Proučavanje optičkih vlakana sa skokovitim indeksima loma interferometrijskom metodom s dva snopa

The Pluta polarizing interference microscope is used to measure the refractive index profile and material dispersion of step index optical fibers. The refractive index profile of the fiber has been determined experimentally at different wavelengths using two-beam interference technique. Measuring these values at different wavelengths gives useful information about the structural behavior of highly oriented fibers. Also, the theoretical consideration for determining the refractive index is given. Some optical parameters which characterize the optical fiber such as the numerical aperture NA, normalized frequency ν, the acceptance angle θa and the number of modes MN propagating in the fiber with wavelength have been calculated. Also, the constants of the Cauchy’s dispersion formula were determined.Primijenili smo Plutinov polarizacijski interferometrijski mikroskop u mjerenjima profila indeksa loma i disperzije materijala optičkih vlakana sa skokovitim indeksima loma. Mjerili smo profil indeksa vlakna za više valnih duljina primjenom interferentne metode s dva snopa. Ta mjerenja na više valnih duljina dala su važne podatke o strukturnim svojstvima jako usmjerenih vlakana. Opisuju se također osnove teorije za određivanje indeksa loma u vlaknima. Izračunali smo niz optičkih parametara koji su značajke optičkih vlakana: brojnog otvora, normalizirane frekvencije, ν, kuta prihvaćanja, θa, i broja modova, MN , kojima se na nekoj frekvenciji šire valovi. Također smo odredili konstante Cauchyjeve disperzijske formule

Proučavanje optičkih vlakana sa skokovitim indeksima loma interferometrijskom metodom s dva snopa

The Pluta polarizing interference microscope is used to measure the refractive index profile and material dispersion of step index optical fibers. The refractive index profile of the fiber has been determined experimentally at different wavelengths using two-beam interference technique. Measuring these values at different wavelengths gives useful information about the structural behavior of highly oriented fibers. Also, the theoretical consideration for determining the refractive index is given. Some optical parameters which characterize the optical fiber such as the numerical aperture NA, normalized frequency ν, the acceptance angle θa and the number of modes MN propagating in the fiber with wavelength have been calculated. Also, the constants of the Cauchy’s dispersion formula were determined.Primijenili smo Plutinov polarizacijski interferometrijski mikroskop u mjerenjima profila indeksa loma i disperzije materijala optičkih vlakana sa skokovitim indeksima loma. Mjerili smo profil indeksa vlakna za više valnih duljina primjenom interferentne metode s dva snopa. Ta mjerenja na više valnih duljina dala su važne podatke o strukturnim svojstvima jako usmjerenih vlakana. Opisuju se također osnove teorije za određivanje indeksa loma u vlaknima. Izračunali smo niz optičkih parametara koji su značajke optičkih vlakana: brojnog otvora, normalizirane frekvencije, ν, kuta prihvaćanja, θa, i broja modova, MN , kojima se na nekoj frekvenciji šire valovi. Također smo odredili konstante Cauchyjeve disperzijske formule

Provision of physiotherapy rehabilitation following neck dissection in the UK

Background Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection. Method Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients. Results Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients. Thirty-three per cent of centres offered routine in-patient physiotherapy after surgery. No centres offered out-patient physiotherapy for all patients regardless of symptoms. Seventy-eight per cent offered physiotherapy for patients with any symptoms, with 11 per cent offering physiotherapy for those with severe dysfunction only. Eleven per cent of centres never offered physiotherapy for any dysfunction. Conclusion The provision of physiotherapy is most commonly reactive rather than proactive, and usually driven by patient request. There is little evidence of pre-arranged physiotherapy for patients to treat or prevent shoulder dysfunction in the UK

Biochemical markers as diagnostic/prognostic indicators for ischemic disease

Objective: The use of a biomarker was extremely useful in clinical emergencies such as stroke to aid in triage and early management of cases. The diagnostic accuracy of laboratory biomarkers is run to approve the identification of easy, cheap and fast tests associated with cerebral ischemia and intracranial hemorrhage. The present study was designed to screen serum enolase activity, activities of CK-BB, LDH and lipid profile in patients with ischemic or related diseases as good diagnostic/ prognostic indicator for ischemic diseases. Methods: Sixty male subjects in the age range of (45 ±2years) were divided into four groups each with 15 participants: Group (I) normal . Group (II) patients recently diagnosed as ischemic disease; Group (III) hypertensive patients and Group (IV); diabetic patients enolase activity (p<0.001) and CK-BB (p<0.01) in ischemic and hypertensive patients compared with control and diabetic groups. LDH level was significantly elevated in ischemic, hypertensive and diabetic patients compared with controls (p<0.001). The cut -off value for serum enolase was 62.5 nmol/l showing 90% sensitivity and 93% specificity for differentiation of ischemic disease. Positive correlations were observed between serum enolase (r = 0.56), and CK-BB (r = 0.53). Conclusion: Serum enolase can be considered as a more sensitive and specific marker and used as a sensitive diagnostic or prognostic marker for ischemic related diseases.Keywords: Serum enolase, ischemia, hypertension, diagnosis, prognostic

Pollution and People in Cairo

[abstract not provided]https://fount.aucegypt.edu/faculty_book_chapters/1938/thumbnail.jp

Reconstructive considerations in head and neck surgical oncology:United Kingdom National Multidisciplinary Guidelines

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The reconstructive needs following ablative surgery for head and neck cancer are unique and require close attention to both form and function. The vast experience accrued with microvascular reconstructive surgery has meant a significant expansion in the options available. This paper discusses the options for reconstruction available following ablative surgery for head and neck cancer and offers recommendations for reconstruction in the various settings. Recommendations • Microsurgical free flap reconstruction should be the primary reconstructive option for most defects of the head and neck that need tissue transfer. (R) • Free flaps should be offered as first choice of reconstruction for all patients needing circumferential pharyngoesophageal reconstruction. (R) • Free flap reconstruction should be offered for patients with class III or higher defects of the maxilla. (R) • Composite free tissue transfer should be offered as first choice to all patients needing mandibular reconstruction. (R) • Patients undergoing salvage total laryngectomy should be offered vascularised flap reconstruction to reduce pharyngocutaneous fistula rates. (R).</p

Prolonged treatment with vitamin D in postmenopausal women with primary hyperparathyroidism

Introduction/background: Vitamin D deficiency further increases circulating parathyroid hormone (PTH) levels in patients with primary hyperparathyroidism (pHPT), with potential detrimental effects on bone mass. Methods: This was an observational clinical study in consecutive conservatively treated postmenopausal women (n=40) with pHPT and coexistent 25-hydroxyvitamin D deficiency (25OHD ≤50 nmol/l (≤20 ng/ml)). Patients who showed an increase in serum 25OHD above the threshold of vitamin D deficiency (>50 nmol/l; n=28) using treatment with various commonly prescribed vitamin D preparations were, for the purposes of statistical analyses, allocated to the treatment group. Patients who were retrospectively identified as having received no treatment with vitamin D and/or remained vitamin D deficient were considered as non-responders/controls (n=12). Adjusted calcium (adjCa), PTH and 25OHD concentrations were monitored in all subjects up to 54 months (mean observation period of 18±2 months). Results: Prolonged increased vitamin D intake, regardless of the source (serum 25OHD, increase from 32.2±1.7 nmol/l at baseline to 136.4±11.6 nmol/l, P0.73). In contrast, serum PTH remained unchanged (15.8±2.6 vs 16.3±1.9 pmol/l, P=0.64) in patients who remained vitamin D deficient, with a significant difference between groups in changes of PTH (P=0.0003). Intrapartial correlation analyses showed an independent negative correlation of changes in 25OHD with PTH levels (r ic=−0.41, P=0.014). Conclusions: Prolonged treatment with vitamin D in various commonly prescribed preparations appeared to be safe and significantly reduced PTH levels by 21%

Biochemical markers as diagnostic/prognostic indicators for ischemic disease

Objective: The use of a biomarker was extremely useful in clinical emergencies such as stroke to aid in triage and early management of cases. The diagnostic accuracy of laboratory biomarkers is run to approve the identification of easy, cheap and fast tests associated with cerebral ischemia and intracranial hemorrhage. The present study was designed to screen serum enolase activity, activities of CK-BB, LDH and lipid profile in patients with ischemic or related diseases as good diagnostic/ prognostic indicator for ischemic diseases. Methods: Sixty male subjects in the age range of (45 \ub12years) were divided into four groups each with 15 participants: Group (I) normal . Group (II) patients recently diagnosed as ischemic disease; Group (III) hypertensive patients and Group (IV); diabetic patients enolase activity (p&lt;0.001) and CK-BB (p&lt;0.01) in ischemic and hypertensive patients compared with control and diabetic groups. LDH level was significantly elevated in ischemic, hypertensive and diabetic patients compared with controls (p&lt;0.001). The cut -off value for serum enolase was 62.5 nmol/l showing 90% sensitivity and 93% specificity for differentiation of ischemic disease. Positive correlations were observed between serum enolase (r = 0.56), and CK-BB (r = 0.53). Conclusion: Serum enolase can be considered as a more sensitive and specific marker and used as a sensitive diagnostic or prognostic marker for ischemic related diseases

Xevinapant plus radiotherapy in resected, high-risk, cisplatin-ineligible LA SCCHN:the phase III XRay Vision study design

There is a significant unmet need and lack of treatment options for patients with resected, high-risk, cisplatin-ineligible locally advanced squamous cell carcinoma of the head and neck (LA SCCHN). Xevinapant, a first-in-class, potent, oral, small-molecule IAP inhibitor, is thought to restore cancer cell sensitivity to chemotherapy and radiotherapy in clinical and preclinical studies. We describe the design of XRay Vision (NCT05386550), an international, randomized, double-blind, phase III study. Approximately 700 patients with resected, high-risk, cisplatin-ineligible LA SCCHN will be randomized 1:1 to receive 6 cycles of xevinapant or placebo, in combination with radiotherapy for the first 3 cycles. The primary end point is disease-free survival, and secondary end points include overall survival, health-related quality of life, and safety.</p