NIC campaigns at OMEGA included: (1) Laser-plasma interaction studies in physical conditions relevant for the NIF ignition targets; (2) Demonstration of Tr = 100 eV foot symmetry tuning using a reemission sphere; (3) X-ray scattering in support of conductivity measurements of solid density Be plasmas; (4) Experiments to study the physical properties (thermal conductivity) of shocked fusion fuels; (5) High-resolution measurements of velocity nonuniformities created by microscopic perturbations in NIF ablator materials; (6) Development of a novel Compton Radiography diagnostic platform for ICF experiments; and (7) Precision validation of the equation of state for quartz. The LLNL HEDSE campaigns included the following experiments: (1) Quasi-isentropic (ICE) drive used to study material properties such as strength, equation of state, phase, and phase-transition kinetics under high pressure; (2) Development of a high-energy backlighter for radiography in support of material strength experiments using Omega EP and the joint OMEGA-OMEGA-EP configuration; (3) Debris characterization from long-duration, point-apertured, point-projection x-ray backlighters for NIF radiation transport experiments; (4) Demonstration of ultrafast temperature and density measurements with x-ray Thomson scattering from short-pulse laser-heated matter; (5) The development of an experimental platform to study nonlocal thermodynamic equilibrium (NLTE) physics using direct-drive implosions; (6) Opacity studies of high-temperature plasmas under LTE conditions; and (7) Characterization of copper (Cu) foams for HEDSE experiments

Pulsed Laser-Based X-Ray Sources for Rapid-Cool DT Layer Characterization

Ignition targets for the National Ignition Facility (NIF) will contain a cryogenically cooled {approx} 75 {micro}m-thick deuterium/tritium (DT) ice layer surrounded by a {approx} 150 {micro}m-thick beryllium (Be) shell [1]. Ignition target design optimization depends sensitively on the achievable inner surface quality of the ice layer and on the pressure of the DT gas inside the ice, which is determined by the temperature of the ice. The inner ice layer surface is smoothest at temperatures just below the DT ice/liquid/gas triple point (3T), but current ignition target designs require central gas pressures of 0.3 mg/cm3, corresponding to an ice layer temperature 1.5 K below the triple point (3T-1.5). At these lower temperatures, the ice layer quality degrades due to the formation of cracks and other features

Appendiceal Mucocele in an Elderly Patient: How Much Surgery?

Appendiceal mucoceles are rare cystic lesions with an incidence of 0.3–0.7% of all appendectomies. They are divided into four subgroups according to their histology. Even though the symptoms may vary – depending on the level of complication – from right lower quadrant pain, signs of intussusception, gastrointestinal bleeding to an acute abdomen with sepsis, most mucoceles are asymptomatic and found incidentally. We present the case of a 70-year-old patient with an incidentally found appendiceal mucocele. He was seen at the hospital for backache. The CT scan showed a vertebral fracture and a 7-cm appendiceal mass. A preoperative colonoscopy displayed several synchronous adenomas in the transverse and left colon with high-grade dysplasia. In order to lower the cancer risk of this patient, we performed a subtotal colectomy. The appendiceal mass showed no histopathological evidence of malignancy and no sign of perforation. The follow-up was therefore limited to 2 months. In this case, appendectomy would have been sufficient to treat the mucocele alone. The synchronous high-grade dysplastic adenomas were detected in the preoperative colonoscopy and determined the therapeutic approach. Generally, in the presence of positive lymph nodes, a right colectomy is the treatment of choice. In the histological presence of mucinous peritoneal carcinomatosis, cytoreductive surgery with hyperthermic intraperitoneal chemotherapy is indicated. In conclusion, mucoceles of the appendix are detected with high sensitivity by CT scan. If there is no evidence of synchronous tumor preoperatively and no peritoneal spillage, invasion or positive sentinel lymph nodes during surgery, a mucocele is adequately treated by appendectomy

X-ray Induced Pinhole Closure in Point Projection X-ray Radiography

In pinhole-assisted point-projection x-ray radiography (or ''backlighting''), pinholes are placed between the sample of interest and an x-ray source (or ''backlighter'') to effectively limit the source size and hence improve the spatial resolution of the system. Pinholes are generally placed close to such x-ray backlighters to increase the field-of-view, leading to possible vaporization and pinhole closure due to x-ray driven ablation, thereby potentially limiting the usefulness of this method. An experimental study and modeling of time-dependent closure and resolution is presented. The pinhole closure timescale is studied for various pinhole sizes, pinhole to backlighter separations and filtering conditions. In addition the time-dependent resolution is extracted from one-dimensional wire imaging prior to pinhole closure. Cylindrical hydrodynamic modeling of the pinhole closure shows reasonable agreement with data, giving us a predictive capability for pinhole closure in future experiments