131 research outputs found
Copper(2+) Binding to alpha-Synuclein. Histidine50 Can Form a Ternary Complex with Cu2+ at the N-Terminus but Not a Macrochelate
Urinary drug metabolite testing in chronic heart failure patients indicates high levels of adherence with life-prolonging therapies
Aims Despite medical therapy for heart failure (HF) having proven benefits of improving quality of life and survival, many patients remain under-treated. This may be due to a combination of under-prescription by medical professionals and poor adherence from patients. In HF, as with many other chronic diseases, adherence to medication can deteriorate over time particularly when symptoms are well controlled. Therefore, detecting and addressing non-adherence has a crucial role in the management of HF. Significant flaws and inaccuracies exist in the methods currently used to assess adherence such as patient reporting, pill counts, and pharmacy fill records. We aim to use high-performance liquid chromatographyâtandem mass spectrometry (HPLC-MS) to detect metabolites of HF medications in the urine samples of chronic HF patients. Methods and results Urine samples were collected from 35 patients in a specialist HF clinic. Patients were included if they had an ejection fraction <45% and were taking at least two disease-modifying HF medications. They were excluded if they had been admitted to hospital for HF in the 3 months preceding clinic attendance. These samples were sent for HPLC-MS and tested for all HF medications prescribed for that patient. A high rate of complete adherence of 89% was detected in these patients, with 94% being partially adherent (at least one HF medication detected) to therapy (at least one HF medication detected). This analysis also highlighted that mineralocorticoid antagonists represent both the most under-prescribed (67%) and poorly adhered (75%) medication class. Conclusions This analysis revealed a surprisingly high level of adherence to disease-modifying therapy in chronic HF patients and highlights that most of our âtotalâ under-treatment is likely to be from a failure to prescribe rather than a failure to adhere. Testing for metabolites of disease-modifying HF drugs in urine using HPLC-MS is feasible and is a useful adjunct to a specialist HF service. At present, the distinction between treatment failure and failure to take treatment is not always clear, which is important because the investigation and potential solutions are different. The former needs initiation of additional therapies and consideration of additional diagnoses, whereas the latter requires strategies to understand reasons underlying poor adherence and collaborative working to improve this: the wrong strategy will be ineffective
Status and Objectives of the Dedicated Accelerator R&D Facility "SINBAD" at DESY
We present a status update on the dedicated R\&D facility SINBAD which is
currently under construction at DESY. The facility will host multiple
independent experiments on the acceleration of ultra-short electron bunches and
novel, high gradient acceleration methods. The first experiment is the
ARES-experiment with a normal conducting 100\,MeV S-band linac at its core. We
present the objectives of this experiment ranging from the study of compression
techniques to sub-fs level to its application as injector for various advanced
acceleration schemes e.g. the plans to use ARES as a test-site for DLA
experiments in the context of the ACHIP collaboration. The time-line including
the planned extension with laser driven plasma-wakefield acceleration is
presented. The second initial experiment is AXSIS which aims to accelerate
fs-electron bunches to 15\,MeV in a THz driven dielectric structure and
subsequently create X-rays by inverse Compton scattering.Comment: EAAC'17 conference proceeding
First Results on In-Beam gamma Spectroscopy of Neutron-Rich Na and Mg Isotopes at REX-ISOLDE
After the successful commissioning of the radioactive beam experiment at
ISOLDE (REX-ISOLDE) - an accelerator for exotic nuclei produced by ISOLDE -
first physics experiments using these beams were performed. Initial experiments
focused on the region of deformation in the vicinity of the neutron-rich Na and
Mg isotopes. Preliminary results show the high potential and physics
opportunities offered by the exotic isotope accelerator REX in conjunction with
the modern Germanium gamma spectrometer MINIBALL.Comment: 7 pages, RNB6 conference contributio
"Safe" Coulomb Excitation of 30Mg
We report on the first radioactive beam experiment performed at the recently
commissioned REX-ISOLDE facility at CERN in conjunction with the highly
efficient gamma spectrometer MINIBALL. Using 30Mg ions accelerated to an energy
of 2.25 MeV/u together with a thin nat-Ni target, Coulomb excitation of the
first excited 2+ states of the projectile and target nuclei well below the
Coulomb barrier was observed. From the measured relative de-excitation gamma
ray yields the B(E2; 0+ -> 2+) value of 30Mg was determined to be 241(31)
e2fm4. Our result is lower than values obtained at projectile fragmentation
facilities using the intermediate-energy Coulomb excitation method, and
confirms the theoretical conjecture that the neutron-rich magnesium isotope
30Mg lies still outside the ``island of inversion''
Coulomb excitation of neutron-rich nuclei between the N=40 and N=50 shell gaps using REX-ISOLDE and the Ge MINIBALL array
Protons in near earth orbit
The proton spectrum in the kinetic energy range 0.1 to 200 GeV was measured
by the Alpha Magnetic Spectrometer (AMS) during space shuttle flight STS-91 at
an altitude of 380 km. Above the geomagnetic cutoff the observed spectrum is
parameterized by a power law. Below the geomagnetic cutoff a substantial second
spectrum was observed concentrated at equatorial latitudes with a flux ~ 70
m^-2 sec^-1 sr^-1. Most of these second spectrum protons follow a complicated
trajectory and originate from a restricted geographic region.Comment: 19 pages, Latex, 7 .eps figure
GATE : a simulation toolkit for PET and SPECT
Monte Carlo simulation is an essential tool in emission tomography that can
assist in the design of new medical imaging devices, the optimization of
acquisition protocols, and the development or assessment of image
reconstruction algorithms and correction techniques. GATE, the Geant4
Application for Tomographic Emission, encapsulates the Geant4 libraries to
achieve a modular, versatile, scripted simulation toolkit adapted to the field
of nuclear medicine. In particular, GATE allows the description of
time-dependent phenomena such as source or detector movement, and source decay
kinetics. This feature makes it possible to simulate time curves under
realistic acquisition conditions and to test dynamic reconstruction algorithms.
A public release of GATE licensed under the GNU Lesser General Public License
can be downloaded at the address http://www-lphe.epfl.ch/GATE/
Search for antihelium in cosmic rays
The Alpha Magnetic Spectrometer (AMS) was flown on the space shuttle
Discovery during flight STS-91 in a 51.7 degree orbit at altitudes between 320
and 390 km. A total of 2.86 * 10^6 helium nuclei were observed in the rigidity
range 1 to 140 GV. No antihelium nuclei were detected at any rigidity. An upper
limit on the flux ratio of antihelium to helium of < 1.1 * 10^-6 is obtained.Comment: 18 pages, Latex, 9 .eps figure
A Study of Cosmic Ray Secondaries Induced by the Mir Space Station Using AMS-01
The Alpha Magnetic Spectrometer (AMS-02) is a high energy particle physics
experiment that will study cosmic rays in the to range and will be installed on the International Space Station
(ISS) for at least 3 years. A first version of AMS-02, AMS-01, flew aboard the
space shuttle \emph{Discovery} from June 2 to June 12, 1998, and collected
cosmic ray triggers. Part of the \emph{Mir} space station was within the
AMS-01 field of view during the four day \emph{Mir} docking phase of this
flight. We have reconstructed an image of this part of the \emph{Mir} space
station using secondary and emissions from primary cosmic rays
interacting with \emph{Mir}. This is the first time this reconstruction was
performed in AMS-01, and it is important for understanding potential
backgrounds during the 3 year AMS-02 mission.Comment: To be submitted to NIM B Added material requested by referee. Minor
stylistic and grammer change
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