What is the impact of physical effort on the diagnosis of concussion?

Objective: Sport-related concussion commonly occurs in contact sports such as rugby. To date, diagnosis is based on the realization of clinical tests conducted pitch-side. Yet, the potential effect of prior physical effort on the results of these tests remains poorly understood. The purpose of this study was to determine whether preceding physical effort can influence the outcome of concussion assessments. Design: Prospective observational study. Setting: University Medicine Center Patients: A cohort of 40 subjects (20 rugby players and 20 athletes from a range of sports). Intervention: A concussion assessment was performed immediately following physical activity. Following a period of 6 months and under the same experimental conditions, the same cohort performed the same tests in resting conditions. Main outcome measure: Results of concussion tests. Results: In both cohorts, the comparison for post-exercise and rest assessments demonstrated a most likely moderate-to-very large increase in the number of symptoms, severity of symptoms and BESS score. In the rugby cohort, scores for concentration, delayed memory and SAC, likely-to-most likely decreased following completion of physical activity compared to baseline values. The between-cohort comparison showed a greater impact post-exercise in the rugby players for delayed recall (0.73±0.61, 93/7/1) and SAC score (0.75±0.41, 98/2/0). Conclusion: Physical activity altered the results of concussion diagnostic tests in athletes from a range of sports and notably in rugby players. Therefore, physical efforts prior to the concussion incident should be accounted for during pitch-side assessments and particularly during rugby competition and training

Design and RF measurements of a 5 GHz 500 kW window for the ITER LHCD system

International audienceCEA/IRFM is conducting R&D efforts in order to validate the critical RF components of the 5 GHz ITER LHCD system, which is expected to transmit 20 MW of RF power to the plasma. Two 5 GHz 500 kW BeO pill-box type window prototypes have been manufactured in 2012 by the PMB Company, in close collaboration with CEA/IRFM. Both windows have been validated at low power, showing good agreement between measured and modeling, with a return loss better than 32 dB and an insertion loss below 0.05 dB. This paper reports on the window RF design and the low power measurements. The high power tests up to 500kW have been carried out in March 2013 in collaboration with NFRI. Results of these tests are also reported. In the current ITER LHCD design, 20 MW Continuous Wave (CW) of Radio-Frequency power at 5 GHz are expected to be generated and transmitted to the plasma. In order to separate the vacuum vessel pressure from the cryostat waveguide pressure, forty eight 5 GHz 500kW CW windows are to be assembled on the waveguides at the equatorial port flange. For nuclear safety reasons, forty eight additional windows could be located in the cryostat section, to separate and monitor the cryostat waveguide pressure from the exterior transmission line pressure. These windows are identified as being one of the main critical components for the ITER LHCD system since first ITER LHCD studies [1] [2] [3] or more recently [4] [5] , and clearly require an important R&D effort. In this context and even if the LHCD system is not part of the construction baseline, the CEA/IRFM is conducting a R&D effort in order to validate a design and the performances of these RF windows. In order to begin the assessment of this need, two 5 GHz 500 kW/5 s pill-box type windows prototypes have been manufactured in 2012 by the PMB Company in close collaboration with the CEA/IRFM [6]. The section 2 of this paper reports the RF and mechanical design of a 5 GHz window. Some features of the mechanical design and the experimental RF measurements at low power are reported in section 3. High power results, made in collaboration with NFRI, are detailed in section 4. The development of CW windows is discussed in the conclusion. 2-RF AND MECHANICAL DESIGN The proposed 5 GHz RF window is based on a pill-box design [2] , i.e. a ceramic brazed in portion of a circular waveguide, connected on either side to a rectangular waveguide section. Typical design rules of thumb of such device are circular section diameter about the same size of the diagonal of the rectangular waveguide (cf. FIGURE 1). Without taking into account the ceramic, the circular section length is approximately half a guided wavelength of the circular TE 11 mode, in order for the device to act as a half-wave transformer. Once optimized, taking into account the ceramic, matching is correct only for a narrow band of frequency and is very sensitive to the device dimensions and the ceramic relative permittivity. The heat losses in the ceramic, which have to be extracted by an active water cooling, depends on the inside electric field topology and of ceramic dielectric loss (loss tangent). Undesirable modes due to parasitic resonances can be excited in the ceramic volume, raising the electric field an

Design and Tests of 500kW RF Windows for the ITER LHCD System

In the frame of a R\&D effort conducted by CEA toward the design and the qualification of a 5 GHz LHCD system for the ITER tokamak, two 5 GHz 500 kW/5 s windows have been designed, manufactured and tested at high power in collaboration with the National Fusion Research Institute (NFRI). The window design rely on a symmetrical pill-box concept with a cylindrical beryllium oxide ceramic brazed on an actively water cooled copper skirt. The ceramic RF properties have been measured on a test sample to get realistic values for guiding the design. Low power measurements of the manufactured windows show return losses below-32 dB and insertion losses between-0.01 dB and-0.05 dB, with an optimum frequency shifted toward lower frequencies. High power tests conducted at NFRI show unexpected total power loss for both windows. The ceramic temperature during RF pulses has been found to reach unexpected high temperature, preventing these windows to be used under CW conditions. A post-mortem RF analysis of samples taken from one window shows that the dielectric properties of the ceramic were not the ones measured on the manufacturer sample, which partly explain the differences with the reference modelling

Central exclusive production of dijets at hadronic colliders

In view of the recent diffractive dijet data from CDF run II, we critically re-evaluate the standard approach to the calculation of central production of dijets in quasi-elastic hadronic collisions. We find that the process is dominated by the non-perturbative region, and that even perturbative ingredients, such as the Sudakov form factor, are not under theoretical control. Comparison with data allows us to fix some of the uncertainties. Although we focus on dijets, our arguments apply to other high-mass central systems, such as the Higgs boson.Comment: 37 pages, 18 figures. Two new appendices, and a discussion of the upper scale of the Sudakov form factor are introduced. The text about the calculation of the uncertainties has been rewritte

Stress and breast cancer: from epidemiology to molecular biology

Stress exposure has been proposed to contribute to the etiology of breast cancer. However, the validity of this assertion and the possible mechanisms involved are not well established. Epidemiologic studies differ in their assessment of the relative contribution of stress to breast cancer risk, while physiological studies propose a clear connection but lack the knowledge of intracellular pathways involved. The present review aims to consolidate the findings from different fields of research (including epidemiology, physiology, and molecular biology) in order to present a comprehensive picture of what we know to date about the role of stress in breast cancer development

Constraints on the structure and seasonal variations of Triton’s atmosphere from the 5 October 2017 stellar occultation and previous observations⋆

Context. A stellar occultation by Neptune's main satellite, Triton, was observed on 5 October 2017 from Europe, North Africa, and the USA. We derived 90 light curves from this event, 42 of which yielded a central flash detection. Aims. We aimed at constraining Triton's atmospheric structure and the seasonal variations of its atmospheric pressure since the Voyager 2 epoch (1989). We also derived the shape of the lower atmosphere from central flash analysis. Methods. We used Abel inversions and direct ray-tracing code to provide the density, pressure, and temperature profiles in the altitude range ∼8 km to ∼190 km, corresponding to pressure levels from 9 μbar down to a few nanobars. Results. (i) A pressure of 1.18 ± 0.03 μbar is found at a reference radius of 1400 km (47 km altitude). (ii) A new analysis of the Voyager 2 radio science occultation shows that this is consistent with an extrapolation of pressure down to the surface pressure obtained in 1989. (iii) A survey of occultations obtained between 1989 and 2017 suggests that an enhancement in surface pressure as reported during the 1990s might be real, but debatable, due to very few high S/N light curves and data accessible for reanalysis. The volatile transport model analysed supports a moderate increase in surface pressure, with a maximum value around 2005-2015 no higher than 23 μbar. The pressures observed in 1995-1997 and 2017 appear mutually inconsistent with the volatile transport model presented here. (iv) The central flash structure does not show evidence of an atmospheric distortion. We find an upper limit of 0.0011 for the apparent oblateness of the atmosphere near the 8 km altitude

Imaging of pulmonary manifestations in subtype B of Niemann-Pick disease.

We report the radiological and high resolution CT (HRCT) findings of the pulmonary involvement in a case of subtype B Niemann-Pick disease, diagnosed in an asymptomatic 22-year-old man, which was proved by bone marrow biopsy and sphingomyelinase assessment. In the present case, HRCT showed smooth interlobular septa thickening and a subtle ground-glass pattern