829 research outputs found
Роль фактора некроза опухоли-альфа в прогнозировании тяжести и исхода сепсиса у пациентов неотложного отделения с системным воспалением
Aim of the study was to determine whether the TNF-a levels, proximal inflammatory mediator, in septic patients presenting to the emergency department (ED) and admitted to the intensive care unit (ICU) are associated with progression to severe sepsis, septic shock or death. Material and methods. A retrospective observational study was performed on a sample of one hundred adult subjects presenting to the ED with systemic inflammatory response syndrome of 2 etiologies: presumed (and later confirmed in the ICU and/or operating room) severe acute pancreatitis or generalized peritonitis. Blood TNF-a samples measurements were taken shortly after ED admission. TNF-a was measured by commercial ELISA test in plasma. Results. Mean values of TNF-a on admission (day zero, in ED) were 191,5-fold lower in group with septic shock compared to severe sepsis group and were 63-fold higher in survivors (p<0.01). The area under the curve (AUC) for the TNF-a plots for severity of clinical status was 0.813 and for outcome 0.834. Patients with TNF-a levels lower than 7.95 pg/mL had a 3.2-fold higher probability of septic shock development than those with higher values, at the cutoff level sensitivity was 83,9% and specificity 72,5%. Patients with TNF-a levels higher than 10.5 pg/mL had a 4.8-fold higher probability to survive than those with lower values, at the cutoff level sensitivity was 83,0% and specificity 77,4%. Conclusion: Decreasing in TNF-a concentration leads to the septic shock development and fatal outcome. TNF-a is very good predictor of sepsis severity and outcome. Key words: sepsis, tumor necrosis factor-alpha, emergency medical services, survival rate, severity of illness index.Цель исследования — определить, связаны ли уровни ФНО-a, ключевого медиатора воспаления, у пациентов с сепсисом, поступающих в отделение неотложной помощи и переводящихся в отделение реанимации, с прогрессированием его до тяжелого сепсиса, септического шока и смерти. Материал и методы. Ретроспективное обсервационное исследование было выполнено на выборке в 100 взрослых человек, поступивших в неотложное отделение с признаками системного воспаления двух возможных этиологий: тяжелый острый панкреатит (предполагаемый, а затем подтвержденный в отделении реанимации и/или операционной) или общий перитонит. Производили измерения ФНО-a в крови сразу после поступления. ФНО-a измеряли коммерчески доступным ELISA-методом в плазме крови. Результаты. Средние уровни ФНО-a при поступлении (день 0, в неотложном отделении) были в 191,5 раз ниже в группе с септическим шоком по сравнению с группой тяжелого сепсиса и в 63 раза выше у выживших (
Implementation of ETX Metric within the AODV Protocol in the NS-3 Simulator
Modern life cannot be imagined without wireless ad hoc networks (WANETs). People use, in a daily manner, smart phones, laptops or tablet computers. With an increasing number of users of WANETs, the need for a fast throughput and small delay is increasing as well. One efficient way to provide users with such demands is to find an optimal route between source and destination node. Therefore, many routing protocols and metrics for WANETs are proposed in last decades. It is very important to test performances of the proposed protocols in various network scenarios. The computer simulation is a very efficient way to test routing protocols and to evaluate their significance and practical value. One of the most recent but very frequently used discrete-event network simulators is Network Simulator 3 (NS-3). In order to contribute to the NS-3 simulator development, an implementation of one of the most commonly used metric in WANET protocols the expected transmission count (ETX) is proposed in this paper. ETX metric is implemented within an ad-hoc on demand distance vector (AODV) protocol. The source code of this implementation is publicly available
Cytotoxicity of Platinum(Iv) and Palladium(Ii) Complexes with Meso-1,2-Diphenyl-Ethylenediamine-N,N -Di-3-Propanoic Acid. Crystal Structure of [Pd(1,2-Dpheddp)] Complex
The syntheses of tetradentate ligand, meso-1,2-diphenyl-ethylenediamine-N,N-di-3-propanoic acid (H-2-1,2-dpheddp) and corresponding platinum(IV) and palladium(II) complexes are reported here. The spectroscopically predicted structure of the obtained palladium(II) complex was confirmed by X-ray analysis. Singe crystals suitable for X-ray measurements were obtained by slow crystallization from a DMSO-water mixture. Cytotoxic effects of platinum(IV), palladium(II) complexes and cisplatin on the 4T1 and Bl6F1 cell lines were determined using the MTT colorimetric technique. The complexes showed a dose dependence on cytotoxic effect toward both cell lines. Both complexes were less active than cisplatin, the exception was concentrations above 62.5 mu M of platinum(IV) complex in the B16F1 cell line
Comparison of bio-inspired algorithms applied to the coordination of mobile robots considering the energy consumption
Many applications, related to autonomous mobile robots, require to explore in an unknown environment searching for static targets, without any a priori information about the environment topology and target locations. Targets in such rescue missions can be fire, mines, human victims, or dangerous material that the robots have to handle. In these scenarios, some cooperation among the robots is required for accomplishing the mission. This paper focuses on the application of different bio-inspired metaheuristics for the coordination of a swarm of mobile robots that have to explore an unknown area in order to rescue and handle cooperatively some distributed targets. This problem is formulated by first defining an optimization model and then considering two sub-problems: exploration and recruiting. Firstly, the environment is incrementally explored by robots using a modified version of ant colony optimization. Then, when a robot detects a target, a recruiting mechanism is carried out to recruit a certain number of robots to deal with the found target together. For this latter purpose, we have proposed and compared three approaches based on three different bio-inspired algorithms (Firefly Algorithm, Particle Swarm Optimization, and Artificial Bee Algorithm). A computational study and extensive simulations have been carried out to assess the behavior of the proposed approaches and to analyze their performance in terms of total energy consumed by the robots to complete the mission. Simulation results indicate that the firefly-based strategy usually provides superior performance and can reduce the wastage of energy, especially in complex scenarios
Studies of and production in and Pb collisions
The production of and mesons is studied in proton-proton and
proton-lead collisions collected with the LHCb detector. Proton-proton
collisions are studied at center-of-mass energies of and ,
and proton-lead collisions are studied at a center-of-mass energy per nucleon
of . The studies are performed in center-of-mass rapidity
regions (forward rapidity) and
(backward rapidity) defined relative to the proton beam direction. The
and production cross sections are measured differentially as a function
of transverse momentum for and , respectively. The differential cross sections are used to
calculate nuclear modification factors. The nuclear modification factors for
and mesons agree at both forward and backward rapidity, showing
no significant evidence of mass dependence. The differential cross sections of
mesons are also used to calculate cross section ratios,
which show evidence of a deviation from the world average. These studies offer
new constraints on mass-dependent nuclear effects in heavy-ion collisions, as
well as and meson fragmentation.Comment: All figures and tables, along with machine-readable versions and any
supplementary material and additional information, are available at
https://lhcbproject.web.cern.ch/Publications/p/LHCb-PAPER-2023-030.html (LHCb
public pages
Fraction of decays in prompt production measured in pPb collisions at TeV
The fraction of and decays in the prompt
yield, , is measured by
the LHCb detector in pPb collisions at TeV. The study
covers the forward () and backward () rapidity
regions, where is the rapidity in the nucleon-nucleon
center-of-mass system. Forward and backward rapidity samples correspond to
integrated luminosities of 13.6 0.3 nb and 20.8 0.5
nb, respectively. The result is presented as a function of the
transverse momentum in the range 1 GeV/.
The fraction at forward rapidity is compatible with the LHCb
measurement performed in collisions at TeV, whereas the
result at backward rapidity is 2.4 larger than in the forward region
for GeV/. The increase of at low at backward rapidity is compatible with the suppression of the
(2S) contribution to the prompt yield. The lack of in-medium
dissociation of states observed in this study sets an upper limit of
180 MeV on the free energy available in these pPb collisions to dissociate or
inhibit charmonium state formation.Comment: All figures and tables, along with machine-readable versions and any
supplementary material and additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2023-028.html (LHCb
public pages
Enhanced production of baryons in high-multiplicity collisions at TeV
The production rate of baryons relative to mesons
in collisions at a center-of-mass energy TeV is measured
by the LHCb experiment. The ratio of to production
cross-sections shows a significant dependence on both the transverse momentum
and the measured charged-particle multiplicity. At low multiplicity, the ratio
measured at LHCb is consistent with the value measured in
collisions, and increases by a factor of with increasing multiplicity.
At relatively low transverse momentum, the ratio of to
cross-sections is higher than what is measured in
collisions, but converges with the ratio as the momentum
increases. These results imply that the evolution of heavy quarks into
final-state hadrons is influenced by the density of the hadronic environment
produced in the collision. Comparisons with a statistical hadronization model
and implications for the mechanisms enforcing quark confinement are discussed.Comment: All figures and tables, along with machine-readable versions and any
supplementary material and additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2023-027.html (LHCb
public pages
A measurement of
Using a dataset corresponding to of integrated
luminosity collected with the LHCb detector between 2011 and 2018 in
proton-proton collisions, the decay-time distributions of the decay modes
and
are studied. The decay-width difference between the light and heavy mass
eigenstates of the meson is measured to be , where the first uncertainty is
statistical and the second systematic.Comment: All figures and tables, along with machine-readable versions and any
supplementary material and additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2023-025.htm
Observation of strangeness enhancement with charmed mesons in high-multiplicity collisions at TeV
The production of prompt and mesons is measured by the LHCb
experiment in proton-lead () collisions in both the forward
() and backward () rapidity regions at a
nucleon-nucleon center-of-mass energy of TeV.
The nuclear modification factors of both and mesons are
determined as a function of transverse momentum, , and
rapidity. In addition, the to cross-section ratio is measured
as a function of the charged particle multiplicity in the event. An enhanced
to production in high-multiplicity events is observed for the
whole measured range, in particular at low
and backward rapidity, where the significance exceeds six standard deviations.
This constitutes the first observation of strangeness enhancement in charm
quark hadronization in high-multiplicity collisions. The results
are also qualitatively consistent with the presence of quark coalescence as an
additional charm quark hadronization mechanism in high-multiplicity proton-lead
collisions.Comment: All figures and tables, along with machine-readable versions and any
supplementary material and additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-PAPER-2023-021.html (LHCb
public pages
Helium identification with LHCb
The identification of helium nuclei at LHCb is achieved using a method based
on measurements of ionisation losses in the silicon sensors and timing
measurements in the Outer Tracker drift tubes. The background from photon
conversions is reduced using the RICH detectors and an isolation requirement.
The method is developed using collision data at
recorded by the LHCb experiment in the years 2016 to 2018, corresponding to an
integrated luminosity of . A total of around helium
and antihelium candidates are identified with negligible background
contamination. The helium identification efficiency is estimated to be
approximately with a corresponding background rejection rate of up to
. These results demonstrate the feasibility of a rich
programme of measurements of QCD and astrophysics interest involving light
nuclei.Comment: All figures and tables, along with any supplementary material and
additional information, are available at
https://cern.ch/lhcbproject/Publications/p/LHCb-DP-2023-002.html (LHCb public
pages
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