551 research outputs found
The D3/2 Neutron Scattering Resonance in the Shell Model of O16
Model Hamiltonian for neutron scattering resonance in shell model of molecular oxyge
Association between 5-Year clinical outcome in patients with nonmedically evacuated mild blast traumatic brain injury and clinical measures collected within 7 days postinjury in combat
Importance: Although previous work has examined clinical outcomes in combat-deployed veterans, questions remain regarding how symptoms evolve or resolve following mild blast traumatic brain injury (TBI) treated in theater and their association with long-term outcomes.
Objective: To characterize 5-year outcome in patients with nonmedically evacuated blast concussion compared with combat-deployed controls and understand what clinical measures collected acutely in theater are associated with 5-year outcome.
Design, Setting, and Participants: A prospective, longitudinal cohort study including 45 service members with mild blast TBI within 7 days of injury (mean 4 days) and 45 combat deployed nonconcussed controls was carried out. Enrollment occurred in Afghanistan at the point of injury with evaluation of 5-year outcome in the United States. The enrollment occurred from March to September 2012 with 5-year follow up completed from April 2017 to May 2018. Data analysis was completed from June to July 2018.
Exposures: Concussive blast TBI. All patients were treated in theater, and none required medical evacuation.
Main Outcomes and Measures: Clinical measures collected in theater included measures for concussion symptoms, posttraumatic stress disorder (PTSD) symptoms, depression symptoms, balance performance, combat exposure intensity, cognitive performance, and demographics. Five-year outcome evaluation included measures for global disability, neurobehavioral impairment, PTSD symptoms, depression symptoms, and 10 domains of cognitive function. Forward selection multivariate regression was used to determine predictors of 5-year outcome for global disability, neurobehavior impairment, PTSD, and cognitive function.
Results: Nonmedically evacuated patients with concussive blast injury (n = 45; 44 men, mean [SD] age, 31 [5] years) fared poorly at 5-year follow-up compared with combat-deployed controls (n = 45; 35 men; mean [SD] age, 34 [7] years) on global disability, neurobehavioral impairment, and psychiatric symptoms, whereas cognitive changes were unremarkable. Acute predictors of 5-year outcome consistently identified TBI diagnosis with contribution from acute concussion and mental health symptoms and select measures of cognitive performance depending on the model for 5-year global disability (area under the curve following bootstrap validation [AUCBV] = 0.79), neurobehavioral impairment (correlation following bootstrap validation [RBV] = 0.60), PTSD severity (RBV = 0.36), or cognitive performance (RBV = 0.34).
Conclusions and Relevance: Service members with concussive blast injuries fared poorly at 5-year outcome. The results support a more focused acute screening of mental health following TBI diagnosis as strong indicators of poor long-term outcome. This extends prior work examining outcome in patients with concussive blast injury to the larger nonmedically evacuated population
Scaling behavior of self-avoiding walks on percolation clusters
The scaling behavior of self-avoiding walks (SAWs) on the backbone of
percolation clusters in two, three and four dimensions is studied by Monte
Carlo simulations. We apply the pruned-enriched Rosenbluth chain-growth method
(PERM). Our numerical results bring about the estimates of critical exponents,
governing the scaling laws of disorder averages of the end-to-end distance of
SAW configurations. The effects of finite-size scaling are discussed as well.Comment: 6 page
Electromagnetic controlled cortical impact device for precise, graded experimental traumatic brain injury
Genetically modified mice represent useful tools for traumatic brain injury (TBI) research and attractive preclinical models for the development of novel therapeutics. Experimental methods that minimize the number of mice needed may increase the pace of discovery. With this in mind, we developed and characterized a prototype electromagnetic (EM) controlled cortical impact device along with refined surgical and behavioral testing techniques. By varying the depth of impact between 1.0 and 3.0 mm, we found that the EM device was capable of producing a broad range of injury severities. Histologically, 2.0-mm impact depth injuries produced by the EM device were similar to 1.0-mm impact depth injuries produced by a commercially available pneumatic device. Behaviorally, 2.0-, 2.5-, and 3.0-mm impacts impaired hidden platform and probe trial water maze performance, whereas 1.5-mm impacts did not. Rotorod and visible platform water maze deficits were also found following 2.5- and 3.0-mm impacts. No impairment of conditioned fear performance was detected. No differences were found between sexes of mice. Inter-operator reliability was very good. Behaviorally, we found that we could statistically distinguish between injury depths differing by 0.5 mm using 12 mice per group and between injury depths differing by 1.0 mm with 7-8 mice per group. Thus, the EM impactor and refined surgical and behavioral testing techniques may offer a reliable and convenient framework for preclinical TBI research involving mice
Detection of blast-related traumatic brain injury in U.S. military personnel
BACKGROUND: Blast-related traumatic brain injuries have been common in the Iraq and Afghanistan wars, but fundamental questions about the nature of these injuries remain unanswered. METHODS: We tested the hypothesis that blast-related traumatic brain injury causes traumatic axonal injury, using diffusion tensor imaging (DTI), an advanced form of magnetic resonance imaging that is sensitive to axonal injury. The subjects were 63 U.S. military personnel who had a clinical diagnosis of mild, uncomplicated traumatic brain injury. They were evacuated from the field to the Landstuhl Regional Medical Center in Landstuhl, Germany, where they underwent DTI scanning within 90 days after the injury. All the subjects had primary blast exposure plus another, blast-related mechanism of injury (e.g., being struck by a blunt object or injured in a fall or motor vehicle crash). Controls consisted of 21 military personnel who had blast exposure and other injuries but no clinical diagnosis of traumatic brain injury. RESULTS: Abnormalities revealed on DTI were consistent with traumatic axonal injury in many of the subjects with traumatic brain injury. None had detectible intracranial injury on computed tomography. As compared with DTI scans in controls, the scans in the subjects with traumatic brain injury showed marked abnormalities in the middle cerebellar peduncles (P<0.001), in cingulum bundles (P = 0.002), and in the right orbitofrontal white matter (P = 0.007). In 18 of the 63 subjects with traumatic brain injury, a significantly greater number of abnormalities were found on DTI than would be expected by chance (P<0.001). Follow-up DTI scans in 47 subjects with traumatic brain injury 6 to 12 months after enrollment showed persistent abnormalities that were consistent with evolving injuries. CONCLUSIONS: DTI findings in U.S. military personnel support the hypothesis that blast-related mild traumatic brain injury can involve axonal injury. However, the contribution of primary blast exposure as compared with that of other types of injury could not be determined directly, since none of the subjects with traumatic brain injury had isolated primary blast injury. Furthermore, many of these subjects did not have abnormalities on DTI. Thus, traumatic brain injury remains a clinical diagnosis. (Funded by the Congressionally Directed Medical Research Program and the National Institutes of Health; ClinicalTrials.gov number, NCT00785304.
A Search for Oxygen in the Low-Density Lyman-alpha Forest Using the Sloan Digital Sky Survey
We use 2167 Sloan Digital Sky Survey (SDSS) quasar spectra to search for
low-density oxygen in the Intergalactic Medium (IGM). Oxygen absorption is
detected on a pixel-by-pixel basis by its correlation with Lyman-alpha forest
absorption. We have developed a novel Locally Calibrated Pixel (LCP) search
method that uses adjacent regions of the spectrum to calibrate interlopers and
spectral artifacts, which would otherwise limit the measurement of OVI
absorption. Despite the challenges presented by searching for weak OVI within
the Lyman-alpha forest in spectra of moderate resolution and signal-to-noise,
we find a highly significant detection of absorption by oxygen at 2.7 < z < 3.2
(the null hypothesis has a chi^2=80 for 9 data points).
We interpret our results using synthetic spectra generated from a lognormal
density field assuming a mixed quasar-galaxy photoionizing background (Haardt &
Madau 2001) and that it dominates the ionization fraction of detected OVI. The
LCP search data can be fit by a constant metallicity model with [O/H] =
-2.15_(-0.09)^(+0.07), but also by models in which low-density regions are
unenriched and higher density regions have a higher metallicity. The
density-dependent enrichment model by Aguirre et al. (2008) is also an
acceptable fit. All our successful models have similar mass-weighted oxygen
abundance, corresponding to [_MW] = -2.45+-0.06. This result can be used
to find the cosmic oxygen density in the Lyman-alpha forest, Omega_(Oxy, IGM) =
1.4(+-0.2)x10^(-6) = 3x10^(-4) Omega_b. This is the tightest constraint on the
mass-weighted mean oxygen abundance and the cosmic oxygen density in the
Lyman-alpha forest to date and indicates that it contains approximately 16% of
metals produced by star formation (Bouch\'e et al. 2008) up to z = 3.Comment: 12 pages, 9 figures. Accepted by ApJ (minor changes
Density-functional calculation of ionization energies of current-carrying atomic states
Current-density-functional theory is used to calculate ionization energies of
current-carrying atomic states. A perturbative approximation to full
current-density-functional theory is implemented for the first time, and found
to be numerically feasible. Different parametrizations for the
current-dependence of the density functional are critically compared. Orbital
currents in open-shell atoms turn out to produce a small shift in the
ionization energies. We find that modern density functionals have reached an
accuracy at which small current-related terms appearing in open-shell
configurations are not negligible anymore compared to the remaining difference
to experiment.Comment: 7 pages, 2 tables, accepted by Phys. Rev.
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Visual function, traumatic brain injury, and posttraumatic stress disorder
Traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) are signature injuries of the Iraq and Afghanistan conflicts. The conditions can be comorbid and have overlapping signs and symptoms, making it difficult to diagnose and treat each. TBI is associated with numerous changes in vision function, but vision problems secondary to PTSD have not been documented. To address this shortcoming, we reviewed the medical records of 100 patients with a history of TBI, noting PTSD diagnoses, visual symptoms, vision function abnormalities, and medications with visual side effects. Forty-one patients had PTSD and 59 did not. High rates of binocular vision and oculomotor function deficits were measured in patients with a history of TBI, but no significant differences between patients with or without PTSD were evident. However, compared to patients without PTSD, patients with PTSD had more self-reported visual symptoms in all four assessments and the complaint rates were significantly higher for light sensitivity and reading problems. Together, these findings may be beneficial in understanding vision problems in patients with TBI and PTSD as comorbid conditions compared with those with TBI alone
Investigation and comparison of gamma backround around Tomsk polytechnic university (TPU) building
There is now due consideration of the effect of buildings on the comfort and health of the population but not on radiation exposure. Buildings can raise the background radiation close to its position as sources of radiation and a significant increase in gamma history is expected. Gamma background can be predicted to increase significantly. Such issues are still not included in publications. A gamma background analysis around TPU buildings has been undertaken in this regard. Gamma levels were measured and analyzed using gamma-ray detector. Around the building, the measurements were made from the center of the building 10 cm and 1 m from the wall with 2-5 m variable pitch. A total of 9-10 different points were chosen for each measurement location. Comparison between the measuring locations were made. The study revealed a number of correlations, which indicated that the background radiation behind the TPU buildings increases significantly
Prevalence of Anemia in Schoolchildren Living in the Interior of Multi-ethnic Suriname: the Influence of Age, Sex and Ethnicity
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