137 research outputs found
How do we convert the transport sector to renewable energy and improve the sector's interplay with the energy system?:Background paper for the workshop on transport - renewable energy in the transport sector and planning, Technical Universityof Denmark, 17-18 March 2009
ХУЛІГАНСТВО ТА ЙОГО ХАРАКТЕРИСТИКА
Abstract BACKGROUND: Temporal lobe gray-white matter abnormalities (GWMA) are frequent morphological aberrances observed on MRI in patients with temporal lobe epilepsy (TLE) in addition to hippocampal sclerosis (HS). OBJECTIVE: To study the influence of temporal pole GWMA on clinical characteristics and seizure outcome in patients with HS operated on for TLE. METHODS: A cohort of 370 patients undergoing surgery for intractable TLE was prospectively collected in an epilepsy surgery data base. Clinical characteristics and seizure outcome of all 58 TLE patients with identified HS and GWMA (group 1) were compared with those of a matched control group of 58 HS patients without GWMA (group 2). Both groups were further subdivided into patients undergoing transsylvian selective amygdalohippocampectomy (sAH) and anterior temporal lobectomy with amygdalohippocampectomy (ATL). RESULTS: The HS plus GWMA patients were significantly younger at epilepsy onset than those without GWMA. In the HS plus GWMA group, 41% of patients were younger than 2 years when they experienced their first seizure in contrast to only 17% of patients with pure HS (P = .004). Seizure outcome was not statistically different between the 2 groups: 75.9% of the patients in group 1 were seizure free (Engel class I) compared with 81% of patients in group 2. Seizure outcome in both groups was about equally successful with selective amygdalohippocampectomy and anterior temporal lobectomy (ns). CONCLUSION: Limited and standard resections in TLE patients with HS are equally successful regardless of the presence of GWMA
Dysembryoplastic Neuroepithelial Tumors: MR and CT Evaluation
PURPOSE: To evaluate dysembryoplastic neuroepithelial tumors (DNTs) on MR and CT studies and to compare DNT with other frequently encountered epileptogenic glioneuronal lesions. METH-ODS: We analyzed the MR images and CT scans of 16 patients who had complex partial epilepsy and DNT with respect to tumor location, size, CT density, MR signal intensity, mass effect, contrast enhancement, and heterogeneity, and compared these features with CT and MR findings in 51 cases of ganglioglioma and 33 cases of glioneuronal malformation. RESULTS: DNTs were located in the temporal lobe in 14 patients and in the frontal lobe in 2 patients. The cortex was involved in all cases and the subcortical white matter in 10 cases. Fifty percent of the tumors had poorly defined contours. On MR images, 14 DNTs had multiple cysts and 2 had single cysts. Contrast enhancement was observed in 6 DNTs, and mass effect was present in 9. CT scans disclosed moderately hypodense lesions in 7 patients and markedly hypodense cystic lesions in 6 patients. Two DNTs were calcified. Tumor hemorrhage with perifocal edema was observed in 1 case. Contrary to previous reports, slow but definite tumor growth was present during a 13-year period in 2 of 6 patients in whom serial CT or MR studies were obtained. CONCLUSION: A multicystic appearance on MR images is a characteristic feature of DNT and corresponds to its myxoid matrix and multinodular architecture. This feature is rare in gangliogliomas and glioneuronal malformations, and, as such, may help differentiate DNTs from these disorders
Efficient laser-driven proton acceleration from cylindrical and planar cryogenic hydrogen jets.
We report on recent experimental results deploying a continuous cryogenic hydrogen jet as a debris-free, renewable laser-driven source of pure proton beams generated at the 150 TW ultrashort pulse laser Draco. Efficient proton acceleration reaching cut-off energies of up to 20 MeV with particle numbers exceeding 109 particles per MeV per steradian is demonstrated, showing for the first time that the acceleration performance is comparable to solid foil targets with thicknesses in the micrometer range. Two different target geometries are presented and their proton beam deliverance characterized: cylindrical (∅ 5 μm) and planar (20 μm × 2 μm). In both cases typical Target Normal Sheath Acceleration emission patterns with exponential proton energy spectra are detected. Significantly higher proton numbers in laser-forward direction are observed when deploying the planar jet as compared to the cylindrical jet case. This is confirmed by two-dimensional Particle-in-Cell (2D3V PIC) simulations, which demonstrate that the planar jet proves favorable as its geometry leads to more optimized acceleration conditions
I-BEAT: New ultrasonic method for single bunch measurement of ion energy distribution
The shape of a wave carries all information about the spatial and temporal
structure of its source, given that the medium and its properties are known.
Most modern imaging methods seek to utilize this nature of waves originating
from Huygens' principle. We discuss the retrieval of the complete kinetic
energy distribution from the acoustic trace that is recorded when a short ion
bunch deposits its energy in water. This novel method, which we refer to as
Ion-Bunch Energy Acoustic Tracing (I-BEAT), is a generalization of the
ionoacoustic approach. Featuring compactness, simple operation,
indestructibility and high dynamic ranges in energy and intensity, I-BEAT is a
promising approach to meet the needs of petawatt-class laser-based ion
accelerators. With its capability of completely monitoring a single, focused
proton bunch with prompt readout it, is expected to have particular impact for
experiments and applications using ultrashort ion bunches in high flux regimes.
We demonstrate its functionality using it with two laser-driven ion sources for
quantitative determination of the kinetic energy distribution of single,
focused proton bunches.Comment: Paper: 17 Pages, 3 figures Supplementary Material 16 pages, 7 figure
Decline in the number of patients with meningitis in German hospitals during the COVID-19 pandemic
BACKGROUND AND OBJECTIVES: In 2020, a wide range of hygiene measures was implemented to mitigate infections caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In consequence, pulmonary infections due to other respiratory pathogens also decreased. Here, we evaluated the number of bacterial and viral meningitis and encephalitis cases during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: In a multicentre retrospective analysis of data from January 2016 until December 2020, numbers of patients diagnosed with bacterial meningitis and other types of CNS infections (such as viral meningitis and encephalitis) at 26 German hospitals were studied. Furthermore, the number of common meningitis-preceding ear-nose-throat infections (sinusitis, mastoiditis and otitis media) was evaluated. RESULTS: Compared to the previous years, the total number of patients diagnosed with pneumococcal meningitis was reduced (n = 64 patients/year in 2020 vs. n = 87 to 120 patients/year between 2016 and 2019, all p < 0.05). Additionally, the total number of patients diagnosed with otolaryngological infections was significantly lower (n = 1181 patients/year in 2020 vs. n = 1525 to 1754 patients/year between 2016 and 2019, all p < 0.001). We also observed a decline in viral meningitis and especially enterovirus meningitis (n = 25 patients/year in 2020 vs. n = 97 to 181 patients/year between 2016 and 2019, all p < 0.001). DISCUSSION: This multicentre retrospective analysis demonstrates a decline in the number of patients treated for viral and pneumococcal meningitis as well as otolaryngological infections in 2020 compared to previous years. Since the latter often precedes pneumococcal meningitis, this may point to the significance of the direct spread of pneumococci from an otolaryngological focus such as mastoiditis to the brain as one important pathophysiological route in the development of pneumococcal meningitis. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00415-022-11034-w
Visualizing Ultrafast Kinetic Instabilities in Laser-Driven Solids using X-ray Scattering
Ultra-intense lasers that ionize and accelerate electrons in solids to near
the speed of light can lead to kinetic instabilities that alter the laser
absorption and subsequent electron transport, isochoric heating, and ion
acceleration. These instabilities can be difficult to characterize, but a novel
approach using X-ray scattering at keV energies allows for their visualization
with femtosecond temporal resolution on the few nanometer mesoscale. Our
experiments on laser-driven flat silicon membranes show the development of
structure with a dominant scale of ~60\unit{nm} in the plane of the laser
axis and laser polarization, and ~95\unit{nm} in the vertical direction with
a growth rate faster than . Combining the XFEL experiments
with simulations provides a complete picture of the structural evolution of
ultra-fast laser-induced instability development, indicating the excitation of
surface plasmons and the growth of a new type of filamentation instability.
These findings provide new insight into the ultra-fast instability processes in
solids under extreme conditions at the nanometer level with important
implications for inertial confinement fusion and laboratory astrophysics
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