High Statistics Search for the θ+ (1.54) Pentaquark State

We have searched for θ+(1.54)→K0p decays using data from the 1999 run of the HyperCP experiment at Fermilab. We see no evidence for a narrow peak in the KS0p mass distribution near 1.54  GeV/c among 106 000 KS0p candidates, and obtain an upper limit for the fraction of θ+(1.54) to KS0p candidates o

Beam-Target Double-Spin Asymmetry A(LT) in Charged Pion Production from Deep Inelastic Scattering on a Transversely Polarized (3)He Target at 1.4

We report the first measurement of the double-spin asymmetry ALT for charged pion electroproduction in semi-inclusive deep-inelastic electron scattering on a transversely polarized 3He target. The kinematics focused on the valence quark region, 0.1622. The corresponding neutron ALT asymmetries were extracted from the measured 3He asymmetries and proton over 3He cross section ratios using the effective polarization approximation. These new data probe the transverse momentum dependent parton distribution function g1Tq and therefore provide access to quark spin-orbit correlations. Our results indicate a positive azimuthal asymmetry for π- production on 3He and the neutron, while our π+ asymmetries are consistent with zero

Macular edema after cataract surgery in eyes with and without pseudoexfoliation syndrome

Background: The purpose of the study was to identify macular edema after cataract surgery in eyes with and without pseudoexfoliation syndrome. The study was a post-hoc analysis of a randomized, double-blind, prospective single-center study. Patients were enrolled between January 2016 and October 2016 as per the national guidelines for the management of cataract in the Department of Ophthalmology, Kymenlaakso Central Hospital, Kotka, Finland. Methods: One hundred and fifty-six eyes of 149 patients undergoing routine cataract surgery. Postoperatively anti-inflammatory medication was either dexamethasone (N = 78) or diclofenac (N = 78). Spectral domain optical coherence tomography imaging and laser flare meter measurement of the anterior chamber were conducted before surgery and at the control visit 28 days postoperatively. Results: Baseline variables were comparable between eyes with pseudoexfoliation syndrome (N = 32) and those without (N = 124), except for intraocular pressure (P = 0.002) and glaucoma medication (P <0.001). In patients having pseudoexfoliation syndrome, central retinal thickness increase (mean +/- standard error of the mean) was 63.3 +/- 35.5 mu m for dexamethasone and 17.6 +/- 5.8 mu m for diclofenac, compared to 28.9 +/- 8.0 mu m (P = NS) and 6.9 +/- 1.3 mu m (P = 0.014) in eyes without pseudoexfoliation syndrome, respectively. Aqueous flare at 28 days was 25.8 +/- 5.4 pu/ms for patients with pseudoexfoliation syndrome and 18.3 +/- 1.8 pu/ms for those without (P = 0.030). Best corrected visual acuity gain and best corrected visual acuity at 28 days were less in patients having pseudoexfoliation syndrome compared to those without (0.39 +/- 0.07 vs 0.59 +/- 0.03 decimals, P = 0.007; and 0.77 +/- 0.06 vs 0.92 +/- 0.03 decimals, P = 0.008, respectively). Conclusion: Eyes with pseudoexfoliation syndrome may be predisposed to an increased aqueous flare and macular edema after cataract surgery. This study outlines the need to determine the optimal anti-inflammatory medication after cataract surgery in patients with pseudoexfoliation syndrome.Peer reviewe

Person‐Centered Emotional Support and Gender Attributions in Computer‐Mediated Communication

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/98127/1/hcre12006.pd

Laparoscopic ventral rectopexy in male patients with external rectal prolapse is associated with a high reoperation rate

Background Laparoscopic ventral rectopexy has been used to treat male patients with external rectal prolapse, but evidence to support this approach is scarce. The aim of this study was to evaluate the results of this new abdominal rectopexy surgical technique in men. Methods This was a retrospective multicenter study. Adult male patients who were operated on for external rectal prolapse using ventral rectopexy in five tertiary hospitals in Finland between 2006 and 2014 were included in the study. Patient demographics, detailed operative, postoperative and short-term follow-up data were collected from patient registers in participating hospitals. A questionnaire and informed consent form was sent to all patients. The questionnaire included scores for anal incontinence, obstructed defecation syndrome, urinary symptoms and sexual dysfunction. The main outcome measure was the incidence of recurrent rectal prolapse. Surgical morbidity, the need for surgical repair due to recurrent symptoms and functional outcomes were secondary outcome measures. Results A total of 52 adult male patients with symptoms caused by external rectal prolapse underwent ventral rectopexy. The questionnaire response rate was 64.4 %. Baseline clinical characteristics and perioperative results were similar in the responder and non-responder groups. A total of 9 (17.3 %) patients faced complications. There were two (3.8 %) serious surgical complications during the 30-day period after surgery that necessitated reoperation. None of the complications were mesh related. Recurrence of the prolapse was noticed in nine patients (17 %), and postoperative mucosal anal prolapse symptoms persisted in 11 patients (21 %). As a result, the reoperation rate was high. Altogether, 17 patients (33 %) underwent reoperation during the follow-up period due to postoperative complications or recurrent rectal or mucosal prolapse. According to the postoperative questionnaire data, patients under 40 had good functional results in terms of anal continence, defecation, urinary functions and sexual activity. Conclusions Laparoscopic ventral rectopexy is a safe surgical procedure in male patients with external prolapse. However, a high overall reoperation rate was noticed due to recurrent rectal and residual mucosal prolapse. This suggests that the ventral rectopexy technique should be modified or combined with other abdominal or perineal methods when treating male rectal prolapse patients.Peer reviewe

Well-Being: From Concept to Practice?

‘Well-being’ has become a high-profile and contested issue, for both policy and practice, since its introduction as an integral part of the Care Act (2014). A dynamic and fluid concept, the researchers were interested in how qualified social workers conceptualise concept of well-being. This small-scale qualitative study, arising from a partnership between a university and a local authority within England, explored how social workers, in one adult social work service, conceptualized ‘well-being’ in relation to service users who both did have the mental capacity, and also those who lacked capacity, to make informed decisions in relation to their care and support needs. The researchers adopted an interpretivist, qualitative approach to the research and used thematic analysis of the rich data arising from individual and group discussions. Interesting differences emerged that, we propose, related to the practitioners’ dominant ‘cognitive style’ or over-arching approach to considering how individuals, with and without capacity, defined their own well-being, becoming more risk-averse when considering the well-being (as defined within the Care Act 2014) of an individual who lacked capacity. Whilst local authorities have a duty under the Care Act to promote an individual’s well-being, firmly locating the well-being principle at the heart of adult social work assessments, it is important to remember that this is a concept that is mainly self-defined. However, the ways in which practitioners conceptualise well-being influence both how they approach an assessment, and indeed how they seek to build relationships with the person being assessed. Bringing the different cognitive styles to practitioners’ attention, we believe, provides an opportunity to challenge their own and their colleagues’ biases, whether systemic or individual, and free them to embrace the fluidity of experience and well-being, for all individuals seeking to access services

ECCC TEST PROGRAMME AND DATA ASSESSMENT ON GTD111 CREEP RUPTURE, STRAIN AND DUCTILITY

GTD111, a creep resistant Ni-based superalloy developed by GE, is widely used in land-based gas turbine first stage blades. However, there is little published information on its creep properties and microstructure. The European Creep Collaborative Committee (ECCC) Working Group 3C consequently selected GTD111 as a model material for testing and complementary data assessment. The aim of this paper is to present the results from the ECCC test program and data assessment, and to compare equiaxed (EA) and directionally solidified (DS) material performance. Testing and metallographic laboratories from six European nations collaborated to produce strain monitored creep rupture data on four EA and DS materials out to beyond 10,000 hours within a wide range of temperatures, 850-950°C, and stresses, 293-99 MPa. Available (generally short term) results from other sources were also included in the compiled, small but viable, 51-test data set. Assessment was carried out by three different assessors using different tools and adopting different prediction models. Conventional ECCC post-assessment techniques and novel “back-fitting” methods were used to identify a preferred model. It was shown that assessing all the EA and DS data together can lead to non-conservative predictions for EA materials, but separating the two classes creates small data subsets which cannot be modelled effectively. As a pragmatic compromise, the DS data and those EA data which also showed good ductility were included in a final "ductile GTD111" assessment. The resulting creep rupture material models and rupture strength predictions are presented up to 3 times the longest test duration. It was then shown that the performance of lower ductility EA materials can also be predicted effectively with the "ductile" model by truncating the rupture time at the measured fracture strain. For this exercise, a creep strain model based on rupture and time to strain data was fitted. In parallel, microstructural examination was performed to characterize the damage modes involved in the low ductility failures. It was thereby shown that the creep rupture strength shortfall of an EA material compared to its DS equivalent is not a constant factor, but is primarily governed by the reduced creep ductility. Hence, the shortfall varies between different EA casts, and tends to become greater in the longer term.JRC.F.4-Innovative Technologies for Nuclear Reactor Safet

THE RESULTS OF PANCREATIC RESECTIONS AND LONG- TERM SURVIVAL FOR PANCREATIC DUCTAL ADENOCARCINOMA : A SINGLE-INSTITUTION EXPERIENCE

Objectives: Since the early 1990s, low long-term survival rates following pancreatic surgery for pancreatic ductal adenocarcinoma have challenged us to improve treatment. In this series, we aim to show improved survival from pancreatic ductal adenocarcinoma during the era of centralized pancreatic surgery. Methods: Analysis of all pancreatic resections performed at Helsinki University Hospital and survival of pancreatic ductal adenocarcinoma patients during 2000-2013 were included. Post-operative complications such as fistulas, reoperations, and mortality rates were recorded. Patient and tumor characteristics were compared with survival data. Results: Of the 853 patients undergoing pancreatic surgery, 581 (68%) were pancreaticoduodenectomies, 195 (21%) distal resections, 28 (3%) total pancreatectomies, and 49 (6%) other procedures. Mortality after pancreaticoduodenectomy was 2.1%. The clinically relevant B/C fistula rate was 7% after pancreaticoduodenectomy and 13% after distal resection, and the re-operation rate was 5%. The 5- and 10-year survival rates for pancreatic ductal adenocarcinoma were 22% and 14%; for T1-2, N0 and R0 tumors, the corresponding survival rates were 49% and 31%. Carbohydrate antigen 19-9 >75 kU/L, carcinoembryonic antigen >5 mu g/L, N1, lymph-node ratio >20%, R1, and lack of adjuvant therapy were independent risk factors for decreased survival. Conclusion: After centralization of pancreatic surgery in southern Finland, we have managed to enable pancreatic ductal adenocarcinoma patients to survive markedly longer than in the early 1990s. Based on a 1.7-million population in our clinic, mortality rates are equal to those of other high-volume centers and long-term survival rates for pancreatic ductal adenocarcinoma have now risen to some of the highest reported.Peer reviewe

Which comforting messages really work best? A different perspective on Lemieux and Tighe’s “receiver perspective”

Abstract OnlyThis article responds critically to a recent article by Lemieux and Tighe (Communication Research Reports, 21, 144–153, 2004) in which the authors conclude that recipients of comforting efforts prefer messages that exhibit a moderate rather than high level of person centeredness. It is argued that an erroneous assumption made by Lemieux and Tighe about the status of “receiver perspective” research on the comforting process led to faulty interpretations of the data and unwarranted conclusions about recipient preferences regarding comforting messages. Alternative interpretations of Lemieux and Tighe's data are presented; these are guided by the extensive previous research that has assessed evaluations and outcomes of comforting messages