198 research outputs found
Colonic Diverticula Are Not Associated With Mucosal Inflammation or Chronic Gastrointestinal Symptoms
Background & Aims: Colonic diverticulosis has been reported to be associated with low-grade mucosal inflammation, possibly leading to chronic gastrointestinal symptoms. However, there is poor evidence for this association. We aimed to determine mucosal inflammation and whether diverticula are associated with chronic gastrointestinal symptoms. We explored whether inflammation was present among symptomatic participants with and without diverticula. Methods: We analyzed data from a prospective study of 619 patients undergoing a screening colonoscopy from 2013 through 2015 at the University of North Carolina Hospital in Chapel Hill, North Carolina. Among our participants, 255 (41%) had colonic diverticula. Colonic mucosal biopsy specimens were analyzed for levels of interleukin 6 (IL6), IL10, and tumor necrosis factor messenger RNAs by quantitative reverse-transcriptase polymerase chain reaction, and numbers of immune cells (CD4+, CD8+, CD57+, and mast cell tryptase) by immunohistochemistry. Gastrointestinal symptoms were assessed using Rome III criteria. Proportional odds models were used to estimate odds ratios (ORs) and 95% confidence interval (CIs). Results: After adjustment for potential confounders, there was no association between diverticulosis and tumor necrosis factor (OR, 0.85; 95% CI, 0.63–1.16), and no association with CD4+ cells (OR, 1.18; 95% CI, 0.87–1.60), CD8+ cells (OR, 0.97; 95% CI, 0.71–1.32), or CD57+ cells (OR, 0.80; 95% CI, 0.59–1.09). Compared with controls without diverticulosis, biopsy specimens from individuals with diverticulosis were less likely to express the inflammatory cytokine IL6 (OR, 0.59; 95% CI, 0.36–0.96). There was no association between diverticulosis and irritable bowel syndrome (OR, 0.53; 95% CI, 0.26–1.05) or chronic abdominal pain (OR, 0.68; 95% CI, 0.38–1.23). There was no evidence for inflammation in patients with symptoms when patients with vs without diverticulosis were compared. Conclusions: We found no evidence that colonic diverticulosis is associated with mucosal inflammation or gastrointestinal symptoms. Among patients with symptoms and diverticula, we found no mucosal inflammation
First observation of the KS->pi0 gamma gamma decay
Using the NA48 detector at the CERN SPS, 31 KS->pi0 gamma gamma candidates
with an estimated background of 13.7 +- 3.2 events have been observed. This
first observation leads to a branching ratio of BR(KS->pi0 gamma gamma) = (4.9
+- 1.6(stat) +- 0.9(syst)) x 10^-8 in agreement with Chiral Perturbation theory
predictions.Comment: 10 pages, 4 figures submitted to Phys. Lett.
Conceptual framework for an episode of rehabilitative care after hip fracture surgery
Researchers face a challenge when evaluating the effectiveness of rehabilitation after hip fracture surgery. Reported outcomes of rehabilitation will vary depending on the endpoint of the episode of care. Evaluation at an inappropriate endpoint may suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. The purpose of this paper is to describe a conceptual framework for a continuum-care-episode of rehabilitation after hip fracture surgery. We propose definitions for the index event, endpoint, and service scope of the episode. We discuss challenges in defining the episode of care, operationalizing the episode, and next steps for researchers. The episode described is intended to apply to all patients eligible for entry to rehabilitation after hip fracture and includes most functional recovery endpoints. This framework will provide a guide for rehabilitation researchers when designing and interpreting evaluations of the effectiveness of rehabilitation after hip fracture. Evaluation of all potential care episodes facilitates transparency in reporting of outcomes enabling researchers to determine the true effectiveness of rehabilitation after hip fracture surgery
Search for CP violation in K0 -> 3 pi0 decays
Using data taken during the year 2000 with the NA48 detector at the CERN SPS,
a search for the CP violating decay K_S -> 3 pi0 has been performed. From a fit
to the lifetime distribution of about 4.9 million reconstructed K0/K0bar -> 3
pi0 decays, the CP violating amplitude eta_000 = A(K_S -> 3 pi0)/A(K_L -> 3
pi0) has been found to be Re(eta_000) = -0.002 +- 0.011 +- 0.015 and
Im(eta_000) = -0.003 +- 0.013 +- 0.017. This corresponds to an upper limit on
the branching fraction of Br(K_S -> 3 pi0) < 7.4 x 10^-7 at 90% confidence
level. The result is used to improve knowledge of Re(epsilon) and the CPT
violating quantity Im(delta) via the Bell-Steinberger relation.Comment: 18 pages, 7 figures, submitted to Phys. Lett.
Measurement of the Ratio Gamma(KL -> pi+ pi-)/Gamma(KL -> pi e nu) and Extraction of the CP Violation Parameter |eta+-|
We present a measurement of the ratio of the decay rates Gamma(KL -> pi+
pi-)/Gamma(KL -> pi e nu), denoted as Gamma(K2pi)/Gamma(Ke3). The analysis is
based on data taken during a dedicated run in 1999 by the NA48 experiment at
the CERN SPS. Using a sample of 47000 K2pi and five million Ke3 decays, we find
Gamma(K2pi)/Gamma(Ke3) = (4.835 +- 0.022(stat) +- 0.016(syst)) x 10^-3. From
this we derive the branching ratio of the CP violating decay KL -> pi+ pi- and
the CP violation parameter |eta+-|. Excluding the CP conserving direct photon
emission component KL -> pi+ pi- gamma, we obtain the results BR(KL -> pi+ pi-)
= (1.941 +- 0.019) x 10^-3 and |eta+-| = (2.223 +- 0.012) x 10^-3.Comment: 20 pages, 7 figures, accepted by Phys. Lett.
Measurement of K^0_e3 form factors
The semileptonic decay of the neutral K meson, KL -> pi e nu (Ke3), was used
to study the strangeness-changing weak interaction of hadrons. A sample of 5.6
million reconstructed events recorded by the NA48 experiment was used to
measure the Dalitz plot density. Admitting all possible Lorentz-covariant
couplings, the form factors for vector (f_+(q^2)), scalar (f_S) and tensor
(f_T) interactions were measured. The linear slope of the vector form factor
lambda_+ = 0.0284+-0.0007+-0.0013 and values for the ratios |f_S/f_+(0)| =
0.015^{+0.007}_{-0.010}+-0.012 and |f_T/f_+(0)| = 0.05^{+0.03}_{-0.04}+-0.03
were obtained. The values for f_S and f_T are consistent with zero. Assuming
only Vector-Axial vector couplings, lambda_+ = 0.0288+-0.0004+-0.0011 and a
good fit consistent with pure V-A couplings were obtained. Alternatively, a fit
to a dipole form factor yields a pole mass of M = 859+-18 MeV, consistent with
the K^*(892) mass.Comment: 16 pages, 7 figures. submitted to Phys. Lett.
A new measurement of direct CP violation in two pion decays of the neutral kaon
The NA48 experiment at CERN has performed a new measurement of direct CP
violation, based on data taken in 1997 by simultaneously collecting K_L and K_S
decays into pi0pi0 and pi+pi-. The result for the CP violating parameter
Re(epsilon'/epsilon) is (18.5 +/- 4.5(stat)} +/- 5.8 (syst))x10^{-4}.Comment: 18 pages, 6 figure
Measurement of the branching ratio of the decay KL -> pi e nu and extraction of the CKM parameter |Vus|
We present a new measurement of the branching ratio R of the decay KL -> pi e
nu (Ke3), relative to all charged KL decays with two tracks, based on data
taken with the NA48 detector at the CERN SPS. We measure R = 0.4978 +- 0.0035.
From this we derive the Ke3 branching fraction and the weak coupling
parameter |Vus| in the CKM matrix. We obtain |Vus|f+(0) = 0.2146 +- 0.0016,
where f+(0) is the vector form factor in the Ke3 decay.Comment: 18 pages, 8 figures. accepted by Phys Lett.
Large enhancement of deuteron polarization with frequency modulated microwaves
We report a large enhancement of 1.7 in deuteron polarization up to values of
0.6 due to frequency modulation of the polarizing microwaves in a two liters
polarized target using the method of dynamic nuclear polarization. This target
was used during a deep inelastic polarized muon-deuteron scattering experiment
at CERN. Measurements of the electron paramagnetic resonance absorption spectra
show that frequency modulation gives rise to additional microwave absorption in
the spectral wings. Although these results are not understood theoretically,
they may provide a useful testing ground for the deeper understanding of
dynamic nuclear polarization.Comment: 10 pages, including the figures coming in uuencoded compressed tar
files in poltar.uu, which also brings cernart.sty and crna12.sty files neede
Aberrant Expression and Subcellular Localization of ECT2 Drives Colorectal Cancer Progression and Growth
ECT2 is an activator of RHO GTPases that is essential for cytokinesis. In addition, ECT2 was identified as an oncoprotein when expressed ectopically in NIH/3T3 fibroblasts. However, oncogenic activation of ECT2 resulted from N-terminal truncation, and such truncated ECT2 proteins have not been found in patients with cancer. In this study, we observed elevated expression of fulllength ECT2 protein in preneoplastic colon adenomas, driven by increased ECT2mRNAabundance and associated with APC tumorsuppressor loss. Elevated ECT2 levels were detected in the cytoplasm and nucleus of colorectal cancer tissue, suggesting cytoplasmic mislocalization as one mechanism of early oncogenic ECT2 activation. Importantly, elevated nuclear ECT2 correlated with poorly differentiated tumors, and a low cytoplasmic:nuclear ratio of ECT2 protein correlated with poor patient survival, suggesting that nuclear and cytoplasmic ECT2 play distinct roles in colorectal cancer. Depletion of ECT2 reduced anchorage-independent cancer cell growth and invasion independent of its function in cytokinesis, and loss of Ect2 extended survival in a KrasG12D Apc-null colon cancer mouse model. Expression of ECT2 variants with impaired nuclear localization or guanine nucleotide exchange catalytic activity failed to restore cancer cell growth or invasion, indicating that active, nuclear ECT2 is required to support tumor progression. Nuclear ECT2 promoted ribosomal DNA transcription and ribosome biogenesis in colorectal cancer. These results support a driver role for both cytoplasmic and nuclear ECT2 overexpression in colorectal cancer and emphasize the critical role of precise subcellular localization in dictating ECT2 function in neoplastic cells
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