Short-Term Therapeutic Trial of Proton Pump Inhibitors in Suspected Extraesophageal Reflux

Pharyngoesophageal gastric acid reflux is thought to initiate chronic posterior laryngitis. The gold standard for measuring gastric reflux is dual-channel 24-hour pH monitoring. This is a time-consuming, inconvenient, expensive method that is not available in all areas. New therapeutic regimes that make use of proton pump inhibitors (PPIs) have proven to be therapeutically efficient for control of acid reflux. Twenty-four consecutive patients with chronic voice disorders and signs of posterior laryngitis were selected for therapy. Twenty-four hour pH monitoring was performed independently before the therapy. The trial therapy consisted of all patients receiving pantoprazole, 40 mg once daily for 6 weeks. Immediately following the therapy a statistically significant (p < 0.05) improvement was observed in all patients. This improvement was analyzed retrospectively by comparison with the results of 24-hour pH monitoring. In 71% of the patients the 24-hour pH-monitoring gave a positive result showing a high number of patients with extraesophageal reflux in our study group. Patients with positive results of pH-monitoring responded in a statistically significant manner (p < 0.05) to the pantoprazole therapy, whereas those patients without detected reflux did not. A 3-month follow-up of the patients with a positive result of the pH-monitoring confirmed the improvement. No patients reported adverse effects. A 6-week treatment with pantoprazole can be clinically justified. It helps to save time and reduce costs, allows for selection of reflux-negative patients for alternative therapy, and may prevent inadequate treatment of patients with false-negative pH monitoring. Twenty-four hour pH monitoring is still recommended for patients unresponsive to this trial therapy.     

Current CONtrolled Transmit And Receive Coil Elements (C2ONTAR) for Parallel Acquisition and Parallel Excitation Techniques at High-Field MRI

A novel intrinsically decoupled transmit and receive radio-frequency coil element is presented for applications in parallel imaging and parallel excitation techniques in high-field magnetic resonance imaging. Decoupling is achieved by a twofold strategy: during transmission elements are driven by current sources, while during signal reception resonant elements are switched to a high input impedance preamplifier. To avoid B(0) distortions by magnetic impurities or DC currents a resonant transmission line is used to relocate electronic components from the vicinity of the imaged object. The performance of a four-element array for 3 T magnetic resonance tomograph is analyzed by means of simulation, measurements of electromagnetic fields and bench experiments. The feasibility of parallel acquisition and parallel excitation is demonstrated and compared to that of a conventional power source-driven array of equivalent geometry. Due to their intrinsic decoupling the current-controlled elements are ideal basic building blocks for multi-element transmit and receive arrays of flexible geometry.     

Photoionization mass spectrometry for the investigation of combustion generated nascent nanoparticles and their relation to laser induced incandescence

Premixed laminar flat ethylene flames were investigated for nascent nanoparticles through photoionization mass spectrometry (PIMS). Using an atmospheric McKenna burner and ethylene air flames coupled to an atmospheric sampling system, within a relatively narrow C/O range two modes of these particles were found, which can be clearly distinguished with regard to their temperature dependence, their reactivity, and their ionization behaviour. Behind a diesel engine the same particles were observed.     

Diode-pumped single-frequency-Nd:YGG-MOPA for water–vapor DIAL measurements: design, setup and performance

A diode-pumped Q-switched and injection-seeded single-frequency laser, generating tunable laser radiation at 935 nm, is presented. Using Nd:YGG (Y₃Ga₅O₁₂) as the active medium, the laser that was developed to serve as a transmitter for water–vapor lidar measurements. The configuration consists of a stable resonator in rod geometry that is injection seeded by a narrowband diode laser and stabilized by the ramp-and-fire technique. Energy scaling was done in a power amplifier in slab geometry. Both oscillator and amplifier crystal were diode pumped at 806 nm. More than 30 mJ pulse energy at 100 Hz repetition rate with a beam propagation factor of M²<1.4 and pulse duration of 52 ns in single-frequency mode were generated. To our knowledge this is the first direct generation of 935 nm Q-switched pulses from Nd:YGG suitable for water–vapor measurements. The reported results show great promise of this laser in applications where high efficiency and reduced complexity is indispensable, such as for spaceborne or airborne water–vapor lidar instruments.     

Enhancement of high harmonics generated by field steering of electrons in a two-color orthogonally polarized laser field

We demonstrate enhancement by 1 order of magnitude of the high-order harmonics generated in argon by combining a fundamental field at 1300 nm (10(14) W cm(-2)) and its orthogonally polarized second harmonic at 650 nm (2 × 10(13) W cm(-2)) and by controlling the relative phase between them. This extends earlier work by ensuring that the main effect is the combined field steering the electron trajectory with negligible contribution from multiphoton effects compared to the previous schemes with 800/400 nm fields. We access a broad energy range of harmonics (from 20 eV to 80 eV) at a low laser intensity (far below the ionization saturation limit) and observe deep modulation of the harmonic yield with a period of π in the relative phase. Strong field theoretical analysis reveals that this is principally due to the steering of the recolliding electron wave packet by the two-color field. Our modeling also shows that the atto chirp can be controlled, leading to production of shorter pulses.     

Resonant electron transfer andL-shell excitation at 3.6 MeV/u Smq+→Xe collisions

Resonance energies and widths of four resonances in the reaction²⁵Mg(p,γ)²⁶Al were measured with the high resolution proton beam of the new 500 kV accelerator IONAS. The previously given large width of the 389 keV resonance, Γ= 460±70 eV. (1), used in the interpretation of stellar²⁶A1 production was shown to be incorrect and probably caused by target oxidation effects and insufficient energy resolution of the beam. The new value is Γ<4 eV.     

Rotational tunneling dynamics of methyl groups inn-alkane host lattices: An optical investigation of the internal and external isotope effect

We exploited the slow relaxation of methyl group rotational tunneling states to perform optical hole burning inn-alkane crystals. The dye probe used was dimethyl-s-tetrazine and its perdeuterated derivative. We investigatedn-octane, perdeuteratedn-octane andn-hexane as host crystals. By comparing the experimentally observed hole-antihole splitting of the protonated and perdeuterated dye probe, all parameters, i.e. the tunneling splitting in the ground-and in the electronically excited state as well as the respective heights of the potential can be determined, assuming a threefold rotational symmetry axis. We found that matrix deuteration has a severe influence on the potential heights, which increase by a factor of two. With these parameters determined, many features of the complex relaxation behavior of the tunneling states can be qualitatively understood: We found Raman-type conversion processes inn-octane-h ₁₈, Orbach-type processes inn-octane-d ₁₈ and inn-hexane we found, in addition, a relaxation regime governed by a Direct process. The experimental activation energies as well as the cross-over temperatures are in satisfying agreement with current theories.     

Inclusivef 2 (1270) meson production in νp and\bar vp charged current interactions

Using data obtained with the bubble chamber BEBC at CERN, the inclusivef ₂ (1270) meson production invp and \(\bar vp\) charged current reactions is studied. It is found thatf ₂ production occurs mainly in events with a hadronic invariant massW?7 GeV. In these events, the averagef ₂ multiplicity is about half the average ρ^O multiplicity, and thex _F andp _T ² distributions of thef ₂ agree in shape with those of the ρ^O. The predictions of a semi-empirical model (Wells model) are in accord with the measured multiplicities atW>7 GeV, whereas at lowerW the model predicts too largef ₂ multiplicities.     

On static and radiative space-times

The conformal constraint equations on space-like hypersurfaces are discussed near points which represent either time-like or spatial infinity for an asymptotically flat solution of Einstein's vacuum field equations. In the case of time-like infinity a certain radiativity condition, is derived which must be satisfied by the data at that point. The case of space-like infinity is analysed in detail for static space-times with non-vanishing mass. It is shown that the conformal structure implied here on a slice of constant Killing time, which extends analytically through infinity, satisfies at spatial infinity the radiativity condition. Thus to any static solution exists a certain radiative solution which has a smooth structure at past null infinity and is regular at past time-like infinity. A characterization of these solutions by their free data is given and non-symmetry properties are discussed.