The creation of hot Ca-like fragments was investigated in the 40Ca +40Ca reaction at 35 AMeV.Using the AMPHORA 4π detector system, the primary projectile-like fragment was reconstructed and ...itsproperties were determined. Both primary and secondary distributions are compared with the predictionsof a Monte Carlo code describing a heavy-ion collision as a two-step process. Some of the nucleons whichare identified as participants in the first step are transferred in the second step to these final states, whichcorrespond on the average to the maximum value of entropy (thermodynamic probability). The modelallows for competition between mean-field effects and nucleon-nucleon interactions in the overlap zone ofthe interacting nuclei. The analysis presented here suggests a thermalized source picture of the decay ofthe projectile-like fragment. The validity of the reconstruction procedure for projectile-like fragments isdiscussed. (Springer)
Abstract Introduction Physical rehabilitation programs for kidney transplant recipients are not routinely personalized to patients' physical and emotional health, which could result in a potentially ...limited health impact, shorter-term participation, and an overall low success rate. Materials and Methods We conducted an internal review board–approved randomized prospective study involving a 12-month supervised multidisciplinary rehabilitation program (GH method) initiated after kidney transplantation in obese recipients (body mass index >30). The new method incorporates 3 major components: physical exercise, behavioral interventions, and nutritional guidance. We compared 9 patients who underwent supervised rehabilitation with 8 patients who underwent standard care. Patients were followed up after the start of the intervention, and multiple assessments were performed. Results The adherence to training and follow-up was 100% in the intervention group, compared with 25% at 12 months in the control group. There was a trend for a higher glomerular filtration rate in the intervention group compared with the control group (55.5 ± 18.6 mL/min/1.73 m2 vs 38.8 ± 18.9 mL/min/1.73 m2 , P = .06). The quality of life (SF-36) mean score improved more in the intervention group compared with the control group (583 ± 13 vs 436 ± 22, P = .008). There was a significantly higher employment rate in the intervention group, 77.7% at 12 months compared with 12.5% in the control group ( P = .02). Conclusions Our preliminary results suggest that this comprehensive approach to physical rehabilitation can improve adherence, kidney function, quality of life, and employment rate for obese patients after kidney transplantation.
