Seasonal pattern of peptic ulcer hospitalizations: analysis of the hospital discharge data of the Emilia-Romagna region of Italy

BACKGROUND: Previous studies have reported seasonal variation in peptic ulcer disease (PUD), but few large-scale, population-based studies have been conducted. METHODS: To verify whether a seasonal variation in cases of PUD (either complicated or not complicated) requiring acute hospitalization exists, we assessed the database of hospital admissions of the region Emilia Romagna (RER), Italy, obtained from the Center for Health Statistics, between January 1998 and December 2005. Admissions were categorized by sex, age ( or = 75 yrs), site of PUD lesion (stomach or duodenum), main complication (hemorrhage or perforation), and final outcome (intended as fatal outcome: in-hospital death; nonfatal outcome: patient discharged alive). Temporal patterns in PUD admissions were assessed in two ways, considering a) total counts per single month and season, and b) prevalence proportion, such as the monthly prevalence of PUD admissions divided by the monthly prevalence of total hospital admissions, to assess if the temporal patterns in the raw data might be the consequence of seasonal and annual variations in hospital admissions per se in the region. For statistical analysis, the chi2 test for goodness of fit and inferential chronobiologic method (Cosinor and partial Fourier series) were used. RESULTS: Of the total sample of PUD patients (26,848 [16,795 males, age 65 +/- 16 yrs; 10,053 females, age 72 +/- 15 yrs, p or = 75 yrs of age. There were more cases of duodenal (DU). (89.8%) than gastric ulcer (GU) (3.6%), and there were 1,290 (4.8%) fatal events. Data by season showed a statistically difference with the lowest proportion of PUD hospital admissions in summer (23.3%) (p < 0.001), for total cases and rather all subgroups. Chronobiological analysis identified three major peaks of PUD hospitalizations (September-October, January-February, and April-May) for the whole sample (p = 0.035), and several subgroups, with nadir in July. Finally, analysis of the monthly prevalence proportions yielded a significant (p = 0.025) biphasic pattern with a main peak in August-September-October, and a secondary one in January-February. CONCLUSIONS: A seasonal variation in PUD hospitalization, characterized by three peaks of higher incidence (Autumn, Winter, and Spring) is observed. When data corrected by monthly admission proportions are analyzed, late summer-autumn and winter are confirmed as higher risk periods. The underlying pathophysiologic mechanisms are unknown, and need further studies. In subjects at higher risk, certain periods of the year could deserve an appropriate pharmacological protection to reduce the risk of PUD hospitalization

Parametric Studies on Heterogeneous Cores for Fast Breeder Reactors: The Pre-Racine and Racine Experimental Programs

International audienceritical assembly at Cadarache since 1976, were designed for the study of the neutron physicscharacteristics of heterogeneous fast reactor cores. Geometrically simple configurations were chosenin which parameters, being typical for heterogeneous cores, were varied in a systematic manner whilethe basic fissile composition was kept the same.Measurements were made especially of the critical mass, the distributions of reaction rates andthe spectral indices, the reactivity of sodium voiding, and control rod worths. Analyses were madeindependently by Commissariat a VEnergie Atomique (CEA) and DEBENE using their own calculationaltechniques and cross sections. No bias for core heterogeneity was found on critical mass predictions.The CEA calculations for void reactivities are consistent in heterogeneous and homogeneousconfigurations.For the calculation of local parameters, e.g., reaction rates and spectral indices, moresophisticated methods must be applied in heterogeneous cores, as transport effects also become moreimportant in fissile zones with increasing fertile volume fraction.It was found at CEA that the ratio of the calculated reactivity of a central control rod to the experimentalvalue does not change with the core size or with the presence of internal breeder zones

Effects of cell asymmetry on the performance of a large heterogeneous critical assembly

SIGLEAvailable from CEN Saclay, Service de Documentation, 91191 Gif-sur-Yvette Cedex (France) / INIST-CNRS - Institut de l'Information Scientifique et TechniqueFRFranc

Nanostructure and crystallization phenomena in multilayered films of alternating iPP and PA6 semicrystalline polymers

a b s t r a c t The present work is concerned with the study of the crystalline morphology and the nanostructure of a multilayered system of two alternating immiscible semicrystalline polymers: isotactic polypropylene (iPP) and polyamide 6 (PA6). Films with a volume ratio of 70/30 were prepared by means of layer multiplying coextrusion. Contrary to previous experiments, performed with semicrystalline/amorphous and amorphous/amorphous nanolayered systems, the studied iPP/PA6 film does not exhibit a well defined maximum in the USAXS patterns. This result accounts for an irregular layered structure, as further confirmed by means of TEM images. Nevertheless, such a layered assembly still influences the crystallization behaviour of both constituent polymers. On the one hand, the crystallization of PA6 within the multilayered material is substantially hindered as evidenced by its weak scattering intensity. Real time studies as a function of temperature undoubtedly detect the presence of a WAXS peak and a SAXS maximum associated to PA6 above the melting temperature of iPP. Room temperature AFM studies also confirm the occurrence of crystalline structures within the PA6 layers. On the other hand, SAXS and WAXS measurements at room temperature reveal the occurrence of an oriented lamellar morphology within the iPP layers bearing uniaxial symmetry around an axis perpendicular to the layers surface. Results show that the crystalline molecular chains are placed mainly parallel to the layer surfaces forming edge-on lamellae. Moreover, X-ray scattering results are in agreement with the occurrence of two populations of lamellae, both edge-on and perpendicular to each other, in agreement with the crosshatched morphology observed by AFM