36 research outputs found
Viscosity and the equation of state in high energy heavy-ion reactions
Viscous hydrodynamic calculations of high energy heavy-ion collisions (Nb-Nb and Au-Au) from 200 to 800 MeV/nucleon are presented. The resulting baryon rapidity distributions, the in-plane transverse momentum transfer (bounce-off), and the azimuthal dependence of the midrapidity particles (off-plane squeeze out) compare well with Plastic Ball data. We find that the considered observables are sensitive both to the nuclear equation of state and to the nuclear shear viscosity η. Transverse momentum distributions indicate a high shear viscosity (η≊60 MeV/fm2 c) in the compression zone, in agreement with nuclear matter estimates. The bulk viscosity ζ influences only the entropy production during the expansion stage; collective observables like flow and dN/dY do not depend strongly on ζ. The recently observed off-plane (φ=90°) squeeze-out, which is found in the triple-differential rapidity distribution, exhibits the strongest sensitivity to the nuclear equation of state. It is demonstrated that for very central collisions, b=1 fm, the squeeze-out is visible even in the double-differential cross section. This is experimentally accessible by studying azimuthally symmetric events, as confirmed recently by data of the European 4π detector collaboration at Gesellchaft fĂĽr Schwerionforschung Darmstadt
Thermal photons as a measure for the rapidity dependence of the temperature
The rapidity distribution of thermal photons produced in Pb+Pb collisions at CERN-SPS energies is calculated within scaling and three- fluid hydrodynamics. It is shown that these scenarios lead to very different rapidity spectra. A measurement of the rapidity dependence of photon radiation can give cleaner insight into the reaction dynamics than pion spectra, especially into the rapidity dependence of the temperature
Pion and thermal photon spectra as a possible signal for a phase transition
We calculate thermal photon and neutral pion spectra in ultrarelativistic heavy-ion collisions in the framework of three-fluid hydrodynamics. Both spectra are quite sensitive to the equation of state used. In particular, within our model, recent data for S + Au at 200 AGeV can only be understood if a scenario with a phase transition (possibly to a quark-gluon plasma) is assumed. Results for Au+Au at 11 AGeV and Pb + Pb at 160 AGeV are also presented
Agreements on Climate Protection - The Verification Problem
The sustained reduction of climate gas emissions associated with the generation, conversion and utilization of energy is clearly becoming an ever more important task in energy and environmental policy . Different strategies are conceivable in order to fulfil this mission. The aim of the IKARUS Project (nstrumente fĂĽr limags- edktionstrategien - Instruments for Greenhouse Gas Reduction Strategies) was to provide a set of tools with which strategies can be developed and reconstructed (making conceptual use of the various technologies) and also tested with respect to their internal consistency and examined with regard to their economic impacts. Corresponding to the great complexity of the task in hand and the technological range of energy applications, the set of instruments is very extensive. It consists of two parts: a data base with a comprehensive data collection and several computer models of various types. The relational in ORACLE with a graphics interface has a twofold function as a supplier to the model and as an independently usable information system. It is subdivided into a technology data base, model data base and general data base. The data were collected in six data subprojects for the reference year of 1989 and estimated for the years 2005 and 2020. The contains technological, economic and ecological data on representative technologies ranging from primary energy extraction up to final energy use, supplemented by commentaries, graphics, structural diagrams and characteristic curve fields. The reliability of the data is represented and annotated by an assessment diagram so that a reconstructible, comprehensive basis for strategy discussions capable of finding consensus can be provided in accordance with the objective. In addition to the individual technologies, aggregated "mixed technology" data were generated as input data for the optimization model mentioned below and stored in the . In order to keep this aggregation sufficiently flexible with respect to optimizing the energy supply and utilization system the user is provided with some aggregation tools, developed in the data subprojects, upstream of the optimization model in the interface of the data base. Finally, the contains exogenous [...
Treatment and Outcome of Osteoporotic Thoracolumbar Vertebral Fractures With Anterior or Posterior Tension Band Failure (OF 5): Short-Term Results From the Prospective EOFTT Multicenter Study.
STUDY DESIGN
Subgroup analysis of a multicenter prospective cohort study.
OBJECTIVE
To analyse surgical strategies applied to osteoporotic thoracolumbar osteoporotic fracture (OF) 5 injuries with anterior or posterior tension band failure and to assess related complications and clinical outcome.
METHODS
A multicenter prospective cohort study (EOFTT) was conducted at 17 spine centers including 518 consecutive patients who were treated for an osteoporotic vertebral fracture (OVF). For the present study, only patients with OF 5 fractures were analysed. Outcome parameters were complications, Visual Analogue Scale (VAS), Oswestry Disability Questionnaire (ODI), Timed Up & Go test (TUG), EQ-5D 5L, and Barthel Index.
RESULTS
In total, 19 patients (78 ± 7 years, 13 female) were analysed. Operative treatment consisted of long-segment posterior instrumentation in 9 cases and short-segment posterior instrumentation in 10 cases. Pedicle screws were augmented in 68 %, augmentation of the fractured vertebra was performed in 42%, and additional anterior reconstruction was done in 21 %. Two patients (11 %) received short-segment posterior instrumentation without either anterior reconstruction or cement-augmentation of the fractured vertebra. No surgical or major complications occurred, but general postoperative complications were observed in 45%. At a follow-up of mean 20 ± 10 weeks (range, 12 to 48 weeks), patients showed significant improvements in all functional outcome parameters.
CONCLUSIONS
In this analysis of patients with type OF 5 fractures, surgical stabilization was the treatment of choice and lead to significant short-term improvement in terms of functional outcome and quality of life despite a high general complication rate
Georg Schmorl prize of the German spine society (DWG) 2022: current treatment for inpatients with osteoporotic thoracolumbar fractures-results of the EOFTT study
AIM
Osteoporotic thoracolumbar fractures are of increasing importance. To identify the optimal treatment strategy this multicentre prospective cohort study was performed.
PURPOSE
Patients suffering from osteoporotic thoracolumbar fractures were included. Excluded were tumour diseases, infections and limb fractures. Age, sex, trauma mechanism, OFÂ classification, OF-score, treatment strategy, pain condition and mobilization were analysed.
METHODS
A total of 518 patients' aged 75 ± 10 (41-97) years were included in 17 centre. A total of 174 patients were treated conservatively, and 344 were treated surgically, of whom 310 (90%) received minimally invasive treatment. An increase in the OF classification was associated with an increase in both the likelihood of surgery and the surgical invasiveness.
RESULTS
Five (3%) complications occurred during conservative treatment, and 46 (13%) occurred in the surgically treated patients. 4 surgical site infections and 2 mechanical failures requested revision surgery. At discharge pain improved significantly from a visual analogue scale score of 7.7 (surgical) and 6.0 (conservative) to a score of 4 in both groups (p < 0.001). Over the course of treatment, mobility improved significantly (p = 0.001), with a significantly stronger (p = 0.007) improvement in the surgically treated patients.
CONCLUSION
Fracture severity according to the OF classification is significantly correlated with higher surgery rates and higher invasiveness of surgery. The most commonly used surgical strategy was minimally invasive short-segmental hybrid stabilization followed by kyphoplasty/vertebroplasty. Despite the worse clinical conditions of the surgically treated patients both conservative and surgical treatment led to an improved pain situation and mobility during the inpatient stay to nearly the same level for both treatments
Treatment and Outcome of Osteoporotic Thoracolumbar Vertebral Body Fractures With Deformation of Both Endplates With or Without Posterior Wall Involvement (OF 4): Short-Term Results from the Prospective EOFTT Multicenter Study.
STUDY DESIGN: Multicenter prospective cohort study.
OBJECTIVE: To analyse therapeutical strategies applied to osteoporotic thoracolumbar OF 4 injuries, to assess related complications and clinical outcome.
METHODS: A multicenter prospective cohort study (EOFTT) including 518 consecutive patients who were treated for an Osteoporotic vertebral compression fracture (OVCF). For the present study, only patients with OF 4 fractures were analysed. Outcome parameters were complications, Visual Analogue Scale, Oswestry Disability Questionnaire, Timed Up & Go test, EQ-5D 5L, and Barthel Index after a minimum follow-up of 6Â weeks.
RESULTS: A total of 152 (29%) patients presented with OF 4 fractures with a mean age of 76 years (range 41-97). The most common treatment was short-segment posterior stabilization (51%; hybrid stabilization in 36%). Mean follow up was 208 days (±131 days), mean ODI was 30 ± 21. Dorsoventral stabilized patients were younger compared to the other groups (P .602, Barthel: P > .252, EQ-5D 5L index value: P > .610, VAS-EQ-5D 5L: P = 1.000). The inpatient complication rate was 8% after conservative and 16% after surgical treatment. During follow-up period 14% of conservatively treated patients and 3% of surgical treated patients experienced neurological deficits.
CONCLUSIONS: Conservative therapy of OF 4 injuries seems to be viable option in patients with only moderate symptoms. Hybrid stabilization was the dominant treatment strategy leading to promising clinical short-term results. Stand-alone cement augmentation seems to be a valid alternative in selected cases