1,904 research outputs found
Evaluation of the 2015 AGA guidelines on pancreatic cystic neoplasms in a large surgically confirmed multicenter cohort
Барботажное активирование растворов и роль этого явления в природных и технологических процессах
Розглянуті можливі молекулярні механізми структурування води та міжфазної поверхні газ/вода у розчинах. Показано, що барботажна активація (БА) відбувається шляхом підвищення структурної температури води і веде до підвищення хімічної активності молекул Н2О та розчиненого кисню. Встановлено, що БА має квазірівноважний характер. Тому при зовнішніх впливах на лініях змін рН і Eh появляються характерні піки або сходинки, які можна використовувати для дослідження взаємодії розчинів з різними твердими матеріалами. Запропонована модель структурних перетворень, яка може пояснити, чому негативно заряджені бульбашки газів утворюють позитивно заряджені краплинки морських аерозолів.The possible molecular mechanisms of water structuring and between the surfaces of gas/water in the solutions are considered. It was shown that barbotage activation (BA) occurs by increasing the structural temperature of water and causes increasing of chemical activity of H2O and dissolved oxygen. It is established that BA has quasi equilibrium character. Therefore external influences on the lines of changes of pH and Eh characteristic peaks or steps appear that can be used to investigate the interaction of solutions with different solid materials. The proposed model of structural transformation may explain why negatively charged bubbles of gas form positively charged droplets of sea spray.Рассмотрены возможные молекулярные механизмы структурирования воды и междуфазной поверхности газ/вода в растворах. Показано, что барботажная активация (БА) происходит путем повышения структурной температуры воды и ведет к повышению химической активности молекул Н2О и растворимого кислорода. Установлено, что БА имеет квазиравновесный характер. Поэтому при внешних воздействиях на линиях изменений рН и Eh появляются характерные пики или ступеньки, которые можно использовать для исследования взаимодействия растворов с различными твердыми материалами. Предложена модель структурных преобразований, которая может объяснить, почему отрицательно заряженные пузырьки газов образуют положительно заряженные капельки морских аэрозолей
Recurrence of intestinal metaplasia and early neoplasia after endoscopic eradication therapy for Barrett’s esophagus: A systematic review and meta-analysis
Abstract
Background Conflicting data exist with regard to recurrence rates of intestinal metaplasia (IM) and dysplasia after achieving complete eradication of intestinal metaplasia (CE-IM) in Barrett’s esophagus (BE) patients.
Aim (i) To determine the incidence of recurrent IM and dysplasia achieving CE-IM and (ii) to compare recurrence rates between treatment modalities [radiofrequency ablation (RFA) with or without endoscopic mucosal resection (EMR) vs stepwise complete EMR (SRER)].
Methods A systematic search was performed for studies reporting on outcomes and estimates of recurrence rates after achieving CE-IM. Pooled incidence [per 100-patient-years (PY)] and risk ratios with 95 %CI were obtained. Heterogeneity was measured using the I
2 statistic. Subgroup analyses, decided a priori, were performed to explore heterogeneity in results.
Results A total of 39 studies were identified (25-RFA, 13-SRER, and 2 combined). The pooled incidence of any recurrence was 7.5 (95 %CI 6.1 – 9.0)/100 PY with a pooled incidence of IM recurrence rate of 4.8 (95 %CI 3.8 – 5.9)/100 PY, and dysplasia recurrence rate of 2.0 (95 %CI 1.5 – 2.5)/100 PY. Compared to the SRER group, the RFA group had significantly higher overall [8.6 (6.7 – 10.5)/100 PY vs. 5.1 (3.1 – 7)/100 PY, P = 0.01] and IM recurrence rates [5.8 (4.3 – 7.3)/100 PY vs. 3.1 (1.7 – 4)/100 PY, P < 0.01] with no difference in recurrence rates of dysplasia. Significant heterogeneity between studies was identified. The majority of recurrences were amenable to repeat endoscopic eradication therapy (EET).
Conclusion The results of this study demonstrate that the incidence rates of overall, IM, and dysplasia recurrence rates post-EET are not inconsiderable and reinforce the importance of close surveillance after achieving CE-IM.</jats:p
A clinically feasible multiplex proteomic immunoassay as a novel functional diagnostic for pancreatic ductal adenocarcinoma
Potential of Equatorial Atlantic Variability to Enhance El Nino Prediction
Extraordinarily strong El Niño events, such as those of 1982/83 and 1997/98, have been poorly predicted by operational seasonal forecasts made before boreal spring, despite significant advances in understanding, improved models, and enhanced observational networks. The Equatorial Atlantic Zonal Mode – a phenomenon similar to El Niño but much weaker and peaking in boreal summer – impacts winds over the Pacific, and hence affects El Niño, and also potentially its predictability. Here we use a climate model to perform a suite of seasonal predictions with and without SST in the Atlantic restored to observations. We show for the first time that knowledge of Equatorial Atlantic sea surface temperature (SST) significantly improves the prediction across boreal spring of major El Niño events and also weaker variability. This is because Atlantic SST acts to modulate El Niño variability, rather than triggering events. Our results suggest that better prediction of major El Niño events might be achieved through model improvement in the Equatorial Atlantic
Mesoscopic scattering of spin s particles
Quantum effects in weakly disordered systems are governed by the properties
of the elementary interaction between propagating particles and impurities.
Long range mesoscopic effects due to multiple scattering are derived by
iterating the single scattering vertex, which has to be appropriately
diagonalized. In the present contribution, we present a systematic and detailed
diagonalisation of the diffuson and cooperon vertices responsible for weak
localisation effects. We obtain general expressions for eigenvalues and
projectors onto eigenmodes, for any spin and arbitrary elementary interaction
with impurities. This description provides a common frame for a unified theory
of mesoscopic spin physics for electrons, photons, and other quantum particles.
We treat in detail the case of spin-flip scattering of electrons by freely
orientable magnetic impurities and briefly review the case of photon scattering
from degenerate dipole transitions in cold atomic gases.Comment: published version, with a new figure and new section
Seasonal evolution of Aleutian low pressure systems: Implications for the North Pacific subpolar circulation
The seasonal change in the development of Aleutian low pressure systems from early fall to early winter is analyzed using a combination of meteorological reanalysis fields, satellite sea surface temperature (SST) data, and satellite wind data. The time period of the study is September–December 2002, although results are shown to be representative of the long-term climatology. Characteristics of the storms were documented as they progressed across the North Pacific, including their path, central pressure, deepening rate, and speed of translation. Clear patterns emerged. Storms tended to deepen in two distinct geographical locations—the Gulf of Alaska in early fall and the western North Pacific in late fall. In the Gulf of Alaska, a quasi-permanent “notch” in the SST distribution is argued to be of significance. The signature of the notch is imprinted in the atmosphere, resulting in a region of enhanced cyclonic potential vorticity in the lower troposphere that is conducive for storm development. Later in the season, as winter approaches and the Sea of Okhotsk becomes partially ice covered and cold, the air emanating from the Asian continent leads to enhanced baroclinicity in the region south of Kamchatka. This corresponds to enhanced storm cyclogenesis in that region. Consequently, there is a seasonal westward migration of the dominant lobe of the Aleutian low. The impact of the wind stress curl pattern resulting from these two regions of storm development on the oceanic circulation is investigated using historical hydrography. It is argued that the seasonal bimodal input of cyclonic vorticity from the wind may be partly responsible for the two distinct North Pacific subarctic gyres
Galaxy Clusters as Reservoirs of Heavy Dark Matter and High-Energy Cosmic Rays: Constraints from Neutrino Observations
Galaxy Clusters (GCs) are the largest reservoirs of both dark matter and
cosmic rays (CRs). Dark matter self-annihilation can lead to a high luminosity
in gamma rays and neutrinos, enhanced by a strong degree of clustering in dark
matter substructures. Hadronic CR interactions can also lead to a high
luminosity in gamma rays and neutrinos, enhanced by the confinement of CRs from
cluster accretion/merger shocks and active galactic nuclei. We show that
IceCube/KM3Net observations of high-energy neutrinos can probe the nature of
GCs and the separate dark matter and CR emission processes, taking into account
how the results depend on the still-substantial uncertainties. Neutrino
observations are relevant at high energies, especially at >10 TeV. Our results
should be useful for improving experimental searches for high-energy neutrino
emission. Neutrino telescopes are sensitive to extended sources formed by dark
matter substructures and CRs distributed over large scales. Recent observations
by Fermi and imaging atmospheric Cherenkov telescopes have placed interesting
constraints on the gamma-ray emission from GCs. We also provide calculations of
the gamma-ray fluxes, taking into account electromagnetic cascades inside GCs,
which can be important for injections at sufficiently high energies. This also
allows us to extend previous gamma-ray constraints to very high dark matter
masses and significant CR injections at very high energies. Using both
neutrinos and gamma rays, which can lead to comparable constraints, will allow
more complete understandings of GCs. Neutrinos are essential for some dark
matter annihilation channels, and for hadronic instead of electronic CRs. Our
results suggest that the multi-messenger observations of GCs will be able to
give useful constraints on specific models of dark matter and CRs. [Abstract
abridged.]Comment: 31 pages, 20 figures, 1 table, accepted for publication in JCAP,
references and discussions adde
Intercomparison of the northern hemisphere winter mid-latitude atmospheric variability of the IPCC models
We compare, for the overlapping time frame 1962-2000, the estimate of the
northern hemisphere (NH) mid-latitude winter atmospheric variability within the
XX century simulations of 17 global climate models (GCMs) included in the
IPCC-4AR with the NCEP and ECMWF reanalyses. We compute the Hayashi spectra of
the 500hPa geopotential height fields and introduce an integral measure of the
variability observed in the NH on different spectral sub-domains. Only two
high-resolution GCMs have a good agreement with reanalyses. Large biases, in
most cases larger than 20%, are found between the wave climatologies of most
GCMs and the reanalyses, with a relative span of around 50%. The travelling
baroclinic waves are usually overestimated, while the planetary waves are
usually underestimated, in agreement with previous studies performed on global
weather forecasting models. When comparing the results of various versions of
similar GCMs, it is clear that in some cases the vertical resolution of the
atmosphere and, somewhat unexpectedly, of the adopted ocean model seem to be
critical in determining the agreement with the reanalyses. The GCMs ensemble is
biased with respect to the reanalyses but is comparable to the best 5 GCMs.
This study suggests serious caveats with respect to the ability of most of the
presently available GCMs in representing the statistics of the global scale
atmospheric dynamics of the present climate and, a fortiori, in the perspective
of modelling climate change.Comment: 39 pages, 8 figures, 2 table
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