849 research outputs found

    Local Haemodynamics and Shear Stress in Cuffed and Straight PTFE-venous Anastomoses: An in-vitro Comparison using Particle Image Velocimetry

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    AbstractObjectives: To use particle image velocimetry (PIV) to study the haemodynamics and shear stress associated with cuffed and straight PTFE-venous anastomoses.Methods: Silastic models of a straight and cuffed (Venaflo™) PTFE-venous anastomoses were attached to a pulsatile flow ‘Berlin Heart’ circuit filled with glycerine/water and hollow glass tracer spheres. Instantaneous velocity fields were obtained PIV and shear rates and patterns calculated from frame-by-frame analysis.Results: A high velocity jet struck the anastomotic ‘floor’ and was deflected toward the venous outflow. Shear stresses near the floor were significantly higher, in the straight anastomosis. Sites of high shear stress correlated well with the known sites of intimal hyperplasia.Conclusions: A cuffed anastomosis type may be favourable in terms of local haemodynamics so enhancing the long-term patency of PTFE-venous grafts

    Two SMC Symbiotic stars undergoing steady hydrogen burning

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    Two symbiotic stars in the Small Magellanic Cloud (SMC), Lin 358 and SMC 3, have been supersoft X-ray sources (SSS) for more than 10 years. We fit atmospheric and nebular models to their X-ray, optical and UV spectra obtained at different epochs. The X-ray spectra are extremely soft, and appear to be emitted by the white dwarf atmosphere and not by the nebula like in some other symbiotics. The white dwarf of SMC 3, the hottest of the two sources, had a constant effective temperature ~500,000 K at various epochs during 12 years. No nova-like outbursts of these systems have been recorded in the last 50 years, despite continuous optical monitoring of the SMC, and there are no indications of cooling of the white dwarf, expected after a thermonuclear flash. The bolometric luminosity of this system in March of 2003 was more than an order of magnitude lower than three years later, however the time of the observation is consistent with a partial eclipse of the white dwarf, previously found in ROSAT and optical observations. The red giant wind is either very asymmetric or very clumpy. The conpact object of Lin 358 has been at T>~180,000 K since 1993, perhaps with a moderate increase. Atmospheric fits are obtained with log(g)>=9, appropriate only for WD mass >1.18 M(sol). The two systems are probably accreting and burning hydrogen steadily at the high rate required for type Ia supernova progenitors.Comment: In press on the Astrophysical Journa

    Taxation of sugar-sweetened beverages for reducing their consumption and preventing obesity or other adverse health outcomes:protocol

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    This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effects of taxation of sugar‐sweetened beverages (SSBs) on SSB consumption, energy intake, overweight, obesity, and other adverse health outcomes in the general population

    UV and X-Ray Monitoring of AG Draconis During the 1994/1995 Outbursts

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    The recent 1994-1995 active phase of AG Draconis has given us for the first time the opportunity to follow the full X-ray behaviour of a symbiotic star during two successive outbursts and to compare with its quiescence X-ray emission. With \ros observations we have discovered a remarkable decrease of the X-ray flux during both optical maxima, followed by a gradual recovering to the pre-outburst flux. In the UV the events were characterized by a large increase of the emission line and continuum fluxes, comparable to the behaviour of AG Dra during the 1980-81 active phase. The anticorrelation of X-ray/UV flux and optical brightness evolution is shown to very likely be due to a temperature decrease of the hot component. Such a temperature decrease could be produced by an increased mass transfer to the burning compact object, causing it to slowly expand to about twice its original size.Comment: 12 pages postscript incl. figures, Proc. of Workshop on Supersoft X-Ray Sources, to appear in Lecture Notes in Physics vol. 472 (1996

    A phenomenological model for the X-ray spectrum of Nova V2491 Cygni

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    The X-ray flux of Nova V2491 Cyg reached a maximum some forty days after optical maximum. The X-ray spectrum at that time, obtained with the RGS of XMM-Newton, shows deep, blue-shifted absorption by ions of a wide range of ionization. We show that the deep absorption lines of the X-ray spectrum at maximum, and nine days later, are well described by the following phenomenological model with emission from a central blackbody and from a collisionally ionized plasma (CIE). The blackbody spectrum (BB) is absorbed by three main highly-ionized expanding shells; the CIE and BB are absorbed by cold circumstellar and interstellar matter that includes dust. The outflow density does not decrease monotonically with distance. The abundances of the shells indicate that they were ejected from an O-Ne white dwarf. We show that the variations on time scales of hours in the X-ray spectrum are caused by a combination of variation in the central source and in the column density of the ionized shells. Our phenomenological model gives the best description so far of the supersoft X-ray spectrum of nova V2491 Cyg, but underpredicts, by a large factor, the optical and ultraviolet flux. The X-ray part of the spectrum must originate from a very different layer in the expanding envelope, presumably much closer to the white dwarf than the layers responsible for the optical/ultraviolet spectrum. This is confirmed by absence of any correlation between the X-ray and UV/optical observed fluxes.Comment: 11 pages, 6 figure

    Familiality of neural preparation and response control in childhood attention deficit-hyperactivity disorder

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    Background Patients with attention deficit-hyperactivity disorder (ADHD) exhibit difficulties in multiple attentional functions. Although high heritability rates suggest a strong genetic impact, aetiological pathways from genes and environmental factors to the ADHD phenotype are not well understood. Tracking the time course of deviant task processing using event-related electrophysiological brain activity should characterize the impact of familiality on the sequence of cognitive functions from preparation to response control in ADHD. Method Preparation and response control were assessed using behavioural and electrophysiological parameters of two versions of a cued continuous performance test with varying attentional load in boys with ADHD combined type (n=97), their non-affected siblings (n=27) and control children without a family history of ADHD (n=43). Results Children with ADHD and non-affected siblings showed more variable performance and made more omission errors than controls. The preparatory Cue-P3 and contingent negative variation (CNV) following cues were reduced in both ADHD children and their non-affected siblings compared with controls. The NoGo-P3 was diminished in ADHD compared with controls whilst non-affected siblings were located intermediate but did not differ from both other groups. No clear familiality effects were found for the Go-P3. Better task performance was further associated with higher CNV and P3 amplitudes. Conclusions Impairments in performance and electrophysiological parameters reflecting preparatory processes and to some extend also for inhibitory response control, especially under high attentional load, appeared to be familially driven in ADHD and may thus constitute functionally relevant endophenotypes for the disorde

    X-ray and UV observations of nova V598 Puppis between 147 and 255 days after outburst

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    Aims: The launch of Swift has allowed many more novae to be observed regularly over the X-ray band. Such X-ray observations of novae can reveal ejecta shocks and the nuclear burning white dwarf, allowing estimates to be made of the ejecta velocity. Methods: We analyse XMM-Newton and Swift X-ray and UV observations of the nova V598 Pup, which was initially discovered in the XMM-Newton slew survey. These data were obtained between 147 and 255 days after the nova outburst, and are compared with the earlier, brighter slew detection. Results: The X-ray spectrum consists of a super-soft source, with the soft emission becoming hotter and much fainter between days ~147 and ~172 after the outburst, and a more slowly declining optically thin component, formed by shocks with kT ~ 200-800 eV (corresponding to velocities of 400-800 km s^-1). The main super-soft phase had a duration of less than 130 days. The Reflection Grating Spectrometer data show evidence of emission lines consistent with optically thin emission of kT ~100 eV and place a limit on the density of the surrounding medium of log(n_e/cm^-3) < 10.4 at the 90 % level. The UV emission is variable over short timescales and fades by at least one magnitude (at lambda ~ 2246-2600 angstrom) between days 169 and 255.Comment: 6 pages, 5 figures, accepted for publication in A&

    The influence of tumor- and treatment-related factors on the development of local recurrence in osteosarcoma after adequate surgery. An analysis of 1355 patients treated on neoadjuvant Cooperative Osteosarcoma Study Group protocols

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    Background: Local recurrence (LR) in osteosarcoma is associated with very poor prognosis. We sought to evaluate which factors correlate with LR in patients who achieved complete surgical remission with adequate margins. Patients and methods: We analyzed 1355 patients with previously untreated high-grade central osteosarcoma of the extremities, the shoulder and the pelvis registered in neoadjuvant Cooperative Osteosarcoma Study Group trials between 1986 and 2005. Seventy-six patients developed LR. Results: Median follow-up was 5.56 years. No participation in a study, pelvic tumor site, limb-sparing surgery, soft tissue infiltration beyond the periosteum, poor response to neoadjuvant chemotherapy, failure to complete the planned chemotherapy protocol and biopsy at a center other than the one performing the tumor resection were significantly associated with a higher LR rate. No differences were found for varying surgical margin widths. Surgical treatment at centers with small patient volume and additional surgery in the primary tumor area, other than biopsy and tumor resection, were significantly associated with a higher rate of ablative surgery. Conclusions: Patient enrollment in clinical trials and performing the biopsy at experienced institutions capable of undertaking the tumor resection without compromising the oncological and functional outcome should be pursued in the futur
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