Support to triage and public risk perception considering long-term response to a Cs-137 radiological dispersive device scenario

A radiological dispersive device (RDD) spreads radioactive material, complicates the treatment of physical injuries, raises cancer risk, and induces disproportionate fear. Simulating such an event enables more effective and efficient utilization of the triage and treatment resources of staff, facilities, and space. Fast simulation can give detail on events in progress or future events. The resources for triage and treatment of contaminated trauma victims can differ for pure exposure individuals, while discouraging the “worried well” from presenting in the crisis phase by media announcement would relieve pressure on hospital facilities. The proposed methodology integrates capabilities from different platforms in a convergent way composed of three phases: (a) scenario simulation, (b) data generation, and (c) risk assessment for triage focused on follow-up epidemiological assessment. Simulations typically indicate that most of the affected population does not require immediate medical assistance. Medical triage for the few severely injured and the radiological triage to diminish the contamination with radioactivity will always be the priority. For this study, however, higher priorities should be given to individuals from radiological “warm” and “hot” zones as required by risk criteria. The proposed methodology could thus help to (a) filter and reduce the number of individuals to be attended, (b) optimize the prioritization of medical care, (c) reduce or prepare for future costs, (d) effectively locate the operational triage site to avoid possible contamination on the main facility, and (e) provide the scientific data needed to develop an adequate approach to risk and its proper communication

The pi -> pi pi process in nuclei and the restoration of chiral symmetry

The results of an extensive campaign of measurements of the pi -> pi pi process in the nucleon and nuclei at intermediate energies are presented. The measurements were motivated by the study of strong pi pi correlations in nuclei. The analysis relies on the composite ratio C_{pi pi}^A, which accounts for the clear effect of the nuclear medium on the (pi pi) system. The comparison of the C_{pi pi}^A distributions for the (pi pi)_{I=J=0} and (pi pi)_{I=0,J=2} systems to the model predictions indicates that the C_{pi pi}^A behavior in proximity of the 2m_pi threshold is explainable through the partial restoration of chiral symmetry in nuclei.Comment: accepted for publication in Nucl. Phys.

Deoxynivalenol content in italian organic durum wheat: Results of a six-year survey

Deoxynivalenol (DON) contamination was investigated of Italian durum wheat from organic agriculture. A number of 661 samples from 13 genotypes were collected within the national organic durum wheat network variety trials during the six-year period between 2007–2012 in five different growing areas across Italy (Northern Italy, Marches, Central Apennines, West-Central Italy, Apulia). Mean temperatures and total rainfalls in April, May and June were collected nearby the study sites. Average DON contamination value along the whole study period was 67 μg/kg, and DON was detected only in 36% of the samples. Noteworthy, 95% of the analyzed grain revealed a DON contamination lower than 334 μg/kg. Maximum allowed DON level for unprocessed durum wheat set by European Union (1750 μg/kg) was exceeded only in four samples (0.6%). The highest mean DON values were detected in Northern Italy (175 μg/kg) and Marches (131 μg/kg). The same was for the percentage of positive samples (80% and 58%, respectively). Lower mean values and percentages of contaminated samples were found in West-Central Italy (22 μg/kg and 29%, respectively), Apennines (3 μg/kg and 8%, respectively) and Apulia (2 μg/kg and 7%, respectively). Statistical analysis (Generalized Linear Model, GLZ) was carried out to highlight the effect of factors like cultivation year, growing area and genotype. It revealed a huge effect of year, growing areas and their interaction, while the effect of genotype resulted significantly but quite less than the other main factors. The effect of the year could be explained by climatic data, which suggested an influence of rainfall and temperature at heading on both DON concentration values and percentage of contaminated samples. Results of this study put in evidence a low DON contamination in Italian organic durum wheat

Variation of hadron masses in nuclear matter in the relativistic Hartree approximation

We study the modification of hadron masses due to the vacuum polarization using the chiral sigma model, which is extended to generate the $\omega$ meson mass by the sigma condensation in the vacuum in the same way as the nucleon mass. The results obtained in the chiral sigma model are compared with those obtained in the Walecka model which includes $\sigma$ and $\omega$ mesons in a non-chiral fashion. It is shown that both the nucleon mass and the $\omega$ meson mass decrease in nuclear medium, while the $\sigma$ meson mass increases at finite density in the chiral sigma model.Comment: 10 pages, 2 figures, accepted for publication in Nucl.Phys.

General properties of the pion production reaction in nuclear matter

The pion production reaction $\pi^+ \to \pi^+\pi^{\pm}$ on $^{45}Sc$ was studied at incident pion energies of $T_{\pi^{+}}$ = 240, 260, 280, 300, and 320 MeV. The experiment was performed using the $M11$ pion-channel at TRIUMF, and multiparticle events, ($\pi^+,\pi^+\pi^{\pm}$) and ($\pi^+,\pi^+\pi^{\pm}p$), were detected with the CHAOS spectrometer. Results are reported in the form of both differential and total cross sections, and are compared to theoretical predictions and the reaction phase space. The present investigation of the T-dependence of the $\pi^+ A \to \pi^+\pi^{\pm} A'$ reaction complements earlier examinations of the A-dependence of the reaction, which was measured using $^{2}H$, $^{4}He$, $^{12}C$, $^{16}O$, $^{40}Ca$, and $^{208}Pb$ targets at $\sim$280 MeV. Some general properties of the pion-induced pion production reaction in nuclear matter will be presented, based on the combined results of the two studies.Comment: 23 pages, Latex, accepted for publication in Nucl. Phys.

First determination of the one-proton induced Non-Mesonic Weak Decay width of p-shell {\Lambda}-Hypernuclei

Previous studies of proton and neutron spectra from Non-Mesonic Weak Decay of eight Lambda-Hypernuclei (A = 5-16) have been revisited. New values of the ratio of the two-nucleon and the one-proton induced decay widths, Gamma_2N/Gamma_p, are obtained from single proton spectra, Gamma_2N/Gamma_p = 0.50 +/- 0.24, and from neutron and proton coincidence spectra, Gamma_2N/Gamma_p = 0.36 +/- 0.14stat +0.05sys -0.04sys , in full agreement with previously published ones. With these values, a method is developed to extract the one-proton induced decay width in units of the free Lambda decay width, Gamma_p/Gamma_Lambda, without resorting to Intra Nuclear Cascade models but by exploiting only experimental data, under the assumption of a linear dependence on A of the Final State Interaction contribution. This is the first systematic determination ever done and it agrees within the errors with recent theoretical calculations.Comment: 16 pages, 3 figures, 2 table

Functional heartburn has more in common with functional dyspepsia than with non-erosive reflux disease

INTRODUCTION: Functional dyspepsia and non-erosive reflux disease (NERD) are prevalent gastrointestinal conditions with accumulating evidence regarding an overlap between the two. Still, patients with NERD represent a very heterogeneous group and limited data on dyspeptic symptoms in various subgroups of NERD are available. AIM: To evaluate the prevalence of dyspeptic symptoms in patients with NERD subclassified by using 24 h impedance-pH monitoring (MII-pH). METHODS: Patients with typical reflux symptoms and normal endoscopy underwent impedance-pH monitoring off proton pump inhibitor treatment. Oesophageal acid exposure time (AET), type of acid and non-acid reflux episodes, and symptom association probability (SAP) were calculated. A validated dyspepsia questionnaire was used to quantify dyspeptic symptoms prior to reflux monitoring. RESULTS: Of 200 patients with NERD (105 female; median age, 48 years), 81 (41%) had an abnormal oesophageal AET (NERD pH-POS), 65 (32%) had normal oesophageal AET and positive SAP for acid and/or non-acid reflux (hypersensitive oesophagus), and 54 (27%) had normal oesophageal AET and negative SAP (functional heartburn). Patients with functional heartburn had more frequent (p<0.01) postprandial fullness, bloating, early satiety and nausea compared to patients with NERD pH-POS and hypersensitive oesophagus. CONCLUSION: The increased prevalence of dyspeptic symptoms in patients with functional heartburn reinforces the concept that functional gastrointestinal disorders extend beyond the boundaries suggested by the anatomical location of symptoms. This should be regarded as a further argument to test patients with symptoms of gastro-oesophageal reflux disease in order to separate patients with functional heartburn from patients with NERD in whom symptoms are associated with gastro-oesophageal reflux