Comparison of the social status of men and women after coronary artery bypass graft surgery

زمینه و هدف: با ارزیابی وضعیت اجتماعی و شناسایی تفاوت های مردان و زنان پس از جراحی می توان دوران بهبودی پس از عمل را تسریع نمود؛ لذا این مطالعه با هدف ارزیابی وضعیت اجتماعی بیماران زن و مرد پس از ترخیص از بیمارستان بعد از بای پاس عروق کرونر انجام شد. روش بررسی: در این مطالعه توصیفی مقایسه ای که از نوع طولی و آینده نگر بود تعداد 125 نفر شامل 94 مرد و 31 زن به روش نمونه گیری غیر احتمالی آسان و تداومی از لیست بیمارانی که در مرکز شهید چمران اصفهان تحت عمل جراحی عروق کرونر قرار گرفته و دارای پرونده بهداشتی بودند و 12 هفته پس از ترخیص یعنی فاز زودرس بهبودی خود را در منزل می گذراندند انتخاب شدند. روش گردآوری داده ها، بررسی پرونده پزشکی و مصاحبه حضوری بیماران و ابزار جمع آوری اطلاعات پرسشنامه حاوی مشخصات فردی، سوابق بیماری وضعیت اجتماعی بود. یافته ها: میانگین سنی بیماران در دو جنس اختلاف معنی داری نشان نداد (05/

A calibration procedure which accounts for non-linearity in single-monochromator Brewer ozone spectrophotometer measurements

It is now known that single-monochromator Brewer spectrophotometer ozone and sulfur dioxide measurements suffer from non-linearity at large ozone slant column amounts due to the presence of instrumental stray light caused by scattering within the optics of the instrument. Because of the large gradient in the ozone absorption spectrum in the near-ultraviolet, the atmospheric spectra measured by the instrument possess a very large gradient in intensity in the 300 to 325&thinsp;nm wavelength region. This results in a significant sensitivity to stray light when there is more than 1000 Dobson units (DU) of ozone in the light path. As the light path (air mass) through ozone increases, the stray-light effect on the measurements also increases. The measurements can be of the order of 10&thinsp;%, low for an ozone column of 600&thinsp;DU and an air mass factor of 3 (1800&thinsp;DU slant column amount), which is an example of conditions that produce large slant column amounts. Primary calibrations for the Brewer instrument are carried out at Mauna Loa Observatory in Hawaii and Izana Observatory in Tenerife. They are done using the Langley plot method to extrapolate a set of measurements made under a constant ozone vertical column to an extraterrestrial calibration constant. Since the effects of a small non-linearity at moderate ozone paths may still be important, a better calibration procedure should account for the non-linearity of the instrument response. Studies involving the scanning of a laser source have been used to characterize the stray-light response of the Brewer (Fioletov et al., 2000), but until recently these data have not been used to elucidate the relationship between the stray-light response and the ozone measurement non-linearity. In a study done by Karppinen et al. (2015), a method for correcting stray light has been presented that uses an additive correction, which is determined via instrument slit characterization and a radiative transfer model simulation and is then applied to the single Brewer data (Karppinen et al., 2015). The European Brewer Network is also applying stray-light corrections, which includes an iterative process that results in correcting the single Brewer data to agree with double Brewer data (Rimmer et al., 2018; Redondas et al., 2018). The first model requires measurements of the slit function and the latter method relies on a calibrated instrument, such as a double Brewer, to characterize the instrument and to determine a correction for stray light. This paper presents a simple and practical method to correct for the effects of stray light, which includes a mathematical model of the instrument response and a non-linear retrieval approach that calculates the best values for the model parameters. The model can then be used in reverse to provide more accurate ozone values up to a defined maximum ozone slant path. The parameterization used was validated using an instrument physical model simulation. This model can be applied independently to any Brewer instrument and correct for the effects of stray light.</p

Measurements of scattering observables for the pdpd break-up reaction

High-precision measurements of the scattering observables such as cross sections and analyzing powers for the proton-deuteron elastic and break-up reactions have been performed at KVI in the last two decades and elsewhere to investigate various aspects of the three-nucleon force (3NF) effects simultaneously. In 2006 an experiment was performed to study these effects in $\vec{p}+d$ break-up reaction at 135 MeV with the detection system, Big Instrument for Nuclear polarization Analysis, BINA. BINA covers almost the entire kinematical phase space of the break-up reaction. The results are interpreted with the help of state-of-the-art Faddeev calculations and are partly presented in this contribution.Comment: Proceedings of 19th International IUPAP Conference on Few-Body Problems in Physics, Bonn University, 31.08 - 05.09.2009, Bonn, GERMAN

A Global Ozone Climatology from Ozone Soundings via Trajectory Mapping: A Stratospheric Perspective

This study explores a domain-filling trajectory approach to generate a global ozone climatology from sparse ozonesonde data. Global ozone soundings of 51,898 profiles at 116 stations over 44 years (1965-2008) are used, from which forward and backward trajectories are performed for 4 days, driven by a set of meteorological reanalysis data. Ozone mixing ratios of each sounding from the surface to 26 km altitude are assigned to the entire path along the trajectory. The resulting global ozone climatology is archived monthly for five decades from the 1960s to the 2000s with grids of 5 degree 5 degree 1 km (latitude, longitude, and altitude). It is also archived yearly from 1965 to 2008. This climatology is validated at 20 ozonesonde stations by comparing the actual ozone sounding profile with that found through the trajectories, using the ozone soundings at all the stations except one being tested. The two sets of profiles are in good agreement, both individually with correlation coefficients between 0.975 and 0.998 and root mean square (RMS) differences of 87 to 482 ppbv, and overall with a correlation coefficient of 0.991 and an RMS of 224 ppbv. The ozone climatology is also compared with two sets of satellite data, from the Satellite Aerosol and Gas Experiment (SAGE) and the Optical Spectrography and InfraRed Imager System (OSIRIS). Overall, the ozone climatology compares well with SAGE and OSIRIS data by both seasonal and zonal means. The mean difference is generally under 20 above 15 km. The comparison is better in the northern hemisphere, where there are more ozonesonde stations, than in the southern hemisphere; it is also better in the middle and high latitudes than in the tropics, where assimilated winds are imperfect in some regions. This ozone climatology can capture known features in the stratosphere, as well as seasonal and decadal variations of these features. Furthermore, it provides a wealth of detail about longitudinal variations in the stratosphere such as the spring ozone maximum over the Canadian Arctic. It also covers higher latitudes than current satellite data. The climatology shows clearly the depletion of ozone from the 1970s to the mid 1990s and ozone recovery in the 2000s. When this climatology is used as the upper boundary condition in an Environment Canada operational chemical forecast model, the forecast is improved in the vicinity of the upper tropospherelower stratosphere region. As this ozone climatology is neither dependent on a priori data or photochemical modeling, it provides independent information and insight that can supplement satellite data and model simulations and enhance our understanding of stratospheric ozone

An Immune Gene Expression Signature Associated With Development of Human Hepatocellular Carcinoma Identifies Mice That Respond to Chemopreventive Agents

Program (HEPCAR, reference no. 667273-2); US Department of Defense(CA150272P3); an Accelerator Award (CRUCK, AECC, AIRC) (HUNTER,reference no. C9380/A26813), NCI Cancer Center Support Grant, National Cancer Institute; Tisch Cancer Institute (P30-CA196521); Samuel Waxman Cancer Research Foundation; Spanish National Health Institute (SAF2016-76390); and the Generalitat de Catalunya/AGAUR (SGR-1358). Agrin Moeini is supported by Spanish National Health Institute. Sara Torrecilla and Judit Peix are funded by Centro de Investigación Biomedica en Red de Enfermedades Hepáticas y Digestivas (Ciberehd-ISCIII). Carla Montironi is a recipient of Josep Font grant. Carmen Andreu-Oller is supported by "la Caixa" INPhINIT Fellowship Grant (LCF/BQ/IN17/11620024). Roser Pinyol is supported by HEPCAR and AECC. Daniela Sia is supported by the Gilead Sciences Research Scholar Program in Liver Disease. Scott L. Friedman is supported by the National Institutes of Health Research project grant (R01,DK5662) and US Department of Defense (CA150272P3). Mathias Heikenwälder was supported by an ERC Consolidator grant (HepatoMetaboPath), the SFBTR 209, 1335 and SFBTR179.Background & Aims: Cirrhosis and chronic inflammation precede development of hepatocellular carcinoma (HCC) in approximately 80% of cases. We investigated immune-related gene expression patterns in liver tissues surrounding early-stage HCCs and chemopreventive agents that might alter these patterns to prevent liver tumorigenesis. Methods: We analyzed gene expression profiles of nontumor liver tissues from 392 patients with early-stage HCC (training set, N = 167 and validation set, N = 225) and liver tissue from patients with cirrhosis without HCC (N = 216, controls) to identify changes in expression of genes that regulate the immune response that could contribute to hepatocarcinogenesis. We defined 172 genes as markers for this deregulated immune response, which we called the immune-mediated cancer field (ICF). We analyzed the expression data of liver tissues from 216 patients with cirrhosis without HCC and investigated the association between this gene expression signature and development of HCC and outcomes of patients (median follow-up, 10 years). Human liver tissues were also analyzed by histology. C57BL/6J mice were given a single injection of diethylnitrosamine (DEN) followed by weekly doses of carbon tetrachloride to induce liver fibrosis and tumorigenesis. Mice were then orally given the multiple tyrosine inhibitor nintedanib or vehicle (controls); liver tissues were collected and histology, transcriptome, and protein analyses were performed. We also analyzed transcriptomes of liver tissues collected from mice on a choline-deficient high-fat diet, which developed chronic liver inflammation and tumors, orally given aspirin and clopidogrel or the anti-inflammatory agent sulindac vs mice on a chow (control) diet. Results: We found the ICF gene expression pattern in 50% of liver tissues from patients with cirrhosis without HCC and in 60% of nontumor liver tissues from patients with early-stage HCC. The liver tissues with the ICF gene expression pattern had 3 different features: increased numbers of effector T cells; increased expression of genes that suppress the immune response and activation of transforming growth factor β signaling; or expression of genes that promote inflammation and activation of interferon gamma signaling. Patients with cirrhosis and liver tissues with the immunosuppressive profile (10% of cases) had a higher risk of HCC (hazard ratio, 2.41; 95% confidence interval, 1.21-4.80). Mice with chemically induced fibrosis or diet-induced steatohepatitis given nintedanib or aspirin and clopidogrel down-regulated the ICF gene expression pattern in liver and developed fewer and smaller tumors than mice given vehicle. Conclusions: We identified an immune-related gene expression pattern in liver tissues of patients with early-stage HCC, called the ICF, that is associated with risk of HCC development in patients with cirrhosis. Administration of nintedanib or aspirin and clopidogrel to mice with chronic liver inflammation caused loss of this gene expression pattern and development of fewer and smaller liver tumors. Agents that alter immune regulatory gene expression patterns associated with carcinogenesis might be tested as chemopreventive agents in patients with cirrhosis

More Homogeneous Capillary Flow and Oxygenation in Deeper Cortical Layers Correlate with Increased Oxygen Extraction

Our understanding of how capillary blood flow and oxygen distribute across cortical layers to meet the local metabolic demand is incomplete. We addressed this question by using two-photon imaging of resting-state microvascular oxygen partial pressure (PO2) and flow in the whisker barrel cortex in awake mice. Our measurements in layers I-V show that the capillary red-blood-cell flux and oxygenation heterogeneity, and the intracapillary resistance to oxygen delivery, all decrease with depth, reaching a minimum around layer IV, while the depth-dependent oxygen extraction fraction is increased in layer IV, where oxygen demand is presumably the highest. Our findings suggest that more homogeneous distribution of the physiological observables relevant to oxygen transport to tissue is an important part of the microvascular network adaptation to local brain metabolism. These results will inform the biophysical models of layer-specific cerebral oxygen delivery and consumption and improve our understanding of the diseases that affect cerebral microcirculation

Molecular portrait of high alpha-fetoprotein in hepatocellular carcinoma: implications for biomarker-driven clinical trials

The clinical utility of serum alpha-fetoprotein (AFP) in patients with hepatocellular carcinoma (HCC) is widely recognised. However, a clear understanding of the mechanisms of AFP overexpression and the molecular traits of patients with AFP-high tumours are not known. We assessed transcriptome data, whole-exome sequencing data and DNA methylome profiling of 520 HCC patients from two independent cohorts to identify distinct molecular traits of patients with AFP-high tumours (serum concentration?>?400?ng/ml), which represents an accepted prognostic cut-off and a predictor of response to ramucirumab. Those AFP-high tumours (18% of resected cases) were characterised by significantly lower AFP promoter methylation (p?<?0.001), significant enrichment of progenitor-cell features (CK19, EPCAM), higher incidence of BAP1 oncogene mutations (8.5% vs 1.6%) and lower mutational rates of CTNNB1 (14% vs 30%). Specifically, AFP-high tumours displayed significant activation of VEGF signalling (p?<?0.001), which might provide the rationale for the reported benefit of ramucirumab in this subgroup of patients

Elastic proton-deuteron scattering at intermediate energies

Observables in elastic proton-deuteron scattering are sensitive probes of the nucleon-nucleon interaction and three-nucleon force effects. The present experimental data base for this reaction is large, but contains a large discrepancy between data sets for the differential cross section taken at 135 MeV/nucleon by two experimental research groups. This paper reviews the background of this problem and presents new data taken at KVI. Differential cross sections and analyzing powers for the $^{2}{\rm H}(\vec p,d){p}$ and ${\rm H}(\vec d,d){p}$ reactions at 135 MeV/nucleon and 65 MeV/nucleon, respectively, have been measured. The data differ significantly from previous measurements and consistently follow the energy dependence as expected from an interpolation of published data taken over a large range at intermediate energies.Comment: 5 pages, 4 figures, submitted to PR

Observation of a charged charmoniumlike structure in e+e−→(D∗Dˉ∗)±π∓e^+e^- \to (D^{*} \bar{D}^{*})^{\pm} \pi^\mp at s=4.26\sqrt{s}=4.26GeV

We study the process $e^+e^- \to (D^{*} \bar{D}^{*})^{\pm} \pi^\mp$ at a center-of-mass energy of 4.26GeV using a 827pb$^{-1}$ data sample obtained with the BESIII detector at the Beijing Electron Positron Collider. Based on a partial reconstruction technique, the Born cross section is measured to be $(137\pm9\pm15)$pb. We observe a structure near the $(D^{*} \bar{D}^{*})^{\pm}$ threshold in the $\pi^\mp$ recoil mass spectrum, which we denote as the $Z^{\pm}_c(4025)$. The measured mass and width of the structure are $(4026.3\pm2.6\pm3.7)$MeV/c$^2$ and $(24.8\pm5.6\pm7.7)$MeV, respectively. Its production ratio $\frac{\sigma(e^+e^-\to Z^{\pm}_c(4025)\pi^\mp \to (D^{*} \bar{D}^{*})^{\pm} \pi^\mp)}{\sigma(e^+e^-\to (D^{*} \bar{D}^{*})^{\pm} \pi^\mp)}$ is determined to be $0.65\pm0.09\pm0.06$. The first uncertainties are statistical and the second are systematic.Comment: 7 pages, 4 figures, 1 table; version accepted to be published in PR

Search for the Lepton Flavor Violation Process J/ψ→eμJ/\psi \to e\mu at BESIII

We search for the lepton-flavor-violating decay of the $J/\psi$ into an electron and a muon using $(225.3\pm2.8)\times 10^{6}$ $J/\psi$ events collected with the BESIII detector at the BEPCII collider. Four candidate events are found in the signal region, consistent with background expectations. An upper limit on the branching fraction of $\mathcal{B}(J/\psi \to e\mu)< 1.5 \times 10^{-7}$ (90% C.L.) is obtained