454 research outputs found
The Borexino Thermal Monitoring & Management System and simulations of the fluid-dynamics of the Borexino detector under asymmetrical, changing boundary conditions
A comprehensive monitoring system for the thermal environment inside the
Borexino neutrino detector was developed and installed in order to reduce
uncertainties in determining temperatures throughout the detector. A
complementary thermal management system limits undesirable thermal couplings
between the environment and Borexino's active sections. This strategy is
bringing improved radioactive background conditions to the region of interest
for the physics signal thanks to reduced fluid mixing induced in the liquid
scintillator. Although fluid-dynamical equilibrium has not yet been fully
reached, and thermal fine-tuning is possible, the system has proven extremely
effective at stabilizing the detector's thermal conditions while offering
precise insights into its mechanisms of internal thermal transport.
Furthermore, a Computational Fluid-Dynamics analysis has been performed, based
on the empirical measurements provided by the thermal monitoring system, and
providing information into present and future thermal trends. A two-dimensional
modeling approach was implemented in order to achieve a proper understanding of
the thermal and fluid-dynamics in Borexino. It was optimized for different
regions and periods of interest, focusing on the most critical effects that
were identified as influencing background concentrations. Literature
experimental case studies were reproduced to benchmark the method and settings,
and a Borexino-specific benchmark was implemented in order to validate the
modeling approach for thermal transport. Finally, fully-convective models were
applied to understand general and specific fluid motions impacting the
detector's Active Volume.Comment: arXiv admin note: substantial text overlap with arXiv:1705.09078,
arXiv:1705.0965
Development and validation of a nomogram predicting recurrence risk in women with symptomatic urinary tract infection
Objectives: To develop and externally validate a novel nomogram predicting recurrence
risk probability at 12 months in women after an episode of urinary tract infection.
Methods: The study included 768women from Santa Maria Annunziata Hospital, Florence,
Italy, affected by urinary tract infections from January 2005 to December 2009. Another 373
women with the same criteria enrolled at Santa Chiara Hospital, Trento, Italy, from January
2010 to June 2012 were used to externally validate and calibrate the nomogram. Univariate
and multivariate Cox regression models tested the relationship between urinary tract infection
recurrence risk, and patient clinical and laboratory characteristics. The nomogram was
evaluated by calculating concordance probabilities, as well as testing calibration of predicted
urinary tract infection recurrence with observed urinary tract infections. Nomogram variables
included: number of partners, bowel function, type of pathogens isolated (Grampositive/
negative), hormonal status, number of previous urinary tract infection recurrences
and previous treatment of asymptomatic bacteriuria.
Results: Of the original development data, 261 out of 768 women presented at least one
episode of recurrence of urinary tract infection (33.9%). The nomogram had a concordance
index of 0.85. The nomogram predictions were well calibrated. This model showed high
discrimination accuracy and favorable calibration characteristics. In the validation group (373
women), the overall c-index was 0.83 (P = 0.003, 95% confidence interval 0.51–0.99), whereas
the area under the receiver operating characteristic curve was 0.85 (95% confidence interval
0.79–0.91).
Conclusions: The present nomogram accurately predicts the recurrence risk of urinary
tract infection at 12 months, and can assist in identifying women at high risk of symptomatic
recurrence that can be suitable candidates for a prophylactic strategy
Identification of a 3-gene model as a powerful diagnostic tool for the recognition of ALK-negative anaplastic large-cell lymphoma
16siAnaplastic large-cell lymphomas (ALCLs) are a group of clinically and biologically heterogeneous diseases including the ALK+ and ALK+ systemic forms. Whereas ALK+ ALCLs are molecularly characterized and can be readily diagnosed, specific immunophenotypic or genetic features to define ALK- ALCL are missing, and their distinction from other T-cell non-Hodgkin lymphomas (T-NHLs) remains controversial. In the present study, we undertook a transcriptional profiling meta-analysis of 309 cases, including ALCL and other primary T-NHL samples. Pathway discovery and prediction analyses defined a minimum set of genes capable of recognizing ALK- ALCL. Application of quantitative RT-PCR in independent datasets from cryopreserved and formalin-fixed paraffin-embedded samples validated a 3-gene model (TNFRSF8, BATF3, and TMOD1) able to successfully separate ALK- ALCL from peripheral T-cell lymphoma not otherwise specified, with overall accuracy near 97%. In conclusion, our data justify the possibility of translating quantitative RT-PCR protocols to routine clinical settings as a new approach to objectively dissect T-NHL and to select more appropriate therapeutic protocols. © 2012 by The American Society of Hematology.openopenAgnelli L.; Mereu E.; Pellegrino E.; Limongi T.; Kwee I.; Bergaggio E.; Ponzoni M.; Zamo A.; Iqbal J.; Piccaluga P.P.; Neri A.; Chan W.C.; Pileri S.; Bertoni F.; Inghirami G.; Piva R.Agnelli, L.; Mereu, E.; Pellegrino, E.; Limongi, T.; Kwee, I.; Bergaggio, E.; Ponzoni, M.; Zamo, A.; Iqbal, J.; Piccaluga, P. P.; Neri, A.; Chan, W. C.; Pileri, S.; Bertoni, F.; Inghirami, G.; Piva, R
Ground-Based Measurements of the 2014–2015 Holuhraun Volcanic Cloud (Iceland)
The 2014–2015 Bárðarbunga fissure eruption at Holuhraun in central Iceland was distinguished by the high emission of gases, in total 9.6 Mt SO2, with almost no tephra. This work collates all ground-based measurements of this extraordinary eruption cloud made under particularly challenging conditions: remote location, optically dense cloud with high SO2 column amounts, low UV intensity, frequent clouds and precipitation, an extensive and hot lava field, developing ramparts, and high-latitude winter conditions. Semi-continuous measurements of SO2 flux with three scanning DOAS instruments were augmented by car traverses along the ring-road and along the lava. The ratios of other gases/SO2 were measured by OP-FTIR, MultiGAS, and filter packs. Ratios SO2/HCl = 30–110 and SO2/HF = 30–130 show a halogen-poor eruption cloud. Scientists on-site reported extremely minor tephra production during the eruption. OPC and filter packs showed low particle concentrations similar to non-eruption cloud conditions. Three weather radars detected a droplet-rich eruption cloud. Top of eruption cloud heights of 0.3–5.5 km agl were measured with ground- and aircraft-based visual observations, web camera and NicAIR II infrared images, triangulation of scanning DOAS instruments, and the location of SO2 peaks measured by DOAS traverses. Cloud height and emission rate measurements were critical for initializing gas dispersal simulations for hazard forecasting
Antonovsky’s Sense of Coherence Scale: Cultural Validation of Soc Questionnaire and Socio-Demographic Patterns in an Italian Population
BACKGROUND:
The theory of salutogenesis entails that the ability to use resources for one's wellbeing is more important than the resources themselves. This ability is referred to as the Sense of Coherence (SOC). This paper present the cross-culturally adapted version of the Italian questionnaire (13 items), and the psychometric and statistical testing of the SOC properties. It offers for the first time a view of the distribution of SOC in an Italian sample, and uses a multivariate method to clarify the effects of socio-demographic determinants on SOC.
METHODS:
The cross-cultural adaptation of the English SOC questionnaire was carried out according to the guidelines reported in literature. To evaluate the psychometric and statistical properties we assessed reliability, validity and frequency distribution of the collected data. A Generalised Linear Model was used to analyse the effects of socio demographic variables on SOC.
RESULTS:
The Italian SOC scale demonstrates a good internal consistency (α = 0.825). The model obtained with factorial analysis is not related to the traditional dimensions of SOC represented in more than one factor. The multivariate analysis highlights the joint influence of gender, age and education on SOC.
CONCLUSION:
The validated Italian questionnaire is now available. Socio-demographic variables should be taken into account as confounders when SOC values among different populations are compared. Presenting data on SOC of the Italian population makes a control population available for comparisons with specific subgroups, such as patient populations. Now, the Italian challenge is to integrate the salutogenic approach into Public Health police
Two-pion Bose-Einstein correlations in central Pb-Pb collisions at = 2.76 TeV
The first measurement of two-pion Bose-Einstein correlations in central Pb-Pb
collisions at TeV at the Large Hadron Collider is
presented. We observe a growing trend with energy now not only for the
longitudinal and the outward but also for the sideward pion source radius. The
pion homogeneity volume and the decoupling time are significantly larger than
those measured at RHIC.Comment: 17 pages, 5 captioned figures, 1 table, authors from page 12,
published version, figures at
http://aliceinfo.cern.ch/ArtSubmission/node/388
Suppression of charged particle production at large transverse momentum in central Pb-Pb collisions at TeV
Inclusive transverse momentum spectra of primary charged particles in Pb-Pb
collisions at = 2.76 TeV have been measured by the ALICE
Collaboration at the LHC. The data are presented for central and peripheral
collisions, corresponding to 0-5% and 70-80% of the hadronic Pb-Pb cross
section. The measured charged particle spectra in and GeV/ are compared to the expectation in pp collisions at the same
, scaled by the number of underlying nucleon-nucleon
collisions. The comparison is expressed in terms of the nuclear modification
factor . The result indicates only weak medium effects ( 0.7) in peripheral collisions. In central collisions,
reaches a minimum of about 0.14 at -7GeV/ and increases
significantly at larger . The measured suppression of high- particles is stronger than that observed at lower collision energies,
indicating that a very dense medium is formed in central Pb-Pb collisions at
the LHC.Comment: 15 pages, 5 captioned figures, 3 tables, authors from page 10,
published version, figures at http://aliceinfo.cern.ch/ArtSubmission/node/98
Robot-assisted pelvic floor reconstructive surgery: an international Delphi study of expert users.
Robotic surgery has gained popularity for the reconstruction of pelvic floor defects. Nonetheless, there is no evidence that robot-assisted reconstructive surgery is either appropriate or superior to standard laparoscopy for the performance of pelvic floor reconstructive procedures or that it is sustainable. The aim of this project was to address the proper role of robotic pelvic floor reconstructive procedures using expert opinion.
We set up an international, multidisciplinary group of 26 experts to participate in a Delphi process on robotics as applied to pelvic floor reconstructive surgery. The group comprised urogynecologists, urologists, and colorectal surgeons with long-term experience in the performance of pelvic floor reconstructive procedures and with the use of the robot, who were identified primarily based on peer-reviewed publications. Two rounds of the Delphi process were conducted. The first included 63 statements pertaining to surgeons' characteristics, general questions, indications, surgical technique, and future-oriented questions. A second round including 20 statements was used to reassess those statements where borderline agreement was obtained during the first round. The final step consisted of a face-to-face meeting with all participants to present and discuss the results of the analysis.
The 26 experts agreed that robotics is a suitable indication for pelvic floor reconstructive surgery because of the significant technical advantages that it confers relative to standard laparoscopy. Experts considered these advantages particularly important for the execution of complex reconstructive procedures, although the benefits can be found also during less challenging cases. The experts considered the robot safe and effective for pelvic floor reconstruction and generally thought that the additional costs are offset by the increased surgical efficacy.
Robotics is a suitable choice for pelvic reconstruction, but this Delphi initiative calls for more research to objectively assess the specific settings where robotic surgery would provide the most benefit
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