The aim of this systematic review was to summarize the results of trials evaluating interventions for the reduction of sarcopenia in patients undergoing surgery.
Searches were conducted using the ...Cochrane Central Register of Controlled Trials, MEDLINE and Embase. RCTs evaluating exercise, dietary or pharmacological interventions to address sarcopenia in the perioperative period were included. Treatment effect estimates were expressed as standardized mean differences (MDs) with confidence intervals, and heterogeneity was expressed as I2 values.
Seventy trials including 3402 participants were selected for the data synthesis. Exercise interventions significantly increased muscle mass (MD 0.62, 95 per cent c.i. 0.34 to 0.90; P < 0.001), muscle strength (MD 0.55, 0.39 to 0.71; P < 0.001), measures of gait speed (MD 0.42, 0.05 to 0.79; P = 0.03), and reduced time for completion of set exercises (MD -0.76, -1.12 to -0.40; P < 0.001) compared with controls. Subgroup analysis showed that interventions in the early postoperative period were more likely to have a positive effect on muscle mass (MD 0.71, 0.35 to 1.07; P < 0.001) and timed tests (MD -0.70, -1.10 to -0.30; P = 0.005) than preoperative interventions. Treatment effects on muscle mass (MD 0.09, -0.31 to 0.49; P = 0.66) and strength (MD 0.46, -0.01 to 0.92; P = 0.05) were attenuated by the presence of cancer. Results of analyses restricted to nine trials at low risk of allocation concealment bias and fourteen trials at low risk of attrition bias were comparable to those of the primary analysis. Risk-of-bias assessment showed that most trials were at high risk of incomplete outcome and attrition bias, thus reducing the estimate of certainty of the evidence according to the GRADE assessment tool.
Exercise interventions appear beneficial in reducing the impact of sarcopenia. Because of the high risk of bias and low certainty of the current evidence, large RCTs using standardized measures of muscle mass should be undertaken.
We present the measurement of negative ion drift velocities and mobilities for innovative particle tracking detectors using gas mixtures based on SF6. This gas has recently received attention in the ...context of directional Dark Matter searches, thanks to its high Fluorine content, reduced diffusion and multiple species of charge carriers, which allow for full detector fiducialization. Our measurements, performed with a 5 cm drift distance Negative Ion Time Projection Chamber, show the possibility of negative ion operation in pure SF6 between 75 and 150 Torr with triple thin GEM amplification, confirming the attractive potentialities of this gas. Above all, our results with the mixture He:CF4:SF6 360:240:10 Torr demonstrate for the first time the feasibility of SF6− negative ion drift and gas gain in He at nearly atmospheric pressure, opening very interesting prospects for the next generation of directional Dark Matter detectors.
The search for a novel technology, which is able to detect and reconstruct nuclear recoil events in the keV energy range, has become increasingly important now that vast regions of high mass ...weakly-interacting-massive-particle-like dark matter candidates have been excluded. Gaseous time projection chambers (TPC) with optical readout are very promising candidates combining the complete event information provided by the TPC technique with the high sensitivity and granularity of the latest generation light sensors. A TPC with an amplification at the anode, obtained with gas electron multipliers (GEMs), was tested at the Laboratori Nazionali di Frascati. Photons and neutrons from radioactive sources were employed to induce recoiling nuclei and electrons with kinetic energy in the range 1-100 keV. A He-CF4 (60/40) gas mixture was used at atmospheric pressure and the light produced during the multiplication in the GEM channels was acquired by a high-position resolution and low-noise complementary metal-oxide semiconductor camera and a photomultiplier. A multi-stage pattern recognition algorithm based on an advanced clustering technique is presented here. A number of cluster-shaped observables are used to identify nuclear recoils induced by neutrons, which originated from a AmBe source against x-ray 55Fe photoelectrons. An efficiency of 18% to detect nuclear recoils with an energy of about 6 keV is reached, while suppressing 96% of the 55Fe photoelectrons, making this optical read-out gas TPC a very promising candidate for future investigations of ultra-rare events such as directional direct dark matter searches.
The electron-positron collider DA Phi NE, the Italian Phi factory, has been recently upgraded in order to implement an innovative collision scheme based on large crossing angle, small beam sizes at ...the crossing point, and compensation of beam-beam interaction by means of sextupole pairs creating a "crab-waist" configuration in the interaction region. Experimental tests of the novel scheme exhibited an increase by a factor of 3 in the peak luminosity of the collider with respect to the performances reached before the upgrade. In this Letter we present the new collision scheme, discuss its advantages, describe the hardware modifications realized for the upgrade, and report the results of the experimental tests carried out during commissioning of the machine in the new configuration and standard operation for the users.
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CMK, CTK, FMFMET, IJS, NUK, PNG, UM
Abstract
Active Pixel sensors play a crucial role in enabling successful low-light scientific experiments due to their inherent advantages and capabilities. Such devices not only offer high spatial ...resolution but also feature individual pixels with integrated amplifiers, allowing for direct signal amplification at the pixel level. This results in reduced readout noise and improved signal-to-noise ratio (SNR), which are particularly vital when dealing with limited photon counts in low-light environments. This holds particularly true for scientific CMOS (sCMOS) sensors, acknowledged as an advanced evolution of Active Pixel sensors. However, despite their advantages, such sensors can still exhibit limitations such as higher cost and presence of noise artifacts that should be closely investigated. In particular, CYGNO project fits in a global effort aimed at direct detection of Dark Matter particles. CYGNO collaboration intends to build a detector based on a Time Projection Chamber making use of Gas Electron Multipliers for the amplification of ionization electrons. The GEM multiplication process produces photons that can be readout by a high-resolution sCMOS sensor. Such detection system is being designed to have enough sensitivity to detect low-energy particles and to measure released energy with enough granularity so to reconstruct direction and energy profile along their trajectories. The image sensor has an important role in the detector performance, having a direct impact on the SNR of the experiment. This work proposes a study on the performance of three different sCMOS sensors with respect to their sensitivity to low-energy particles and their intrinsic noise, which are of the utmost importance for various scientific experiments.
Abstract
The CYGNO experiment aims to study rare events related to the search for low-mass dark matter and solar neutrino events. One of the main components of background comes from cosmic rays that ...generate long tracks in the detector’s images. The interaction of such particles with the gas releases a variable energy profile along its trajectory to form tracks with multiple cores that can be easily reconstructed erroneously by being split into more than one cluster. Thus, this work offers a newly adapted version of the well-known density-based spatial clustering of applications with noise (DBSCAN) algorithm, called iDDBSCAN, which exploits the directional characteristics of the clusters found by the DBSCAN to improve its clustering efficiency when dealing with multi-core tracks. This paper provides a detailed explanation of this algorithm, covering its parameter validation and evaluating its influence when integrated into the experiment’s event selection routine. To generate background events, data acquisition was performed with the detector installed in an overground laboratory, leaving it exposed to natural radiation. To produce signals in the energy range of interest for the experiment, a
55
Fe radioactive source was used. The achieved results showed that the iDDBSCAN algorithm is capable of improving the background rejection of the experiment, through a more accurate reconstruction of the tracks produced by natural radiation such as cosmic rays, without deteriorating its signal detection efficiency and energy estimation.
Summary
The advent of modern treatments together with the improvement of the surgical techniques has significantly increased 5‐year survival rates of young patients with cancer. Although the ...deleterious effects of chemotherapy and radiation are well documented, controversies exist about the effect of cancer itself on semen parameters before treatment. We collected data on 236 patients representative of different types of cancers reoffered at our institution for sperm cryopreservation with the aim to correlate the pre‐freeze semen parameters with type of cancer, disease stage and with semen quality of 102 fertile and healthy men. The median baseline semen parameters of all our patients with cancer are placed above the 5th percentile of the World Health Organization reference value, but the type of cancer may impact the sperm parameters. In testicular tumours and in Hodgkin lymphoma, we show a semen concentration statistically lower than in the fertile population, while in patients with other cancers, there is no difference with the healthy men. We found no correlation between semen quality and disease stage. Eighty‐six per cent of our patients do not have children at the time of semen cryopreservation, and the only established clinical option for preserving fertility of these men is cryopreservation of spermatozoa.
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DOBA, FZAB, GIS, IJS, IZUM, KILJ, NLZOH, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBMB, UILJ, UKNU, UL, UM, UPUK
Optical readout of GEM based devices by means of high granularity and low noise CMOS sensors allows to obtain very interesting tracking performance. Space resolution of the order of tens of μm were ...measured on the GEM plane along with an energy resolution of 20%÷30%. The main limitation of CMOS sensors is represented by their poor information about time structure of the event. In this paper, the use of a concurrent light readout by means of a suitable photomultiplier and the acquisition of the electric signal induced on the GEM electrode are exploited to provide the necessary timing informations. The analysis of the PMT waveform allows a 3D reconstruction of each single clusters with a resolution on z of 100 μm. Moreover, from the PMT signals it is possible to obtain a fast reconstruction of the energy released within the detector with a resolution of the order of 25% even in the tens of keV range useful, for example, for triggering purpose.
We have searched for a deeply bound kaonic state by using the FINUDA spectrometer installed at the e(+)e(-) collider DAPhiNE. Almost monochromatic K(-)'s produced through the decay of phi(1020) ...mesons are used to observe K(-) absorption reactions stopped on very thin nuclear targets. Taking this unique advantage, we have succeeded to detect a kaon-bound state K(-)pp through its two-body decay into a Lambda hyperon and a proton. The binding energy and the decay width are determined from the invariant-mass distribution as 115(+6)(-5)(stat)(+3)(-4)(syst) MeV and 67(+14)(-11)(stat)(+2)(-3)(syst) MeV, respectively.
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The performance and long term stability of an optically readout Time Projection Chamber with an electron amplification structure based on three Gas Electron Multipliers was studied. He/CF4 based gas ...mixtures were used in two different proportions (60/40 and 70/30) in a CYGNO prototype with 7 litres sensitive volume. With electrical configurations providing very similar electron gains, an almost full detection efficiency in the whole detector volume was found with both mixtures, while a light yield about 20% larger for the 60/40 was found. The electrostatic stability was tested by monitoring voltages and currents during 25 days. The detector worked in very stable and safe condition for the whole period. In the presence of less CF4, a larger probability of unstable events was clearly detected.
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