Minimal flavour violation extensions of the seesaw

We analyze the most natural formulations of the minimal lepton flavour violation hypothesis compatible with a type-I seesaw structure with three heavy singlet neutrinos N, and satisfying the requirement of being predictive, in the sense that all LFV effects can be expressed in terms of low energy observables. We find a new interesting realization based on the flavour group $SU(3)_e\times SU(3)_{\ell+N}$ (being $e$ and $\ell$ respectively the SU(2) singlet and doublet leptons). An intriguing feature of this realization is that, in the normal hierarchy scenario for neutrino masses, it allows for sizeable enhancements of $\mu \to e$ transitions with respect to LFV processes involving the $\tau$ lepton. We also discuss how the symmetries of the type-I seesaw allow for a strong suppression of the N mass scale with respect to the scale of lepton number breaking, without implying a similar suppression for possible mechanisms of N productionComment: 14 pages, 6 figure

Evaluating Nurse Use and Satisfaction with Video-Based Discharge Education for Adults with Heart Failure

Background Heart failure (HF) readmission rates are high and influenced by self-care practices and self-efficacy for managing chronic disease. Using digital education via tablet can help improve the discharge education process and may increase self-care knowledge. Objective The purpose of the study is to assess the current discharge processes implemented for HF patients in cardiovascular units at a Midwestern academic medical center. Methods Participants for this two-phase study were recruited from two inpatient cardiovascular units within a 700-bed, Midwestern academic medical center. Phase one used a pre-post quasiexperimental design to evaluate a discharge educational intervention using the teach-back method in changing HF knowledge, measured with the Atlanta Heart Failure Knowledge Test (AHFKT), and self-efficacy, measured with the Self-Efficacy for Managing Chronic Diseases 6-item scale (SEMCD-6). Due to our limited sample size, a related-samples Wilcoxon signed rank test was used to analyze changes in scores from pre-test to post-test for HF knowledge and self-efficacy. Phase two used a descriptive survey to evaluate RN use and satisfaction with video-based HF education (HF Emmi™) and bedside tablets for discharge education. The 15-item survey included eight multiple choice questions, a 5-point Likert scale ranging from 0 to 4, and six open-ended questions. Descriptive statistics were reported for Emmi™ video satisfaction and responses to the open-ended questions were aggregated and analyzed for the presence of common threads. Results Between September 2022 and November 2022, four participants enrolled and completed the initial intervention for phase one. Two were later lost to follow-up. Data analysis demonstrated that AHFKT scores and SEMCD-6 scores were not significantly different from pre-intervention to 30-days post discharge (p = 0.18). From November 2022 and the end of December 2022, 24 nurses enrolled and completed phase two. Nurses reported mean satisfaction of the HF Emmi™ video and beside tables at 2.33 (SD = 0.92). Common threads in open-ended survey responses demonstrated difficulty accessing the HF Emmi™ video and lack of knowledge regarding the HF Emmi™ video. Conclusions HF knowledge and self-efficacy for chronic disease management scores did not demonstrate statistical significance from pre-intervention to 30-days post discharge. Nurse surveys indicated a neutral response for use and satisfaction of the HF Emmi™ video. Findings from phase one indicate future studies are necessary to evaluate the impact of the teach-back method and digital discharge education in adults with HF. Findings from phase two indicate a need for further nurse training on the use of tablets for digital discharge education and methods for implementation to workflow. Keywords: heart failure, teach-back, video educatio

The Impact of Flavour Changing Neutral Gauge Bosons on B->X_s gamma

The branching ratio of the rare decay B->X_s gamma provides potentially strong constraints on models beyond the Standard Model. Considering a general scenario with new heavy neutral gauge bosons, present in particular in Z' and gauge flavour models, we point out two new contributions to the B->X_s gamma decay. The first one originates from one-loop diagrams mediated by gauge bosons and heavy exotic quarks with electric charge -1/3. The second contribution stems from the QCD mixing of neutral current-current operators generated by heavy neutral gauge bosons and the dipole operators responsible for the B->X_s gamma decay. The latter mixing is calculated here for the first time. We discuss general sum rules which have to be satisfied in any model of this type. We emphasise that the neutral gauge bosons in question could also significantly affect other fermion radiative decays as well as non-leptonic two-body B decays, epsilon'/epsilon, anomalous (g-2)_mu and electric dipole moments.Comment: 31 pages, 5 figures; version published on JHEP; added magic QCD numbers for flavour-violating Z gauge boson contribution to B -> X_s gamm

Promoting Adherence to Best Practice Related to Urine Reflex to Culture Testing

Over a two week period, the infection control nurse, from a trauma designated facility located in norther California, planned a practice improvement project in collaboration with the laboratory microsystem to educate referring physicians and increase adherence to the Centers for Disease Control (CDC) protocol, which delineates recommended best practices related to urine reflex to culture testing. Urinalysis (UA) is a test that triggers a reflex urine culture when pyuria is present. Frequent urine culturing without the presence of pyuria can cause unnecessary treatment with antimicrobials. From January 2017 to December 2017, 10% of UAs from 200 urine samples from asymptomatic patients yielded the presence of a microorganism, necessitating antimicrobial treatment. A single center study applied a best practice and used a reflex urine culture protocol that prompted the laboratory staff to perform a UA followed by a urine culture if pyuria (WBC \u3e10/HPF) was present. Currently, the facility’s laboratory uses WBC \u3e5/HPF as a criterion. To gain physician support over a 2-week period, 25 physicians were educated using a flowchart that defines the new clinical and pyuria criteria (Appendix A). The long-term goal is to ensure that the number of urine cultures triggered by the new pyuria value aligns with Urinary Tract Infection (UTI) symptomatology, which consequently reduce unnecessary antimicrobial treatment. The project resulted in referring physicians’ engagement and adoption of the CDC protocol and agreement to monitor the number of reflex urine tests prospectively and analyze patterns that triggered treatment with antimicrobials of asymptomatic patients over a six month period

Exogenous Glucose Administration Impairs Glucose Tolerance and Pancreatic Insulin Secretion during Acute Sepsis in Non-Diabetic Mice

Objectives:The development of hyperglycemia and the use of early parenteral feeding are associated with poor outcomes in critically ill patients. We therefore examined the impact of exogenous glucose administration on the integrated metabolic function of endotoxemic mice using our recently developed frequently sampled intravenous glucose tolerance test (FSIVGTT). We next extended our findings using a cecal ligation and puncture (CLP) sepsis model administered early parenteral glucose support.Methods:Male C57BL/6J mice, 8-12 weeks, were instrumented with chronic indwelling arterial and venous catheters. Endotoxemia was initiated with intra-arterial lipopolysaccharide (LPS; 1 mg/kg) in the presence of saline or glucose infusion (100 μL/hr), and an FSIVGTT was performed after five hours. In a second experiment, catheterized mice underwent CLP and the impact of early parenteral glucose administration on glucose homeostasis and mortality was assessed over 24 hrs.Measurements:And MAIN RESULTS: Administration of LPS alone did not impair metabolic function, whereas glucose administration alone induced an insulin sensitive state. In contrast, LPS and glucose combined caused marked glucose intolerance and insulin resistance and significantly impaired pancreatic insulin secretion. Similarly, CLP mice receiving parenteral glucose developed fulminant hyperglycemia within 18 hrs (all > 600 mg/dl) associated with increased systemic cytokine release and 40% mortality, whereas CLP alone (85 ± 2 mg/dL) or sham mice receiving parenteral glucose (113 ± 3 mg/dL) all survived and were not hyperglycemic. Despite profound hyperglycemia, plasma insulin in the CLP glucose-infused mice (3.7 ± 1.2 ng/ml) was not higher than sham glucose infused mice (2.1 ± 0.3 ng/ml).Conclusions:The combination of parenteral glucose support and the systemic inflammatory response in the acute phase of sepsis induces profound insulin resistance and impairs compensatory pancreatic insulin secretion, leading to the development of fulminant hyperglycemia. © 2013 Watanabe et al

Probing the Type I Seesaw Mechanism with Displaced Vertices at the LHC

The observation of Higgs decays into heavy neutrinos would be strong evidence for new physics associated to neutrino masses. In this work we propose a search for such decays within the Type I seesaw model in the few-GeV mass range via displaced vertices. Using 300 fb−1 of integrated luminosity, at 13 TeV, we explore the region of parameter space where such decays are measurable. We show that, after imposing pseudorapidity cuts, there still exists a region where the number of events is larger than O(10). We also find that conventional triggers can greatly limit the sensitivity of our signal, so we display several relevant kinematical distributions which might aid in the optimization of a dedicated trigger selection

Search for direct pair production of the top squark in all-hadronic final states in proton-proton collisions at s√=8 TeV with the ATLAS detector

The results of a search for direct pair production of the scalar partner to the top quark using an integrated luminosity of 20.1fb−1 of proton–proton collision data at √s = 8 TeV recorded with the ATLAS detector at the LHC are reported. The top squark is assumed to decay via t˜→tχ˜01 or t˜→ bχ˜±1 →bW(∗)χ˜01 , where χ˜01 (χ˜±1 ) denotes the lightest neutralino (chargino) in supersymmetric models. The search targets a fully-hadronic final state in events with four or more jets and large missing transverse momentum. No significant excess over the Standard Model background prediction is observed, and exclusion limits are reported in terms of the top squark and neutralino masses and as a function of the branching fraction of t˜ → tχ˜01 . For a branching fraction of 100%, top squark masses in the range 270–645 GeV are excluded for χ˜01 masses below 30 GeV. For a branching fraction of 50% to either t˜ → tχ˜01 or t˜ → bχ˜±1 , and assuming the χ˜±1 mass to be twice the χ˜01 mass, top squark masses in the range 250–550 GeV are excluded for χ˜01 masses below 60 GeV

Observation of associated near-side and away-side long-range correlations in √sNN=5.02 TeV proton-lead collisions with the ATLAS detector

Two-particle correlations in relative azimuthal angle (Δϕ) and pseudorapidity (Δη) are measured in √sNN=5.02  TeV p+Pb collisions using the ATLAS detector at the LHC. The measurements are performed using approximately 1  μb-1 of data as a function of transverse momentum (pT) and the transverse energy (ΣETPb) summed over 3.1<η<4.9 in the direction of the Pb beam. The correlation function, constructed from charged particles, exhibits a long-range (2<|Δη|<5) “near-side” (Δϕ∼0) correlation that grows rapidly with increasing ΣETPb. A long-range “away-side” (Δϕ∼π) correlation, obtained by subtracting the expected contributions from recoiling dijets and other sources estimated using events with small ΣETPb, is found to match the near-side correlation in magnitude, shape (in Δη and Δϕ) and ΣETPb dependence. The resultant Δϕ correlation is approximately symmetric about π/2, and is consistent with a dominant cos⁡2Δϕ modulation for all ΣETPb ranges and particle pT

3-Deazaneplanocin A (DZNep), an Inhibitor of the Histone Methyltransferase EZH2, Induces Apoptosis and Reduces Cell Migration in Chondrosarcoma Cells

ObjectiveGrowing evidences indicate that the histone methyltransferase EZH2 (enhancer of zeste homolog 2) may be an appropriate therapeutic target in some tumors. Indeed, a high expression of EZH2 is correlated with poor prognosis and metastasis in many cancers. In addition, 3-Deazaneplanocin A (DZNep), an S-adenosyl-L homocysteine hydrolase inhibitor which induces EZH2 protein depletion, leads to cell death in several cancers and tumors. The aim of this study was to determine whether an epigenetic therapy targeting EZH2 with DZNep may be also efficient to treat chondrosarcomas.MethodsEZH2 expression was determined by immunohistochemistry and western-blot. Chondrosarcoma cell line CH2879 was cultured in the presence of DZNep, and its growth and survival were evaluated by counting adherent cells periodically. Apoptosis was assayed by cell cycle analysis, Apo2.7 expression using flow cytometry, and by PARP cleavage using western-blot. Cell migration was assessed by wound healing assay.ResultsChondrosarcomas (at least with high grade) highly express EZH2, at contrary to enchondromas or chondrocytes. In vitro, DZNep inhibits EZH2 protein expression, and subsequently reduces the trimethylation of lysine 27 on histone H3 (H3K27me3). Interestingly, DZNep induces cell death of chondrosarcoma cell lines by apoptosis, while it slightly reduces growth of normal chondrocytes. In addition, DZNep reduces cell migration.ConclusionThese results indicate that an epigenetic therapy that pharmacologically targets EZH2 via DZNep may constitute a novel approach to treat chondrosarcomas

A 3D numerical approach to assess the temporal evolution of settlement damage to buildings on cavities subject to weathering

The goal of this paper is to show how a recently developed advanced hydro-chemo-mechanical (HCM) coupled constitutive and numerical model for soft rocks can be applied to predict the temporal evolution of settlement damage to buildings on cavities subject to weathering. In particular, a building damage index (BDI) and its evolution with time is proposed. The definition of the BDI is inspired by the work of Boscardin and Cording (1989) and uses the surface differential settlements obtained by finite element (FE) analyses to assess how far a building is from a non-acceptable service condition. By modelling the reactive transport of chemical species in 3D and using a coupled Chemo-Hydro-Mechanical (CHM) constitutive and numerical model, it is possible to simulate weathering scenarios and monitor the temporal evolution of surface settlements making the BDI time dependent. This approach is applied to evaluate the damage evolution of two buildings lying on two anthropic caves in a calcarenite deposit belonging to the Calcarenite di Gravina Formation. Standard and advanced experimental tests are performed on the in-situ material and the results are used to calibrate the constitutive model. The soundness of both constitutive relationship and reactive transport solver is subsequently tested by simulating two laboratory scale boundary value experiments. The first is a model footing test on dry and wet calcarenite while the second is a small scale pillar that, after the saturation induced short-term water weakening, fails due to a long term dissolution weathering process. Finally, both 2 and 3D coupled finite element (FE) analyses simulating different weathering scenarios and corresponding settlements affecting the buildings above the considered cavities are presented. Particular attention is placed on assessing the BDI and its temporal evolution