1,629 research outputs found
Noise-induced dephasing of an ac-driven Josephson junction
We consider phase-locked dynamics of a Josephson junction driven by
finite-spectral-linewidth ac current. By means of a transformation, the effect
of frequency fluctuations is reduced to an effective additive noise, the
corresponding (large) dephasing time being determined, in the logarithmic
approximation, by the Kramers' expression for the lifetime. For sufficiently
small values of the drive's amplitude, direct numerical simulations show
agreement of the dependence of the dephasing activation energy on the
ac-drive's spectral linewidth and amplitude with analytical predictions.
Solving the corresponding Fokker-Planck equation analytically, we find a
universal dependence of a critical value of the effective phase-diffusion
parameter on the drive's amplitude at a point of a sharp transition from the
phase-locked state to an unlocked one. For large values of the drive amplitude,
saturation and subsequent decrease of the activation energy are revealed by
simulations, which cannot be accounted for by the perturbative analysis. The
same new effect is found for a previously studied case of ac-driven Josephson
junctions with intrinsic thermal noise. The work was performed in the framework
of a cooperation agreement between Consiglio Nazionale di Ricerca (Italy) and
the Israeli Ministry of Science and Technology.Comment: latex text file and six eps figure files. Physical Review E, in pres
The addition of simvastatin administration to cold storage solution of explanted whole liver grafts for facing ischemia/reperfusion injury in an area with a low rate of deceased donation: a monocentric randomized controlled double-blinded phase 2 study.
BACKGROUND: Liver transplantation is the best treatment for end-stage liver disease. The interruption of the blood supply to the donor liver during cold storage damages the liver, affecting how well the liver will function after transplant. The drug Simvastatin may help to protect donor livers against this damage and improve outcomes for transplant recipients. The aim of this study is to evaluate the benefits of treating the donor liver with Simvastatin compared with the standard transplant procedure.
PATIENT AND METHODS: We propose a prospective, double-blinded, randomized phase 2 study of 2 parallel groups of eligible adult patients. We will compare 3-month, 6-month, and 12-month graft survival after LT, in order to identify a significant relation between the two homogenous groups of LT patients. The two groups only differ by the Simvastatin or placebo administration regimen while following the same procedure, with identical surgical instruments, and medical and nursing skilled staff. To reach these goals, we determined that we needed to recruit 106 patients. This sample size achieves 90% power to detect a difference of 14.6% between the two groups survival using a one-sided binomial test.
DISCUSSION: This trial is designed to confirm the effectiveness of Simvastatin to protect healthy and steatotic livers undergoing cold storage and warm reperfusion before transplantation and to evaluate if the addition of Simvastatin translates into improved graft outcomes.
TRIAL REGISTRATION: ISRCTN27083228
The triple system AT Mic AB + AU Mic in the β Pictoris association
Equal-mass stars in young open clusters and loose associations exhibit a wide spread of rotation periods, which likely originates from differences in the initial rotation periods and in the primordial disc lifetimes. We want to explore if the gravitational effects by nearby companions may play an additional role in producing the observed rotation period spread, as well as, the role that magnetic activity may also play. We measure the photometric rotation periods of components of multiple stellar systems and look for correlations of the period differences among the components to their reciprocal distances. In this paper, we analyzed the triple system AU Mic + AT Mic A&B in the 25± 3-Myr β Pictoris association. We have retrieved from the literature the rotation period of AU Mic ({P} = 4.85 d) and measured from photometric archival data the rotation periods of both components of AT Mic ({P} = 1.19 d and {P} = 0.78 d) for the first time. Moreover, we detected a high rate of flare events from AT Mic. Whereas the distant component AU Mic has evolved rotationally as a single star, the A and B components of AT Mic, separated by ∼ 27 AU, exhibit a rotation rate a factor 5 larger than AU Mic. Moreover, the A and B components, despite have about equal mass, show a significant difference (∼ 40 %) between their rotation periods. A possible explanation is that the gravitational forces between the A and B components of AT Mic (that are a factor ∼ 7.3× 106 more intense than those between AU Mic and AT Mic) have enhanced the dispersal of the AT Mic primordial disc, shortening its lifetime and the disc-locking phase duration, making the component A and B of AT Mic to rotate faster than the more distant AU Mic. We suspect that a different level of magnetic activity between the A and B components of AT Mic may be the additional parameter responsible for the difference between their rotation periods
Case report: Trans-papillary free stenting of the cystic duct and of the common bile duct in a double biliary ducts anastomoses of a right lobe living donor transplantation
Background: One of the major issues related to the living donor liver transplantation recipient outcome is still the
high rate of biliary complication, especially when multiple biliary ducts are present and multiple anastomoses have to
be performed.
Case presentation and conclusion: We report a case of adult-to-adult right lobe living donor liver transplantation
performed for a recipient afected by alcohol-related cirrhosis with MELD score of 17. End-stage liver disease was
complicated by refractory ascites, portal hypertension, small esophageal varices and portal gastropathy, hypersplenism, and abundant right pleural efusion. Here in the attached video we described the adult-to-adult LDLT procedures,
where a right lobe with two biliary ducts draining respectively the right anterior and the right posterior segments
has been transplanted. LDLT required a biliary reconstruction using the native cystic and common bile ducts stented
trans-papillary with two 5- French 6 cm long soft silastic catheter. None major complications were detected during
post-operative clinical courses. Actually, the donor and the recipient are alive and well. The technique we describe in
the video, allow to keep the biliary anastomoses protected and patent without having the risk of creating cholestasis
and the need of invasive additional procedure. No living donor right lobe transplantation should be refused because
of the presence of multiple biliary ducts
Reset dynamics and latching in niobium superconducting nanowire single-photon detectors
We study the reset dynamics of niobium (Nb) superconducting nanowire
single-photon detectors (SNSPDs) using experimental measurements and numerical
simulations. The numerical simulations of the detection dynamics agree well
with experimental measurements, using independently determined parameters in
the simulations. We find that if the photon-induced hotspot cools too slowly,
the device will latch into a dc resistive state. To avoid latching, the time
for the hotspot to cool must be short compared to the inductive time constant
that governs the resetting of the current in the device after hotspot
formation. From simulations of the energy relaxation process, we find that the
hotspot cooling time is determined primarily by the temperature-dependent
electron-phonon inelastic time. Latching prevents reset and precludes
subsequent photon detection. Fast resetting to the superconducting state is
therefore essential, and we demonstrate experimentally how this is achieved
Current-Resistance Effects Inducing Nonlinear Fluctuation Mechanisms in Granular Aluminum Oxide Nanowires
The unusual superconducting properties of granular aluminum oxide have been recently investigated for application in quantum circuits. However, the intrinsic irregular structure of this material requires a good understanding of the transport mechanisms and, in particular, the effect of disorder, especially when patterned at the nanoscale level. In view of these aspects, electric transport and voltage fluctuations have been investigated on thin-film based granular aluminum oxide nanowires, in the normal state and at temperatures between 8 and 300 K. The nonlinear resistivity and two-level tunneling fluctuators have been observed. Regarding the nature of the noise processes, the experimental findings give a clear indication in favor of a dynamic random resistor network model, rather than the possible existence of a local ordering of magnetic origin. The identification of the charge carrier fluctuations in the normal state of granular aluminum oxide nanowires is very useful for improving the fabrication process and, therefore, reducing the possible sources of decoherence in the superconducting state, where quantum technologies that are based on these nanostructures should work
How important is the role of iterative liver direct surgery in patients with hepatocellular carcinoma for a transplant center located in an area with a low rate of deceased donation?
Introduction: Hepatocellular carcinoma (HCC) accounts for nearly 90% of primary liver cancers, with estimates of over 1 million people affected by 2025. We aimed to explore the impacting role of an iterative surgical treatment approach in a cohort of HCC patients within the Milan criteria, associated with clinical risk factors for tumor recurrence (RHCC) after liver transplant (LT) and loco-regional therapies (LRT), as well as liver resection (LR) and/or microwave thermal ablation (MWTA). Methods: We retrospectively analyzed our experience performed during an 8-year period between January 2013 and December 2021 in patients treated for HCC, focusing on describing the impact on preoperative end-stage liver disease severity, oncologic staging, tumor characteristics, and surgical treatments. The Cox model was used to evaluate variables that could predict relapse risks. Relapse risk curves were calculated according to the Kaplan-Meier method, and the log-rank test was used to compare them. Results: There were 557 HCC patients treated with a first-line approach of LR and/or LRTs (n = 335) or LT (n = 222). The median age at initial transplantation was 59 versus 68 for those whose first surgical approach was LR and/or LRT. In univariate analysis with the Cox model, nodule size was the single predictor of recurrence of HCC in the posttreatment setting (HR: 1.61, 95% CI: 1.05-2.47, p = 0.030). For the LRT group, we have enlightened the following clinical characteristics as significantly associated with RHCC: hepatitis B virus infection (which has a protective role with HR: 0.34, 95% CI: 0.13-0.94, p = 0.038), number of HCC nodules (HR: 1.54, 95% CI: 1.22-1.94, p < 0.001), size of the largest nodule (HR: 1.06, 95% CI: 1.01-1.12, p = 0.023), serum bilirubin (HR: 1.57, 95% CI: 1.03-2.40, p = 0.038), and international normalized ratio (HR: 16.40, 95% CI: 2.30-118.0, p = 0.006). Among the overall 111 patients with RHCC in the LRT group, 33 were iteratively treated with further curative treatment (12 were treated with LR, two with MWTA, three with a combined LR-MWTA treatment, and 16 underwent LT). Only one of 18 recurrent patients previously treated with LT underwent LR. For these RHCC patients, multivariable analysis showed the protective roles of LT for primary RHCC after IDLS (HR: 0.06, 95% CI: 0.01-0.36, p = 0.002), of the time relapsed between the first and second IDLS treatments (HR: 0.97, 95% CI: 0.94-0.99, p = 0.044), and the impact of previous minimally invasive treatment (HR: 0.28, 95% CI: 0.08-1.00, p = 0.051). Conclusion: The coexistence of RHCC with underlying cirrhosis increases the complexity of assessing the net health benefit of ILDS before LT. Minimally invasive surgical therapies and time to HCC relapse should be considered an outcome in randomized clinical trials because they have a relevant impact on tumor-free survival
Primeros registros provinciales de reproducción de algunas aves en Argentina (Catamarca y La Rioja)
En esta nota confirmamos la reproducción de 14 especies o subespecies en las provincias de Catamarca y La Rioja.Facultad de Ciencias Naturales y Muse
Uncoupling protein 2 G(-866)A polymorphism: a new gene polymorphism associated with C-reactive protein in type 2 diabetic patients C-reactive protein in type 2 diabetic patients
<p>Abstract</p> <p>Background</p> <p>This study evaluated the relationship between the G(-866)A polymorphism of the uncoupling protein 2 (UCP2) gene and high-sensitivity C reactive protein (hs-CRP) plasma levels in diabetic patients.</p> <p>Methods</p> <p>We studied 383 unrelated people with type 2 diabetes aged 40-70 years. Anthropometry, fasting lipids, glucose, HbA1c, and hs-CRP were measured. Participants were genotyped for the G (-866)A polymorphism of the uncoupling protein 2 gene.</p> <p>Results</p> <p>Hs-CRP (mg/L) increased progressively across the three genotype groups AA, AG, or GG, being respectively 3.0 ± 3.2, 3.6 ± 5.0, and 4.8 ± 5.3 (p for trend = 0.03). Since hs-CRP values were not significantly different between AA and AG genotype, these two groups were pooled for further analyses. Compared to participants with the AA/AG genotypes, homozygotes for the G allele (GG genotype) had significantly higher hs-CRP levels (4.8 ± 5.3 vs 3.5 ± 4.7 mg/L, p = 0.01) and a larger proportion (53.9% vs 46.1%, p = 0.013) of elevated hs-CRP (> 2 mg/L). This was not explained by major confounders such as age, gender, BMI, waist circumference, HbA1c, smoking, or medications use which were comparable in the two genotype groups.</p> <p>Conclusions</p> <p>The study shows for the first time, in type 2 diabetic patients, a significant association of hs-CRP levels with the G(-866)A polymorphism of UCP2 beyond the effect of major confounders.</p
Electrocution and containment methods to reduce the activity of red palm weevil (Rhynchophorus ferrugineus, Ol.)
Aim of study: To evaluate the susceptibility of the Rhynchophorus ferrugineus to electric discharges, to eventually use this application in synergy with other methods as part of an integrated control strategy.Area of study: Worldwide.Material and methods: Three different electric voltage intensities were applied to R. ferrugineus to investigate the insect’s susceptibility in both adult and larval stages. The transmission and diffusion of electricity within a portion of the palm tree was tested. In addition, the suitability of containment materials for handling and transportation of plant residues was tested.Main results: The results of adult test showed that the total number of eggs laid per mating couple and the number of larvae born were about 1.5 times higher in the control compared to the electrified samples. The duration of the electric discharge on larvae had a small impact on the mortality rate, while the electric voltage showed a strong impact on mortality (87% for 10 V and 99% for 15 V). The presence of a significant electric current was observed in a viable portion of stem (distance from the source of electricity 10 cm) providing a direct current with 250 V tension. Among the materials tested for the transportation of palm residues, the aluminium net sheet showed the best results in the containment of both larval and adult individuals.Research highlights: Electrocution has proven to be a system which can help in the control of red palm weevil reducing the use of synthetic chemicals
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