The decay of the primordial isotopes 238U, 235U, 232Th, and 40K has contributed to the terrestrial heat budget throughout the Earth's history. Hence, the individual abundance of those isotopes are ...key parameters in reconstructing contemporary Earth models. The geoneutrinos produced by the radioactive decays of uranium and thorium have been observed with the Kamioka Liquid‐Scintillator Antineutrino Detector (KamLAND). Those measurements have been improved with more than 18‐year observation time, and improvement in detector background levels mainly with an 8‐year nearly reactor‐free period, which now permit spectroscopy with geoneutrinos. Our results yield the first constraint on both uranium and thorium heat contributions. The KamLAND result is consistent with geochemical estimations based on elemental abundances of chondritic meteorites and mantle peridotites. The High‐Q model is disfavored at 99.76% C.L. and a fully radiogenic model is excluded at 5.2σ assuming a homogeneous heat producing element distribution in the mantle.
Plain Language Summary
The energy to drive the Earth's engine comes from two different sources: primordial and radiogenic. Primordial energy comes from the added heat by collisions of accreting material and less so by the energy accompanying the sinking of metal to form the core. The radioactive decays of heat producing elements (i.e., potassium, thorium, and uranium) also generate energy and some of these decaying elements produce antineutrinos (geoneutrinos). Geoneutrino measurements provide the Earth's fuel gauge for its radiogenic power supply and insights into the planet's cooling history. The measurement accuracy of the KamLAND experiment has been improved by an 18‐year long‐term observation and a reduction of the significant background generated by commercial reactors. Consequently, modern geoneutrino measurements have entered an era of distinct spectroscopic contributions coming from uranium and thorium. The KamLAND result is consistent with compositional models for the bulk silicate Earth (the crust plus the mantle) predicting low to medium radiogenic heat (10–20 TW (1012 W)) and disfavor high concentration models (30 TW). This constraint sets the best limit on the permissible radiogenic energy budget in the Earth. Geoneutrino observations now begin to make significant contributions to the understanding of fundamental driving forces powering the Earth dynamic behavior.
Key Points
Geoneutrino measurement with low reactor neutrino backgrounds improves the distinct spectroscopic contributions of U and Th
Radiogenic power in the Earth estimated from this geoneutrino measurement is consistent with a range of models and disfavors the higher power model
Identifying the Earth's mantle contribution to the total geoneutrino flux strongly depends on an accurate estimation of the crustal contribution
The KamLAND-Zen 800 experiment is searching for the neutrinoless double-beta decay of 136Xe by using 136Xe-loaded liquid scintillator. The liquid scintillator is enclosed inside a balloon made of ...thin, transparent, low-radioactivity film that we call Inner Balloon (IB). The IB, apart from guaranteeing the liquid containment, also allows to minimize the background from cosmogenic muon-spallation products and 8B solar neutrinos. Indeed these events could contribute to the total counts in the region of interest around the Q-value of the double-beta decay of 136Xe. In this paper, we present an overview of the IB and describe the various steps of its commissioning minimizing the radioactive contaminations, from the material selection, to the fabrication of the balloon and its installation inside the KamLAND detector. Finally, we show the impact of the IB on the KamLAND background as measured by the KamLAND detector itself.
Perforation is a major complication of endoscopic submucosal dissection (ESD) for early gastric cancer (EGC). However, there have been no reports on delayed perforation after ESD for EGC. We aimed to ...elucidate the incidence and outcomes of delayed perforation after ESD. Clinical courses in 1159 consecutive patients with 1329 EGCs who underwent ESD were investigated. Delayed perforation occurred in six patients (0.45 %). All these patients had complete en bloc resection without intraoperative perforation during ESD. Five of six perforations were located in the upper third of the stomach, while one lesion was found in the middle third. Symptoms of peritoneal irritation with rebound tenderness presented within 24 h after ESD in all cases. One patient did not require surgery because the symptoms were localized, and recovered with conservative antibiotic therapy by nasogastric tube placement. The remaining five patients required emergency surgery. There was no mortality in this case series.
Summary
To determine the clinical characteristics of hepatitis B virus (HBV) reactivation in patients undergoing interferon‐free antihepatitis C virus (HCV) therapy, we examined HBV DNA in 25 HBV ...co‐infected patients and 765 patients with resolved HBV infection during and after treatment with direct‐acting antiviral agents (DAAs). Among those with HCV genotype 1, asunaprevir plus daclatasvir was administered to 160 patients, sofosbuvir (SOF) plus ledipasvir to 438 patients and paritaprevir plus ombitasvir and ritonavir to 25 patients. In total, 167 patients with genotype 2 were treated with SOF plus ribavirin. Three patients with an HBV DNA level ≥2000 IU/mL were treated with entecavir before anti‐HCV therapy, without reactivation of HBV. In 3 of 22 (12%) HBV surface antigen (HBsAg)‐positive patients with an HBV DNA level <2000 IU/mL, the viral load increased during treatment. However, hepatitis flare did not occur in these patients. There was no significant difference in clinical history between patients with and without HBV reactivation. Among 765 patients with resolved HBV infection, HBV reactivation occurred in 1 (0.1%) patient after initial resolution, whose HBV DNA level spontaneously decreased after DAA therapy. We compared anti‐HBs titres at baseline with those at post‐DAA therapy in 123 patients without HBsAg. There was no significant difference in anti‐HBs levels between the two points (P = .79). In conclusion, HBV reactivation was rare in HBsAg‐negative patients treated with DAA therapy. Additionally, hepatitis did not occur in HBV‐reactivated patients with a baseline HBV DNA level <2000 IU/mL before DAA therapy.
Abstract
Radiation measurement relies on pulse detection, which can
be performed using various configurations of high-speed
analog-to-digital converters (ADCs) and field-programmable gate
arrays ...(FPGAs). For optimal power consumption, design simplicity,
system flexibility, and the availability of DSP slices, we consider
the Radio Frequency System-on-Chip (RFSoC) to be a more suitable
option than traditional setups. To this end, we have developed
custom RFSoC-based electronics and verified its feasibility. The
ADCs on RFSoC exhibit a flat frequency response of 1–125 MHz. The
root-mean-square (RMS) noise level is 2.1 ADC without any digital
signal processing. The digital signal processing improves the RMS
noise level to 0.8 ADC (input equivalent
40 μV
rms
). Baseline correction via digital
signal processing can effectively prevent photomultiplier overshoot
after a large pulse. Crosstalk between all channels is less than
-55 dB. The measured data transfer speed can support up to
32 kHz trigger rates (corresponding to 750 Mbps). Overall, our
RFSoC-based electronics are highly suitable for pulse detection, and
after some modifications, they will be employed in the Kamioka
Liquid Scintillator Anti-Neutrino Detector (KamLAND).
Summary
It is unclear whether multiple nonstructural (NS) 5A resistance‐associated substitutions (RASs) correlate with the outcome of sofosbuvir (SOF) and ledipasvir (LDV) therapy. We investigated ...the effects of multiple NS5A RASs in NS5A inhibitor‐naïve patients with chronic hepatitis C virus genotype 1b infection treated with SOF/LDV. In 313 patients treated with SOF/LDV, we assessed the effects of multiple NS5A RASs on the sustained virological response (SVR). RASs at L28, R30, L31, Q54, P58, Q62, A92, and Y93 in the NS5A region were examined by direct sequencing. The prevalence of RASs was as follows: 2.6% at L28, 8.7% at R30, 6.1% at L31, 48.7% at Q54, 9.9% at P58, 9.9% at Q62, 5.1% at A92, 13.8% at Y93, and 19.2% at L31 or Y93. A total of 133 patients had no RASs. SVR was achieved in 98.7% of the patients. SVR rates significantly differed between patients with and without the L31 or Y93 RAS (93.0% 53/57 vs 100% 250/250, P = .0011). In addition, among patients with the L31 or Y93 RAS, 29.8%, 45.6% and 24.6% had one, two and three or more NS5A RASs, respectively. The SVR rate was significantly lower in patients with the L31 or Y93 RAS with more than three NS5A RASs compared to those with fewer than three NS5A RASs (71.4% 10/14 vs 100% 43/43, P = .0025). Although the prevalence of multiple NS5A RASs at baseline was low in NS5A inhibitor‐naïve patients, the presence of multiple NS5A RASs was associated with the effectiveness of SOF/LDV therapy.
The transjugular or transfemoral approach is used as a common method for hepatic venous pressure gradient (HVPG) measurement in current practice. This study aims to confirm the safety and ...effectiveness of measuring HVPG via the forearm venous approach.
Prospective recruitment was conducted for patients with cirrhosis who underwent HVPG measurement via the forearm venous approach at six hospitals in China and Japan from September 2020 to December 2020. Patients' clinical baseline information and HVPG measurement data were collected. The right median cubital vein or basilic vein approach for all enrolled patients was selected. The HVPG standard process was used to measure pressure. Research data were analyzed using SPSS 22.0 statistical software. Quantitative data were used to represent medians (interquartile ranges), while qualitative data were used to represent frequency and rates. The correlation between two sets of data was analyzed using Pearson correlation analysis.
A total of 43 cases were enrolled in th
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