1,454 research outputs found
A narrow, edge-on disk resolved around HD 106906 with SPHERE
HD~106906AB is so far the only young binary system around which a planet has
been imaged and a debris disk evidenced thanks to a strong IR excess. As such,
it represents a unique opportunity to study the dynamics of young planetary
systems. We aim at further investigating the close (tens of au scales)
environment of the HD~106906AB system. We used the extreme AO fed, high
contrast imager SPHERE recently installed on the VLT to observe HD~106906. Both
the IRDIS imager and the Integral Field Spectrometer were used. We discovered a
very inclined, ring-like disk at a distance of 65~au from the star. The disk
shows a strong brightness asymmetry with respect to its semi-major axis. It
shows a smooth outer edge, compatible with ejection of small grains by the
stellar radiation pressure. We show furthermore that the planet's projected
position is significantly above the disk's PA. Given the determined disk
inclination, it is not excluded though that the planet could still orbit within
the disk plane if at a large separation (2000--3000 au). We identified several
additional point sources in the SPHERE/IRDIS field-of-view, that appear to be
background objects. We compare this system with other debris disks sharing
similarities, and we briefly discuss the present results in the framework of
dynamical evolution.Comment: 7 pages, 6 figures, accepted by Astronomy & Astrophysic
Frequency-modulated electromagnetic neural stimulation (FREMS) as a treatment for symptomatic diabetic neuropathy: results from a double-blind, randomised, multicentre, long-term, placebo-controlled clinical trial
AIMS/HYPOTHESIS: The aim was to evaluate the efficacy and safety of
transcutaneous frequency-modulated electromagnetic neural stimulation (frequency
rhythmic electrical modulation system, FREMS) as a treatment for symptomatic
peripheral neuropathy in patients with diabetes mellitus.
METHODS: This was a double-blind, randomised, multicentre, parallel-group study
of three series, each of ten treatment sessions of FREMS or placebo administered
within 3 weeks, 3 months apart, with an overall follow-up of about 51 weeks. The
primary endpoint was the change in nerve conduction velocity (NCV) of deep
peroneal, tibial and sural nerves. Secondary endpoints included the effects of
treatment on pain, tactile, thermal and vibration sensations. Patients eligible
to participate were aged 18-75 years with diabetes for ≥ 1 year, HbA(1c) <11.0%
(97 mmol/mol), with symptomatic diabetic polyneuropathy at the lower extremities
(i.e. abnormal amplitude, latency or NCV of either tibial, deep peroneal or sural
nerve, but with an evocable potential and measurable NCV of the sural nerve), a
Michigan Diabetes Neuropathy Score ≥ 7 and on a stable dose of medications for
diabetic neuropathy in the month prior to enrolment. Data were collected in an
outpatient setting. Participants were allocated to the FREMS or placebo arm (1:1
ratio) according to a sequence generated by a computer random number generator,
without block or stratification factors. Investigators digitised patients' date
of birth and site number into an interactive voice recording system to obtain the
assigned treatment. Participants, investigators conducting the trial, or people
assessing the outcomes were blinded to group assignment.
RESULTS: Patients (n = 110) with symptomatic neuropathy were randomised to FREMS
(n = 54) or placebo (n = 56). In the intention-to-treat population (50 FREMS, 51
placebo), changes in NCV of the three examined nerves were not different between
FREMS and placebo (deep peroneal [means ± SE]: 0.74 ± 0.71 vs 0.06 ± 1.38 m/s;
tibial: 2.08 ± 0.84 vs 0.61 ± 0.43 m/s; and sural: 0.80 ± 1.08 vs -0.91 ± 1.13
m/s; FREMS vs placebo, respectively). FREMS induced a significant reduction in
day and night pain as measured by a visual analogue scale immediately after each
treatment session, although this beneficial effect was no longer measurable 3
months after treatment. Compared with the placebo group, in the FREMS group the
cold sensation threshold was significantly improved, while non-significant
differences were observed in the vibration and warm sensation thresholds. No
relevant side effects were recorded during the study.
CONCLUSIONS/INTERPRETATION: FREMS proved to be a safe treatment for symptomatic
diabetic neuropathy, with immediate, although transient, reduction in pain, and
no effect on NCV.
TRIAL REGISTRATION: ClinicalTrials.gov NCT01628627.
FUNDING: The clinical trial was sponsored by Lorenz Biotech (Medolla, Italy),
lately Lorenz Lifetech (Ozzano dell'Emilia, Italy)
In Car Audio
This chapter presents implementations of advanced in Car Audio Applications. The system is composed by three main different applications regarding the In Car listening and communication experience. Starting from a high level description of the algorithms, several implementations on different levels of hardware abstraction are presented, along with empirical results on both the design process undergone and the performance results achieved
Post conjunction detection of Pictoris b with VLT/SPHERE
With an orbital distance comparable to that of Saturn in the solar system,
\bpic b is the closest (semi-major axis \,9\,au) exoplanet that has
been imaged to orbit a star. Thus it offers unique opportunities for detailed
studies of its orbital, physical, and atmospheric properties, and of
disk-planet interactions. With the exception of the discovery observations in
2003 with NaCo at the Very Large Telescope (VLT), all following astrometric
measurements relative to \bpic have been obtained in the southwestern part of
the orbit, which severely limits the determination of the planet's orbital
parameters. We aimed at further constraining \bpic b orbital properties using
more data, and, in particular, data taken in the northeastern part of the
orbit.
We used SPHERE at the VLT to precisely monitor the orbital motion of beta
\bpic b since first light of the instrument in 2014. We were able to monitor
the planet until November 2016, when its angular separation became too small
(125 mas, i.e., 1.6\,au) and prevented further detection. We redetected \bpic b
on the northeast side of the disk at a separation of 139\,mas and a PA of
30 in September 2018. The planetary orbit is now well constrained.
With a semi-major axis (sma) of au (1 ), it
definitely excludes previously reported possible long orbital periods, and
excludes \bpic b as the origin of photometric variations that took place in
1981. We also refine the eccentricity and inclination of the planet. From an
instrumental point of view, these data demonstrate that it is possible to
detect, if they exist, young massive Jupiters that orbit at less than 2 au from
a star that is 20 pc away.Comment: accepted by A&
Factors associated with self-assessed increase in tobacco consumption among over-indebted individuals in Germany: a cross-sectional study
Background
Over-indebtedness is an increasing phenomenon in industrialised nations causing individual hardship and societal problems. Nonetheless, few studies have explored smoking among over-indebted individuals.
Methods
A cross-sectional survey (n=949) on retrospectively assessed changes in tobacco consumption was carried out in 2006 and 2007 among clients of 84 officially approved debt and insolvency counselling centres in Germany (response rate 39.7%). Logistic regressions were performed to explore factors associated with reports of increased smoking after onset of over-indebtedness.
Results
63% of all respondents stated daily or occasional tobacco consumption. Almost one fifth reported an increase in smoking after becoming over-indebted. Females were less likely to report increased smoking than men (aOR 0.66, 95% CI 0.44-0.99) whereas respondents who had been over-indebted for more than 10 years were more likely to report increased smoking than those who had been over-indebted for less than five years (aOR 1.66; 95%-CI 1.00-2.76). The odds of increased smoking were also elevated among those who reported that their families and friends had withdrawn from them as a consequence of their over-indebtedness (aOR 1.82; 95%-CI 1.06-3.14).
Conclusions
The study identifies over-indebted individuals and particularly over-indebted men as a high-risk group of smokers. Low levels of social embeddedness/support were associated with a further increase in smoking after becoming over-indebted. Given recent increases of over-indebtedness, the findings highlight the need to develop appropriate public health policies
Supracricoid partial laryngectomy in the management of t3 laryngeal cancer
Objective. To evaluate the oncologic results only in T3 glottic and supraglottic cancers regarding supracricoid partial laryngectomy (SCPL) not requiring total laryngectomy and to assess functional results by self-evaluation by the patient. Study Design. Case series with medical record review. Setting. Single tertiary care center. Subjects and Methods. Thirty-two patients with laryngeal squamous cell carcinoma, previously untreated, who underwent SCPL with cricohyoidopexy or cricohyoidoepiglottopexy were reviewed. Results. At 1, 3, and 5 years, the disease-free survival rates were 96.9%, 89.4%, and 78.2%; overall survival rates were 96.9%, 93.2%, and 87.3%; local control and locoregional control rates were 100%, 96.2%, and 96.2%; and distant metastasis-free survival rates were 100%, 100%, and 88.2%, respectively. Aspiration pneumonia was the most common complication observed. The 3 laryngeal functions (speech, swallowing, and breathing) were spared in 83.9% of patients. Conclusion. Supracricoid partial laryngectomy for selected glottic and supraglottic T3 tumors has excellent oncologic and functional results
Outcome of radiotherapy in T1 glottic carcinoma: A population-based study
We evaluated the radiation outcome and prognostic factors in a population-based study of early (T1N0M0) glottic carcinoma. Survival parameters and prognostic factors were evaluated by uni- and multivariate analysis in 316 consecutive irradiated patients with T1 glottic carcinoma in the Comprehensive Cancer Center West region of the western Netherlands. Median follow-up was 70 months (range 1-190 months). Five and ten-year local control was 86 and 84%. Disease specific survival was 97% at 5 and 10 years. In multivariate analysis, pre-existent laryngeal hypertrophic laryngitis was the only predictive factor for local control (relative risk = 3.0, P = 0.02). Comorbidity was prognostic for overall survival. No factor was predictive for disease specific survival. Pre-existent laryngeal hypertrophic laryngitis is a new risk factor associated with reduced local control in T1 glottic carcinoma treated with radiotherapy
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