Measurement of the π−\pi^- decay width of Λ5^5_\LambdaHe

We have precisely measured $\Lambda \to p\pi^-$ decay width of \5LHe and demonstrated significantly larger $\alpha$ -$\Lambda$ overlap than expected from the central repulsion $\alpha$-$\Lambda$ potential, which is derived from YNG \Lambda$-nucleon interaction.Comment: 4 pages, 3 figure

Proton asymmetry in non-mesonic weak decay of light hypernuclei

We have obtained the decay asymmetry parameters in non-mesonic weak decay of polarized Lambda-hypernuclei by measuring the proton asymmetry. The polarized Lambda-hypernuclei, 5_Lambda-He, 12_Lambda-C, and 11_Lambda-B, were produced in high statistics via the (pi^+,k^+) reaction at 1.05 GeV/c in the forward angles. Preliminary analysis shows that the decay asymmetry parameters are very small for these s-shell and p-shell hypernuclei.Comment: 4pages, 4figures, International Conference on Hypernuclear and Strange Particle Physics (HYP2003

pi^0 decay branching ratios of 5_Lambda-He and 12_Lambda-C hypernuclei

We precisely measured pi^0 branching ratios of 5_Lambda-He and 12_Lambda-C hypernuclei produced via (pi^+,k^+) reaction. Using these pi^0 branching ratios with the pi^- branching ratios and the lifetimes, we obtained the pi^0 decay widths and the non-mesonic weak decay widths at high statistics with the accuracy of ~5 % (stat) for both hypernuclei.Comment: 4pages, 4figures, International Conference on Hypernuclear and Strange Particle Physics (HYP2003

Nucleon-nucleon coincidence measurement in the non-mesonic weak decay of 5_Lambda-He and 12_Lambda-C hypernuclei

We have measured both yields of neutron-proton and neutron-neutron pairs emitted from the non-mesonic weak decay process of 5_Lambda-He and 12_Lambda-C hypernuclei produced via the (pi^+,K^+) reaction for the first time. We observed clean back-to-back correlation of the np- and nn-pairs in the coincidence spectra for both hypernuclei. The ratio of those back-to-back pair yields, Nnn / Nnp, must be close to the ratio of neutron- and proton-induced decay widths of the decay, Gn(Lambda n -> nn)/Gp(Lambda p -> np). The obtained ratios for each hypernuclei support recent calculations based on short-range interactions.Comment: 4 pages, 1 figure, International Nuclear Physics Conference (INPC 2004), Goteborg, Sweden, June 27 - July 2, 2004, to appear in Nuclear Physics

Coincidence Measurement of the Nonmesonic Weak Decay of ^{12}_{Lambda}C

We have measured the angular correlation of the pair nucleons np and nn emitted from the nonmesonic weak decay (NMWD) of ^{12}_{Lambda}C produced via the (pi^+,K^+) reaction in coincidence measurement. The Lambda p -> np and Lambda n -> nn modes were clearly identified by measuring the back-to-back correlation of the emitted nucleon pairs which is the characteristic of two-body kinematics. From the measured nucleon pair numbers N_{nn} and N_{np}, the ratio Gamma_n/Gamma_p of the partial decay widths Gamma_n(Lambda n -> nn) and Gamma_p(Lambda p -> np) of ^{12}_{Lambda}C was extracted to be 0.51+-0.13(stat) +- 0.05(syst); this result is almost free from the ambiguity due to the nuclear final state interaction and 3-body decay process, which were inherent in the previous results. The obtained Gamma_n/Gamma_p ratio of ^{12}_{Lambda}C (p-shell) is close to that of ^5_{Lambda}He (s-shell). The results are consistent with those of recent theoretical calculations.Comment: 13 pages, 4figures, 1 table,re-submitted to Physics Letters

Neutron and proton energy spectra from the non-mesonic weak decays of 5_Lambda-He and 12_Lambda-C

We have simultaneously measured the energy spectra of neutrons and protons emitted in the non-mesonic weak decays of 5_Lambda-He and 12_Lambda-C hypernuclei produced via the (pi^+,k^+) reaction with much higher statistics over those of previous experiments. The neutron-to-proton yield ratios for both hypernuclei at a high energy threshold (60 MeV) were approximately equal to two, which suggests that the ratio of the neutron- and proton-induced decay channels, Gn(Lambda n -> nn)/Gp(Lambda p -> np), is about 0.5. In the neutron energy spectra, we found that the yield of the low-energy component is unexpectedly large, even for 5_Lambda-He.Comment: 13pages, 4figures, submitted to Physics Letters

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries