Management of pediatric radiation dose using Philips fluoroscopy systems DoseWise: perfect image, perfect sense

Although image quality (IQ) is the ultimate goal for accurate diagnosis and treatment, minimizing radiation dose is equally important. This is especially true when pediatric patients are examined, because their sensitivity to radiation-induced cancer is two to three times greater than that of adults. DoseWise is an ALARA-based philosophy within Philips Medical Systems that is active at every level of product design. It encompasses a set of techniques, programs and practices that ensures optimal IQ while protecting people in the X-ray environments. DoseWise methods include management of the X-ray beam, less radiation-on time and more dose information for the operator. Smart beam management provides automatic customization of the X-ray beam spectrum, shape, and pulse frequency. The Philips-patented grid-controlled fluoroscopy (GCF) provides grid switching of the X-ray beam in the X-ray tube instead of the traditional generator switching method. In the examination of pediatric patients, DoseWise technology has been scientifically documented to reduce radiation dose to <10% of the dose of traditional continuous fluoroscopy systems. The result is improved IQ at a significantly lower effective dose, which contributes to the safety of patients and staff

The XMM-Newton Ω\Omega Project

The abundance of high-redshift galaxy clusters depends sensitively on the matter density \OmM and, to a lesser extent, on the cosmological constant $\Lambda$. Measurements of this abundance therefore constrain these fundamental cosmological parameters, and in a manner independent and complementary to other methods, such as observations of the cosmic microwave background and distance measurements. Cluster abundance is best measured by the X-ray temperature function, as opposed to luminosity, because temperature and mass are tightly correlated, as demonstrated by numerical simulations. Taking advantage of the sensitivity of XMM-Newton, our Guaranteed Time program aims at measuring the temperature of the highest redshift (z>0.4) SHARC clusters, with the ultimate goal of constraining both \OmM and $\Lambda$.Comment: To appear in the Proceedings of the XXI Moriond Conference: Galaxy Clusters and the High Redshift Universe Observed in X-rays, edited by D. Neumann, F. Durret, & J. Tran Thanh Va

Mapping environmental injustices: pitfalls and potential of geographic information systems in assessing environmental health and equity.

Geographic Information Systems (GIS) have been used increasingly to map instances of environmental injustice, the disproportionate exposure of certain populations to environmental hazards. Some of the technical and analytic difficulties of mapping environmental injustice are outlined in this article, along with suggestions for using GIS to better assess and predict environmental health and equity. I examine 13 GIS-based environmental equity studies conducted within the past decade and use a study of noxious land use locations in the Bronx, New York, to illustrate and evaluate the differences in two common methods of determining exposure extent and the characteristics of proximate populations. Unresolved issues in mapping environmental equity and health include lack of comprehensive hazards databases; the inadequacy of current exposure indices; the need to develop realistic methodologies for determining the geographic extent of exposure and the characteristics of the affected populations; and the paucity and insufficiency of health assessment data. GIS have great potential to help us understand the spatial relationship between pollution and health. Refinements in exposure indices; the use of dispersion modeling and advanced proximity analysis; the application of neighborhood-scale analysis; and the consideration of other factors such as zoning and planning policies will enable more conclusive findings. The environmental equity studies reviewed in this article found a disproportionate environmental burden based on race and/or income. It is critical now to demonstrate correspondence between environmental burdens and adverse health impacts--to show the disproportionate effects of pollution rather than just the disproportionate distribution of pollution sources

Quark Orbital Angular Momentum in the Wandzura-Wilczek Approximation

We show that quark orbital angular momentum is directly related to off-forward correlation functions which include intrinsic transverse momentum corresponding to a derivative with respect to the transverse coordinates. Its possible contribution to scattering processes is therefore of higher twist and vanishes in the forward limit. The relation of OAM to other twist 2 and 3 distributions known in the literature is derived and formalized by an unintegrated sum rule.Comment: 10 pages; Several points clarified, 3 references added, to be published in PL

Spin densities in the transverse plane and generalized transversity distributions

We show how generalized quark distributions in the nucleon describe the density of polarized quarks in the impact parameter plane, both for longitudinal and transverse polarization of the quark and the nucleon. This density representation entails positivity bounds including chiral-odd distributions, which tighten the known bounds in the chiral-even sector. Using the quark equations of motion, we derive relations between the moments of chiral-odd generalized parton distributions of twist two and twist three. We exhibit the analogy between polarized quark distributions in impact parameter space and transverse momentum dependent distribution functions.Comment: 23 pages, 6 eps-figure

Associations between lifestyle factors and an unhealthy diet

BACKGROUND: Unhealthy dietary patterns have been associated with other unhealthy lifestyle factors such as smoking and physical inactivity. Whether these associations are similar in high- and low-educated individuals is currently unknown. METHODS: We used information of the EPIC-NL cohort, a prospective cohort of 39 393 men and women, aged 20-70 years at recruitment. A lifestyle questionnaire and a validated food frequency questionnaire were administered at recruitment (1993-97). Low adherence to a Mediterranean-style diet was used to determine an unhealthy dietary pattern. Lifestyle-related factors included body mass index, waist circumference, smoking status, physical activity level, dietary supplement use and daily breakfast consumption. Multivariate logistic regression analyses were performed for the total population and by strata of educational level. RESULTS: In total 30% of the study population had an unhealthy dietary pattern: 39% in the lowest educated group and 20% in the highest educated group. Physical inactivity, a large waist circumference, no dietary supplement use and skipping breakfast were associated with an unhealthy dietary pattern in both low and high educated participants. Among low educated participants, current smokers had a greater odds of an unhealthy diet compared with never smokers: OR 1.42 (95% CI: 1.25; 1.61). This association was not observed in the high educated group. CONCLUSIONS: Most associations between lifestyle-related factors and unhealthy diet were consistent across educational levels, except for smoking. Only among low educated participants, current smokers reported an unhealthier dietary pattern in comparison to never smokers. These results can be used in the development of targeted health promotion strategies

Emission of photon echoes in a strongly scattering medium

We observe the two- and three-pulse photon echo emission from a scattering powder, obtained by grinding a Pr$^{3+}$:Y$_2$SiO$_5$ rare earth doped single crystal. We show that the collective emission is coherently constructed over several grains. A well defined atomic coherence can therefore be created between randomly placed particles. Observation of photon echo on powders as opposed to bulk materials opens the way to faster material development. More generally, time-domain resonant four-wave mixing offers an attractive approach to investigate coherent propagation in scattering media

Stochastic quantization and holographic Wilsonian renormalization group

We study relation between stochastic quantization and holographic Wilsonian renormalization group flow. Considering stochastic quantization of the boundary on-shell actions with the Dirichlet boundary condition for certain $AdS$ bulk gravity theories, we find that the radial flows of double trace deformations in the boundary effective actions are completely captured by stochastic time evolution with identification of the $AdS$ radial coordinate `$r$' with the stochastic time '$t$' as $r=t$. More precisely, we investigate Langevin dynamics and find an exact relation between radial flow of the double trace couplings and 2-point correlation functions in stochastic quantization. We also show that the radial evolution of double trace deformations in the boundary effective action and the stochastic time evolution of the Fokker-Planck action are the same. We demonstrate this relation with a couple of examples: (minimally coupled)massless scalar fields in $AdS_2$ and U(1) vector fields in $AdS_4$.Comment: 1+30 pages, a new subsection is added, references are adde

Inhalation characteristics of asthma patients, COPD patients and healthy volunteers with the Spiromax® and Turbuhaler® devices: a randomised, cross-over study.

BACKGROUND: Spiromax® is a novel dry-powder inhaler containing formulations of budesonide plus formoterol (BF). The device is intended to provide dose equivalence with enhanced user-friendliness compared to BF Turbuhaler® in asthma and chronic obstructive pulmonary disease (COPD). The present study was performed to compare inhalation parameters with empty versions of the two devices, and to investigate the effects of enhanced training designed to encourage faster inhalation. METHODS: This randomised, open-label, cross-over study included children with asthma (n = 23), adolescents with asthma (n = 27), adults with asthma (n = 50), adults with COPD (n = 50) and healthy adult volunteers (n = 50). Inhalation manoeuvres were recorded with each device after training with the patient information leaflet (PIL) and after enhanced training using an In-Check Dial device. RESULTS: After PIL training, peak inspiratory flow (PIF), maximum change in pressure (∆P) and the inhalation volume (IV) were significantly higher with Spiromax than with the Turbuhaler device (p values were at least &lt;0.05 in all patient groups). After enhanced training, numerically or significantly higher values for PIF, ∆P, IV and acceleration remained with Spiromax versus Turbuhaler, except for ∆P in COPD patients. After PIL training, one adult asthma patient and one COPD patient inhaled &lt;30 L/min through the Spiromax compared to one adult asthma patient and five COPD patients with the Turbuhaler. All patients achieved PIF values of at least 30 L/min after enhanced training. CONCLUSIONS: The two inhalers have similar resistance so inhalation flows and pressure changes would be expected to be similar. The higher flow-related values noted for Spiromax versus Turbuhaler after PIL training suggest that Spiromax might have human factor advantages in real-world use. After enhanced training, the flow-related differences between devices persisted; increased flow rates were achieved with both devices, and all patients achieved the minimal flow required for adequate drug delivery. Enhanced training could be useful, especially in COPD patients

Early growth response gene-2 (Egr-2) regulates the development of B and T cells

The study was supported by Arthritis Research UK. Copyright @ 2011 Li et al.BACKGROUND: Understanding of how transcription factors are involved in lymphocyte development still remains a challenge. It has been shown that Egr-2 deficiency results in impaired NKT cell development and defective positive selection of T cells. Here we investigated the development of T, B and NKT cells in Egr-2 transgenic mice and the roles in the regulation of distinct stages of B and T cell development. METHODS AND FINDINGS: The expression of Egr1, 2 and 3 were analysed at different stages of T and B cell development by RT-PCT and results showed that the expression was strictly regulated at different stages. Forced expression of Egr-2 in CD2+ lymphocytes resulted in a severe reduction of CD4+CD8+ (DP) cells in thymus and pro-B cells in bone marrow, which was associated with reduced expression of Notch1 in ISP thymocytes and Pax5 in pro-B cells, suggesting that retraction of Egr-2 at the ISP and pro-B cell stages is important for the activation of lineage differentiation programs. In contrast to reduction of DP and pro-B cells, Egr-2 enhanced the maturation of DP cells into single positive (SP) T and NKT cells in thymus, and immature B cells into mature B cells in bone marrow. CONCLUSIONS: Our results demonstrate that Egr-2 expressed in restricted stages of lymphocyte development plays a dynamic, but similar role for the development of T, NKT and B cells.This article is provided by the Brunel Open Access publishing fund