A Policy of Quality Control Assessment Helps to Reduce the Risk of Intraoperative Stroke During Carotid Endarterectomy

AbstractObjectivesa pilot study in our unit suggested that a combination of transcranial Doppler (TCD) plus completion angioscopy reduced incidence of intra-operative stroke (i.e. patients recovering from anaesthesia with a new deficit) during carotid endarterectomy (CEA). The aim of the current study was to see whether routine implementation of this policy was both feasible and associated with a continued reduction in the rate of intraoperative stroke (IOS).Materials and methodsprospective study in 252 consecutive patients undergoing carotid endarterectomy between March 1995 and December 1996.Resultscontinuous TCD monitoring was possible in 229 patients (91%), while 238 patients (94%) underwent angioscopic examination. Overall, angioscopy identified an intimal flap requiring correction in six patients (2.5%), whilst intraluminal thrombus was removed in a further six patients (2.5%). No patient in this series recovered from anaesthesia with an IOS, but the rate of postoperative stroke was 2.8%.Conclusionsour policy of TCD plus angioscopy has continued to contribute towards a sustained reduction in the risk of IOS following CEA, but requires access to reliable equipment and technical support. However, a policy of intra-operative quality control assessment may not necessarily alter the rate of postoperative stroke

Testing metric-affine f(R)-gravity by relic scalar gravitational waves

We discuss the emergence of scalar gravitational waves in metric-affine f(R)-gravity. Such a component allows to discriminate between metric and metric-affine theories The intrinsic meaning of this result is that the geodesic structure of the theory can be discriminated. We extend the formalism of cross correlation analysis, including the additional polarization mode, and calculate the detectable energy density of the spectrum for cosmological relic gravitons. The possible detection of the signal is discussed against sensitivities of VIRGO, LIGO and LISA interferometers.Comment: 12 pages, 4 figure

Two-loop QCD corrections to the scattering of massless distinct quarks.

We present the two-loop virtual QCD corrections to the scattering of distinct massless quarks, , in conventional dimensional regularisation. The structure of the infrared divergences agrees with that predicted by Catani while expressions for the finite remainder are given for each of the s-, t- and u-channels in terms of polylogarithms. The results presented here form a vital part of the next-to-next-to-leading order contribution to inclusive jet production in hadron colliders and will play a crucial role in improving the theoretical prediction for jet cross sections in hadron-hadron collisions

Equation of motion for relativistic compact binaries with the strong field point particle limit: Third post-Newtonian order

An equation of motion for relativistic compact binaries is derived through the third post-Newtonian (3 PN) approximation of general relativity. The strong field point particle limit and multipole expansion of the stars are used to solve iteratively the harmonically relaxed Einstein equations. We take into account the Lorentz contraction on the multipole moments defined in our previous works. We then derive a 3 PN acceleration of the binary orbital motion of the two spherical compact stars based on a surface integral approach which is a direct consequence of local energy momentum conservation. Our resulting equation of motion admits a conserved energy (neglecting the 2.5 PN radiation reaction effect), is Lorentz invariant and is unambiguous: there exist no undetermined parameter reported in the previous works. We shall show that our 3 PN equation of motion agrees physically with the Blanchet and Faye 3 PN equation of motion if $\lambda = - 1987/3080$, where $\lambda$ is the parameter which is undetermined within their framework. This value of $\lambda$ is consistent with the result of Damour, Jaranowski, and Sch\"afer who first completed a 3 PN iteration of the ADM Hamiltonian in the ADMTT gauge using the dimensional regularization.Comment: 52 pages, no figure, Appendices B and D added. Phys. Rev. D in pres

Lattice gauge theory with baryons at strong coupling

We study the effective Hamiltonian for strong-coupling lattice QCD in the case of non-zero baryon density. In leading order the effective Hamiltonian is a generalized antiferromagnet. For naive fermions, the symmetry is U(4N_f) and the spins belong to a representation that depends on the local baryon number. Next-nearest-neighbor (nnn) terms in the Hamiltonian break the symmetry to U(N_f) x U(N_f). We transform the quantum problem to a Euclidean sigma model which we analyze in a 1/N_c expansion. In the vacuum sector we recover spontaneous breaking of chiral symmetry for the nearest-neighbor and nnn theories. For non-zero baryon density we study the nearest-neighbor theory only, and show that the pattern of spontaneous symmetry breaking depends on the baryon density.Comment: 31 pages, 5 EPS figures. Corrected Eq. (6.1

Elastic electron deuteron scattering with consistent meson exchange and relativistic contributions of leading order

The influence of relativistic contributions to elastic electron deuteron scattering is studied systematically at low and intermediate momentum transfers ($Q^2\leq 30$ fm$^{-2}$). In a $(p/M)$-expansion, all leading order relativistic $\pi$-exchange contributions consistent with the Bonn OBEPQ models are included. In addition, static heavy meson exchange currents including boost terms and lowest order $\rho\pi\gamma$-currents are considered. Sizeable effects from the various relativistic two-body contributions, mainly from $\pi$-exchange, have been found in form factors, structure functions and the tensor polarization $T_{20}$. Furthermore, static properties, viz. magnetic dipole and charge quadrupole moments and the mean square charge radius are evaluated.Comment: 15 pages Latex including 5 figures, final version accepted for publication in Phys.Rev.C Details of changes: (i) The notation of the curves in Figs. 1 and 2 have been clarified with respect to left and right panels. (ii) In Figs. 3 and 4 an experimental point for T_20 has been added and a corresponding reference [48] (iii) At the end of the text we have added a paragraph concerning the quality of the Bonn OBEPQ potential

The Two-Loop Pinch Technique in the Electroweak Sector

The generalization of the two-loop Pinch Technique to the Electroweak Sector of the Standard Model is presented. We restrict ourselves to the case of conserved external currents, and provide a detailed analysis of both the charged and neutral sectors. The crucial ingredient for this construction is the identification of the parts discarded during the pinching procedure with well-defined contributions to the Slavnov-Taylor identity satisfied by the off-shell one-loop gauge-boson vertices; the latter are nested inside the conventional two-loop self-energies. It is shown by resorting to a set of powerful identities that the two-loop effective Pinch Technique self-energies coincide with the corresponding ones computed in the Background Feynman gauge. The aforementioned identities are derived in the context of the Batalin-Vilkovisky formalism, a fact which enables the individual treatment of the self-energies of the photon and the $Z$-boson. Some possible phenomenological applications are briefly discussed.Comment: 50 pages, uses axodra

Experimental Probes of Localized Gravity: On and Off the Wall

The phenomenology of the Randall-Sundrum model of localized gravity is analyzed in detail for the two scenarios where the Standard Model (SM) gauge and matter fields are either confined to a TeV scale 3-brane or may propagate in a slice of five dimensional anti-deSitter space. In the latter instance, we derive the interactions of the graviton, gauge, and fermion Kaluza-Klein (KK) states. The resulting phenomenological signatures are shown to be highly dependent on the value of the 5-dimensional fermion mass and differ substantially from the case where the SM fields lie on the TeV-brane. In both scenarios, we examine the collider signatures for direct production of the graviton and gauge KK towers as well as their induced contributions to precision electroweak observables. These direct and indirect signatures are found to play a complementary role in the exploration of the model parameter space. In the case where the SM field content resides on the TeV-brane, we show that the LHC can probe the full parameter space and hence will either discover or exclude this model if the scale of electroweak physics on the 3-brane is less than 10 TeV. We also show that spontaneous electroweak symmetry breaking of the SM must take place on the TeV-brane.Comment: 62 pages, Latex, 22 figure

Gravitational Coupling and Dynamical Reduction of The Cosmological Constant

We introduce a dynamical model to reduce a large cosmological constant to a sufficiently small value. The basic ingredient in this model is a distinction which has been made between the two unit systems used in cosmology and particle physics. We have used a conformal invariant gravitational model to define a particular conformal frame in terms of large scale properties of the universe. It is then argued that the contributions of mass scales in particle physics to the vacuum energy density should be considered in a different conformal frame. In this manner, a decaying mechanism is presented in which the conformal factor appears as a dynamical field and plays a key role to relax a large effective cosmological constant. Moreover, we argue that this model also provides a possible explanation for the coincidence problem.Comment: To appear in GR