947 resultados para hyperpolarized gases, He-3, MRI, lung, administration unit
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Knowledge of the He-3(He-3,2p)He-4 reaction is important for understanding stellar burning and solar neutrino production. Previous measurements have found a surprisingly large rise in the cross section at low energies that could be due to a low-energy resonance in the He-3 + He-3 (Be-6) system or electron screening. In the Be-6 nucleus, however, no excited states have been observed above the first 2(+) state at E (x) = 1.67 MeV up to 23 MeV, even though several are expected. The H-2(Be-7,H-3)Be-6 reaction has been studied for the first time to search for resonances in the Be-6 nucleus that may affect our understanding of the He-3(He-3,2p)He-4 reaction. A 100-MeV radioactive Be-7 beam from the Holifield Radioactive Ion Beam Facility (HRIBF) was used to bombard CD2 targets, and tritons were detected by using the silicon detector array (SIDAR). A combination of reaction mechanisms appears to be necessary to explain the observed triton energy spectrum.
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In the process of creation of the Unified Health System (SUS) as a universal policy seeking to ensure comprehensive care, unscheduled assistance in primary healthcare units (UBS) is an unresolved challenge. The scope of this paper is to analyze the viewpoint of health professionals on the role of primary healthcare units in meeting this demand. It is a transversal study of qualitative data obtained through questionnaires and interviews with 106 medical practitioners from 6 emergency medical services and 190 professionals from 30 units. They explained why people seek emergency care for occurrences pertaining to primary care. The content analysis technique with thematic categories was used for data analysis. Lack of resources and problems with primary health unit work processes (50.8%) were the reasons most frequently cited by emergency care physicians to explain this inadequate demand. Only 33.3% of the health unit professionals agreed that these occurrences should be attended in the primary healthcare services. The limited viewpoint of the role of health services on the unscheduled care, particularly among primary care professionals, possibly leads to restrictive practices for access by the population.
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Context: The aberrant processing of salience is thought to be a fundamental factor underlying psychosis. Cannabis can induce acute psychotic symptoms, and its chronic use may increase the risk of schizophrenia. We investigated whether its psychotic effects are mediated through an influence on attentional salience processing. Objective: To examine the effects of Delta 9-tetrahydrocannabinol (Delta 9-THC) and cannabidiol (CBD) on regional brain function during salience processing. Design: Volunteers were studied using event-related functional magnetic resonance imaging on 3 occasions after administration of Delta 9-THC, CBD, or placebo while performing a visual oddball detection paradigm that involved allocation of attention to infrequent (oddball) stimuli within a string of frequent (standard) stimuli. Setting: University center. Participants: Fifteen healthy men with minimal previous cannabis use. Main Outcome Measures: Symptom ratings, task performance, and regional brain activation. Results: During the processing of oddball stimuli, relative to placebo, Delta 9-THC attenuated activation in the right caudate but augmented it in the right prefrontal cortex. Delta 9-Tetrahydrocannabinol also reduced the response latency to standard relative to oddball stimuli. The effect of Delta 9-THC in the right caudate was negatively correlated with the severity of the psychotic symptoms it induced and its effect on response latency. The effects of CBD on task-related activation were in the opposite direction of those of Delta 9-THC; relative to placebo, CBD augmented left caudate and hippocampal activation but attenuated right prefrontal activation. Conclusions: Delta 9-Tetrahydrocannabinol and CBD differentially modulate prefrontal, striatal, and hippocampal function during attentional salience processing. These effects may contribute to the effects of cannabis on psychotic symptoms and on the risk of psychotic disorders.
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Unpolarized cross sections and double-helicity asymmetries of single-inclusive positive and negative charged hadrons at midrapidity from p + p collisions at root s = 62.4 GeV are presented. The PHENIX measurement of the cross sections for 1.0 < p(T) < 4.5 GeV/c are consistent with perturbative QCD calculations at next-to-leading order in the strong-coupling constant, alpha(s). Resummed pQCD calculations including terms with next-to-leading-log accuracy, yielding reduced theoretical uncertainties, also agree with the data. The double-helicity asymmetry, sensitive at leading order to the gluon polarization in a momentum-fraction range of 0.05 less than or similar to x(gluon) less than or similar to 0.2, is consistent with recent global parametrizations disfavoring large gluon polarization.
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In this work a novel design concept for folded oligomers is presented. The concept involves the insertion of a rigid spacer, the 1,3-bis(ethynylene)benzene unit, into linear alkyl-chain oligomers. Number and position of these spacers determine the molecular conformation of the oligomers in crystalline assemblies. In this way, chain folding is induced on crystallization at the air-water interface and in bulk. The packing arrangements in the crystalline monolayers were determined by grazing inzidence X-ray diffraction.
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Dendrimere spielen als strukturtreue Nanopartikel eine herausragende Rolle. Ziel dieser Arbeit war, Dendrimere mit einer hohen Dichte an photoaktiven Chromophoren herzu-stellen und zu untersuchen. Dazu wurden die terminalen Aminogruppen von Poly(propylenimin)dendrimeren 1. und 2. Generation, Astramol DAB-Am-4R und DAB-Am-8R, mit Stilbenen und Styrylstilbenen als Chromophor verknüpft. Mittels Wittig-Horner- und Heck-Reaktion wurden (E)-Stilbene aufgebaut, die auf der einen Seite drei Propoxygruppen zur Verbesserung der Löslichkeit und auf der anderen Seite eine passende Funktionalität zur Verknüpfung mit dem dendritischen Core tragen. Als Verknüpfungsmethoden wurden die Verknüpfung als Amid (PSDA), Schiffsche Base (PSDS) und Harnstoff (PSDH) getestet. Die Schiffschen Basen wurden außerdem zur Erhöhung der Hydrolysestabilität zum sekundären Amin reduziert (PSDR und PQDR). Durch die Verknüpfung mit dem Core werden die stilbenoiden Chromophore sehr stark photoaktiviert. Das beruht auf einem Singulett-Energietransfer (Förster-Mechanismus) von Chromophor zu Chromophor. Dieser Prozeß konkurriert zu den Deaktivierungsprozessen, verlängert die mittlere S1-Lebensdauer und erhöht somit die Chancen der Photochemie. Der Styrylstilben-Chromophor hat darüber hinaus einen erheblichen Teil seiner UV-Absorbtion bereits im Tageslicht und photopolymerisiert daher bereits im Tageslicht. Vor allem bei den Dendrimeren 2. Generation stellte sich die Frage nach der vollständigen, d.h. achtfachen Umsetzung; das Core sollte als Knäuel vorliegen, die Arme zum Teil nach innen gefaltet und somit dem Reaktand nur bedingt zugänglich. Auch dort konnten unter optimierten Reaktionsbedingungen alle Aminogruppen umgesetzt werden. Die vollständige Umsetzung der Dendrimere wurde mittels NMR und massenspektroskopischen Methoden untersucht. Bei den Absorptionsspektren der Dendrimere 1. Generation ändert sich die Lage der Maxima je nach Art der Verknüpfung der Chromophore mit dem Core. Die Verlängerung des Chromophors um eine Styryleinheit bedingt eine beträchtliche Rotverschiebung. Die Lage der Emissionsmaxima differiert stärker als die Lage der Absorptionsmaxima. Den geringsten Stokes-Shift weist der Harnstoff auf, dann folgt das sekundäre Amin, dann die Schiffsche Base. Dies weist auf unterschiedlich relaxierte S1-Geometrien hin. Die Verbindungen PSDS1, PSDR1 und PSDH1 aus 3,4,5-Tripropoxystilbeneinheit und Astramol-Core 1. Generation DAB-Am-4 wurden in einer Konzentration von 10-5 mol/L belichtet. Der vollständige Photoabbau durch Belichtung in Chloroform mit einer Xenon-Lampe erfolgte ohne jeglichen Filter innerhalb von zehn Minuten (PSDH1), 20 Minuten (PSDR1) und einer Stunde (PSDS1). Allen drei Verbindungen gemeinsam ist das Entstehen eines intermediären neuen Maximums geringer Intensität, das um etwa 100 nm bathochrom verschoben ist. Das Harnstoffsystem weist außerdem ein weiteres intermediäres Maximum bei 614 nm auf. Diese Maxima können (laut früherer Untersuchungen) durch Oxidation entstandenen chinoiden Strukturen zugeordnet werden, deren Lebensdauer (im Sekundenbereich) zu kurz für eine NMR-Charakterisierung ist. PSDR1 wurde außerdem bei höheren Konzentrationen (10-4 und 10-3 mol/L) mit einer Quecksilberlampe mit Pyrex-Filter (lambda > 300 nm) belichtet. Dabei wird, wie erwartet, eine Verbreiterung der NMR-Signale beobachtet. Es bildet sich zunächst cis-Stilben. Außerdem läßt sich bei 4.3 ppm ein Signal beobachten, das von inter- oder intramolekular gebildeten Methinprotonen herrührt. Auch wenn laut MOPAC- und Kraftfeldrechnung die Doppelbindungen ungünstig für eine [pi2s + pi2s]-Cyclodimerisierung zueinander stehen, kann im photochemisch angeregten Zustand eine Geometrie vorherrschen, die die intramolekulare Kopf-Kopf-Cyclobutanbildung ermöglicht. Die massenspektrometrischen Untersuchungen der Belichtungsprodukte (FD, ESI, MALDI-TOF) zeigen als höchste Masse lediglich das Monomer. Allerdings kann dadurch nicht auf eine rein intramolekulare Reaktion geschlossen werden. Die fortschreitende statistische CC-Verknüpfung kann schnell zu vernetzten Nanopartikeln führen, die im Massenspektrometer nicht fliegen. Die NMR-Spektren der mit zunehmender Vernetzung immer schlechter löslich werdenden Teilchen belegen die Oligomerisierung.
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OBJECTIVE: (1) To analyse the imaging appearances of nine patients with acromioclavicular joint cysts presenting as shoulder masses for tumor staging with operative, histopathological and joint aspiration findings.DESIGN AND PATIENTS: Retrospective review of imaging and correlation with clinical, operative and surgical notes. Images were reviewed by two musculoskeletal radiologists by consensus. Nine patients who presented clinically with a shoulder mass were evaluated by radiographs (n=9), ultrasound (n=1), conventional arthrography (n=3), MRI (n=6; with direct MR arthrography n=2, indirect MR arthrography n=4).RESULTS: All patients had a focal mass superior to the AC joint, with a size ranging from 1.5 cm to 6 cm and a mean of 3.27 cm. Correlation was available with surgery (n=7), histopathology (n=2) and cyst aspiration (n=2). Two patients were managed conservatively. Geyser sign was positive in all three arthrograms. All MRIs revealed extensive rotator cuff tears with a column of fluid extending from the glenohumeral joint through the rotator cuff tear into the acromioclavicular joint and acromioclavicular cyst. Chondrocalcinosis was seen in the acromioclavicular joint cyst (n=2) and in the glenohumeral joint (n=1). Aspirate in two patients contained calcium pyrophosphate dihydrate crystals.CONCLUSION: Acromioclavicular joint cysts may present as a tumor mass. They are associated with extensive rotator cuff tears and there is usually communication of the cyst with the joint space. This feature excludes a diagnosis of tumor. AC joint cysts may be associated with calcium pyrophosphate dihydrate deposition disease.
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AIM: To study prospectively patients after heart transplantation with respect to quality of life, mortality, morbidity, and clinical parameters before and up to 10 years after the operation. METHODS: Sixty patients (47.9 +/- 10.9 years, 57 men, 3 women) were transplanted at the University of Vienna Hospital, Department for Heart and Thorax Surgery and were included in this study. They were assessed when set on the waiting list, then exactly one, 5 and 10 years after the transplantation. The variables evaluated included physical and emotional complaints, well-being, mortality and morbidity. In the sample of patients who survived 10 years (n = 23), morbidity (infections, malignancies, graft arteriosclerosis, and rejection episodes) as well as quality of life were evaluated. RESULTS: Actuarial survival rates were 83.3, 66.7, 48.3% at 1, 5, and 10 years after transplantation, respectively. During the first year, infections were the most important reasons for premature death. As a cause of mortality, malignancies were found between years 1 and 5, and graft arteriosclerosis between years 5 and 10. Physical complaints diminished significantly after the operation, but grew significantly during the period from 5 to 10 years (p < 0.001). However, trembling (p < 0.05) and paraesthesies (p < 0.01) diminished continuously. Emotional complaints such as depression and dysphoria (both p < 0.05) increased until the tenth year after their nadir at year 1. In long-time survivors, 3 malignancies (lung, skin, thyroidea) were diagnosed 6 to 9 years postoperatively. Three patients (13%) had signs of graft arteriosclerosis at year 10; 9 (40%) patients suffered from rejection episodes during the course of 10 years. There were no serious rejection episodes deserving immediate therapy. Quality of life at 10 years is good in these patients. CONCLUSIONS: Heart transplantation is a successful therapy for patients with terminal heart disease. Long-term survivors feel well after 10 years and report a good quality of life.
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Reconstructions of the deposition rate of windblown mineral dust in ocean sediments offer an important means of tracking past climate changes and of assessing the radiative and biogeochemical impacts of dust in past climates. Dust flux estimates in ocean sediments have commonly been based on the operationally defined lithogenic fraction of sediment samples. More recently, dust fluxes have been estimated from measurements of helium and thorium, as rare isotopes of these elements (He-3 and Th-230) allow estimates of sediment flux, and the dominant isotopes (He-4 and Th-232) are uniquely associated with the lithogenic fraction of marine sediments. In order to improve the fidelity of dust flux reconstructions based on He and Th, we present a survey of He and Th concentrations in sediments from dust source areas in East Asia, Australia and South America. Our data show systematic relationships between He and Th concentrations and grain size, with He concentrations decreasing and Th concentrations increasing with decreasing grain size. We find consistent He and Th concentrations in the fine fraction (<5 μm) of samples from East Asia, Australia and Central South America (Puna-Central West Argentina), with Th concentrations averaging 14 μg/g and He concentrations averaging 2 μcc STP/g. We recommend use of these values for estimating dust fluxes in sediments where dust is dominantly fine-grained, and suggest that previous studies may have systematically overestimated Th-based dust fluxes by 30%. Source areas in Patagonia appear to have lower He and Th contents than other regions, as fine fraction concentrations average 0.8 μcc STP/g and 9 μg/g for 4He and 232Th, respectively. The impact of grain size on lithogenic He and Th concentrations should be taken into account in sediments proximal to dust sources where dust grain size may vary considerably. Our data also have important implications for the hosts of He in long-traveled dust and for the 3He/4He ratio used for terrigenous He in studies of extraterrestrial He in sediments and ice. We also investigate the use of He/Th ratios as a provenance tracer. Our results suggest differences in fine fraction He/Th ratios between East Asia, Australia, central South America and Patagonia, with ratios showing a positive relationship with the geological age of source rocks. He/Th ratios may thus provide useful provenance information, for example allowing separation of Patagonian sources from Puna-Central West Argentina or Australian dust sources. He/Th ratios in open-ocean marine sediments are similar to ratios in the fine fraction of upwind dust source areas. He/Th ratios in mid-latitude South Atlantic sediments suggest that dust in this region primarily derives from the Puna-Central West Argentina region (23–32°S) rather than Patagonia (>38°S). In the equatorial Pacific, He/Th ratios are much lower than in extratropical Pacific sediments or potential source areas measured as a part of this study (East Asia, South America, Australia) for reasons that are at present unclear, complicating their use as provenance tracers in this region.
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Marine endosymbiotic heterocystous cyanobacteria make unique heterocyst glycolipids (HGs) containing pentose (C5) moieties. Functionally similar HGs with hexose (C6) moieties found in free-living cyanobacteria occur in the sedimentary record, but C5 HGs have not been documented in the natural environment. Here we developed a high performance liquid chromatography multiple reaction monitoring (MRM) mass spectrometry (HPLC-MS2) method specific for trace analysis of long chain C5HGs and applied it to cultures of Rhizosolenia clevei Ostenfeld and its symbiont Richelia intracellularis which were found to contain C5 HGs and no C6 HGs. The method was then applied to suspended particulate matter (SPM) and surface sediment from the Amazon plume region known to harbor marine diatoms carrying heterocystous cyanobacteria as endosymbionts. C5 HGs were detected in both marine SPM and surface sediments, but not in SPM or surface sediment from freshwater settings in the Amazon basin. Rather, the latter contained C6 HGs, established biomarkers for free-living heterocystous cyanobacteria. Our results indicate that the C5 HGs may be potential biomarkers for marine endosymbiotic heterocystous cyanobacteria.
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Sediments from the Baja California Continental Margin Transect - Sites 474 and 476 - showed small amounts of C2-C8 hydrocarbons and functionalized compounds (alkenes) typical of organic-rich, Recent, cold (<30°C) marine sediments. In contrast, some samples from Sites 477, 478, 479, and Hole 481A in the Guaymas Basin, an active spreading center, showed the characteristics of thermally generated hydrocarbons. These include an increase (sometimes exponential) in amount and diversity of C2-C8 hydrocarbons and a decrease in alkenes in more thermally mature sediments. The results indicate that the injection of basaltic sills has minimal effect on C2-C8 hydrocarbon generation except in the immediate vicinity of the sill. The absence of light hydrocarbons close to the hottest sills suggests that the compounds distill away as they are formed in these areas of very active hydrothermal circulation. A sample of young sediment exposed to very high temperatures (>300°C) from deeper thermal sources at the hottest site, 477, showed a very limited hydrocarbon distribution, including primarily ethane, benzene, and toluene, together with smaller amounts of propane and butane.
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The distribution of C1 to C8 hydrocarbons in sediment samples from DSDP Leg 75, Hole 530A, indicates that significant amounts of methane and ethane have migrated from organic-rich to organic-lean shales in close proximity. Most compounds larger than ethane are not migrating out of black shales, where they occur in high concentrations. These results lead to a general model for assessing migration. In addition, three shale types are identified on the basis of organic carbon and pyrolysis products and patterns.