Management of retinal vein occlusion, who is responsible?

Retinal vein occlusion (RVO) is a common retinal vascular occlusive disorder and is associated with a variety of systemic risk factors. The aim of this study was to investigate whether the underlying diseases were evaluated and managed appropriately by ophthalmologists. We performed a study of 1344 patients with retinal vein occlusion (RVO). Patients were evaluated with a questionnaire including ten closed questions to determine whether ophthalmologists evaluated and informed their patients about the underlying systemic diseases. None of the patients� homocysteine levels were measured. Only a small percentage of the patients were asked about the history of thrombotic diseases or family history of thrombotic diseases. We believe that most ophthalmologists are still not entirely convinced of their responsibility of managing the underlying predisposing factors of RVO. Ophthalmologists should either manage or engage other healthcare providers in the management of RVO to guarantee the patient the best care. © 2016 Tehran University of Medical Sciences. All rights reserved

Comparing the degrees of enumerability and the closed Medvedev degrees

We compare the degrees of enumerability and the closed Medvedev degrees and find that many situations occur. There are nonzero closed degrees that do not bound nonzero degrees of enumerability, there are nonzero degrees of enumerability that do not bound nonzero closed degrees, and there are degrees that are nontrivially both degrees of enumerability and closed degrees. We also show that the compact degrees of enumerability exactly correspond to the cototal enumeration degrees

The geometrical nature of optical resonances : from a sphere to fused dimer nanoparticles

We study the electromagnetic response of smooth gold nanoparticles with shapes varying from a single sphere to two ellipsoids joined smoothly at their vertices. We show that the plasmonic resonance visible in the extinction and absorption cross sections shifts to longer wavelengths and eventually disappears as the mid-plane waist of the composite particle becomes narrower. This process corresponds to an increase of the numbers of internal and scattering modes that are mainly confined to the surface and coupled to the incident field. These modes strongly affect the near field, and therefore are of great importance in surface spectroscopy, but are almost undetectable in the far field

Fabrication and Results of the First MgB2 Round Coil Superferric Magnet at LASA

The LASA Laboratory (INFN, Milan) is working in the High Luminosity LHC program to develop, in collaboration with CERN, six different types of High Order corrector magnets. In this framework, in parallel with a conventional design of superferric magnets with LTS conductor, the LASA is focusing on the research of new superconducting materials which may have applications in particle accelerator magnets. To this purpose, LASA is developing a new type of superferric magnet suitable to arbitrary multipole order, called Round Coil Superferric Magnets (RCSM). The iron yoke shaped with an arbitrary number of poles is able to create the desired harmonic component using only one single round coil with a large bending radius suitable for very strain-sensitive superconductors. The electromagnetic design of a sextupole configuration of the magnet and the production of the first superconducting MgB2 round coil prototype have been already presented. In this paper, we expose the optimization of the iron yoke and polar expansions assembly of the first magnet semi-module prototype. The results of the whole powering test are described in detail and the analysis of the magnetic performances are compared with those of classical superferric correctors

Team players against headache: multidisciplinary treatment of primary headaches and medication overuse headache

Multidisciplinary approaches are gaining acceptance in headache treatment. However, there is a lack of scientific data about the efficacy of various strategies and their combinations offered by physiotherapists, physicians, psychologists and headache nurses. Therefore, an international platform for more intense collaboration between these professions and between headache centers is needed. Our aims were to establish closer collaboration and an interchange of knowledge between headache care providers and different disciplines. A scientific session focusing on multidisciplinary headache management was organised at The European Headache and Migraine Trust International Congress (EHMTIC) 2010 in Nice. A summary of the contributions and the discussion is presented. It was concluded that effective multidisciplinary headache treatment can reduce headache frequency and burden of disease, as well as the risk for medication overuse headache. The significant value of physiotherapy, education in headache schools, and implementation of strategies of cognitive behavioural therapy was highlighted and the way paved for future studies and international collaboration

Leukocyte-derived ratios are associated with late-life any type dementia: a cross-sectional analysis of the Mugello study

Immunosenescence, vascular aging, and brain aging, all characterized by elevated levels of inflammatory markers, are thought to share a common pathogenetic pathway: inflamm-aging. Retrospective cross-sectional analysis was conducted using data from the Mugello study (Tuscany, Italy), a representative Italian cohort of free-living nonagenarians. to assess the association between specific peripheral inflammation markers derived from white blood cell counts, and the diagnosis of dementia. All the variables of interest were reported for 411 subjects (110 males and 301 females) out of 475 enrolled in the study. Anamnestic dementia diagnosis was obtained from clinical certificate and confirmed by a General Practitioner, whereas leukocyte ratios were directly calculated from white blood cell counts. Body mass index and comorbidities were considered potential confounders. Diagnosis of any type dementia was certified in 73 cases (17.8%). Subjects affected by dementia were older, more frequently reported a previous stroke, had lower body mass index, and lower Mini-Mental-State-Examination score. Moreover, they had a higher lymphocyte count and lymphocyte-to-monocyte ratio compared to the non-demented nonagenarians. We found that higher levels of lymphocyte counts are cross-sectionally associated with a clinical diagnosis of dementia. Furthermore, lymphocyte-to-monocyte ratio is directly associated with any type of dementia, independently of age, sex, lymphocyte count, and comorbidities. Lymphocyte-to-monocyte ratio may be considered a marker of immunological changes in the brain of dementia patients; moreover, it is low-cost, and easily available, thus enabling comparisons among different studies and populations, although the timeline and the extent of lymphocyte-to-monocyte ratio role in dementia development must be further investigated

Mechanical behavior of the ATLAS B0 model coil

The ATLAS B0 model coil has been developed and constructed to verify the design parameters and the manufacture techniques of the Barrel Toroid coils (BT) that are under construction for the ATLAS Detector. Essential for successful operation is the mechanical behavior of the superconducting coil and its support structure. In the ATLAS magnet test facility, a magnetic mirror is used to reproduce in the model coil the electromagnetic forces of the BT coils when assembled in the final Barrel Toroid magnet system. The model coil is extensively equipped with mechanical instrumentation to monitor stresses and force levels as well as contraction during a cooling down and excitation up to nominal current. The installed set up of strain gauges, position sensors and capacitive force transducers is presented. Moreover the first mechanical results in terms of expected main stress, strain and deformation values are presented based on detailed mechanical analysis of the design. (7 refs)