Intra-cavitary uterine pathology in women with abnormal uterine bleeding: a prospective study of 1220 women.

OBJECTIVES: Our primary aim was to assess how patients characteristics, bleeding pattern, sonographic endometrial thickness (ET) and additional features at unenhanced ultrasound examination (UTVS) and at fluid instillation sonography (FIS) contribute to the diagnosis of intracavitary uterine pathology in women presenting with abnormal uterine bleeding (AUB). We further aimed to report the prevalence of pathology in women presenting with AUB. METHODS: 1220 consecutive women presenting with AUB underwent UTVS, colour Doppler imaging (CDI) and FIS. Most women (n = 1042) had histological diagnosis. RESULTS: Mean age was 50 years and 37% were postmenopausal. Of 1220 women 54% were normal, polyps were diagnosed in 26%, intracavitary fibroids in 11%, hyperplasia without atypia in 4% and cancer in 3%. All cancers were diagnosed in postmenopausal (7%) or perimenopausal (1%) women. ET had a low predictive value in premenopausal women (LR+ and LR- of 1.34 and 0.74, respectively), while FIS had a LR+ and LR- of 6.20 and 0.24, respectively. After menopause, ET outperformed all patient characteristics for the prediction of endometrial pathology (LR+ and LR- of 3.13 and 0.24). The corresponding LR+ and LR- were 10.85 and 0.71 for CDI and 8.23 and 0.26 for FIS. CONCLUSION: About half of the women presenting to a bleeding clinic will have pathology. In premenopausal women, benign lesions are often the cause of AUB. For the prediction of intracavitary pathology ET is of little value in premenopausal women. CDI and FIS substantially improve the diagnostic accuracy

The reliability of the All-Up concept Special technical report no. 13

Implementation approaches for conducting Saturn V launch vehicle program without dummy stage

Forward Modelling of Standing Slow Modes in Flaring Coronal Loops

Standing slow mode waves in hot flaring loops are exclusively observed in spectrometers and are used to diagnose the magnetic field strength and temperature of the loop structure. Due to the lack of spatial information, the longitudinal mode cannot be effectively identified. In this study, we simulate standing slow mode waves in flaring loops and compare the synthesized line emission properties with SUMER spectrographic and SDO/AIA imaging observations. We find that the emission intensity and line width oscillations are a quarter period out of phase with Doppler shift velocity both in time and spatial domain, which can be used to identify a standing slow mode wave from spectroscopic observations. However, the longitudinal overtones could be only measured with the assistance of imagers. We find emission intensity asymmetry in the positive and negative modulations, this is because the contribution function pertaining to the atomic emission process responds differently to positive and negative temperature variations. One may detect \textbf{half} periodicity close to the loop apex, where emission intensity modulation is relatively small. The line-of-sight projection affects the observation of Doppler shift significantly. A more accurate estimate of the amplitude of velocity perturbation is obtained by de-projecting the Doppler shift by a factor of $1-2\theta/\pi$ rather than the traditionally used $\cos\theta$. \textbf{If a loop is heated to the hotter wing, the intensity modulation could be overwhelmed by background emission, while the Doppler shift velocity could still be detected to a certain extent.Comment: 18 pages, 10 figures, Astrophysics Journa

Fock representations of the Lie superalgebra q(n+1)

For the Lie superalgebra $q(n+1)$ a description is given in terms of creation and annihilation operators, in such a way that the defining relations of $q(n+1)$ are determined by quadratic and triple supercommutation relations of these operators. Fock space representations $V_p$ of $q(n+1)$ are defined by means of these creation and annihilation operators. These new representations are introduced as quotient modules of some induced module of $q(n+1)$. The representations $V_p$ are not graded, but they possess a number of properties that are of importance for physical applications. For $p$ a positive integer, these representations $V_p$ are finite-dimensional, with a unique highest weight (of multiplicity 1). The Hermitian form that is consistent with the natural adjoint operation on $q(n+1)$ is shown to be positive definite on $V_p$. For $q(2)$ these representations are ``dispin''. For the general case of $q(n+1)$, many structural properties of $V_p$ are derived.Comment: 24 pages, LaTeX file, small corrections done; to appear in J. Phys. A: Math. Ge

Electromagnetic KY production from the proton in a Regge-plus-resonance approach

A Regge-plus-resonance (RPR) description of the p(\gamma,K)Y and p(e,e'K)Y processes (Y = \Lambda, \Sigma^{0,+}) is presented. The proposed reaction amplitude consists of Regge-trajectory exchanges in the t channel, supplemented with a limited selection of s-channel resonance diagrams. The RPR framework contains a considerably smaller number of free parameters than a typical effective-Lagrangian model. Nevertheless, it provides an acceptable overall description of the photo- and electroproduction observables over an extensive photon energy range. It is shown that the electroproduction response functions and polarization observables are particularly useful for fine-tuning both the background and resonance parameters.Comment: 4 pages, 3 figures, Proceedings for IX International Conference on Hypernuclear and Strange Particle Physics (HYP2006), October 10-14 2006, Main