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[en] Popliteal venous aneurysm is a rare cause of recurrent pulmonary embolism, although the true incidence of aneurysm is probably underestimated. One-third of patients suffer further embolic events despite therapeutic anticoagulation. We report the case of a 59-year-old male who presented with recurrent PEs over a period of 12 years despite anticoagulation therapy. A thrombophilia screen and abdominal ultrasound were normal at that time. He reattended with recurrent pulmonary emboli, left calf swelling, and a mass in his left popliteal fossa causing limitation of knee movement. Venous duplex and MRI of his popliteal fossa demonstrated a thrombosed true popliteal venous aneurysm with popliteal and superficial femoral vein occlusion. In view of the mass effect we proceeded to surgical excision of his aneurysm after prophylactic placement of an IVC filter. The patient regained normal knee function with intensive inpatient physiotherapy. He has been recommenced on lifelong anticoagulant. The presentation, investigation, and management of the condition are briefly discussed. We suggest that a bilateral lower limb duplex is performed to exclude venous aneurysm in all patients presenting with pulmonary embolism in which an underlying source cannot otherwise be identified and no thrombophilic tendency is detected.
[en] The Amplatzer vascular plug (AVP) is derived from the Amplatzer device used in correction of cardiac septal defects. We present a large series of the use of the AVP in the endovascular management of aneurysms. Three patients with a combination of aortic and peripheral aneurysms underwent embolisation with the AVP. Plugs with 10-16 mm diameter were used and delivered using introducer/guiding sheaths. A total of 16 internal iliac arteries, 2 common iliac arteries (CIA), 4 subclavian (SCA) arteries, 1 superior mesenteric (SMA) and 1 popliteal artery were embolised. Successful occlusion with the AVP was achieved in 21 out of 24 vessels (87.5%), of which 18 (75%) occluded immediately and 3 (12.5%) were delayed occlusions. The three patients who are considered to have failed to occlude with the AVP required the use of additional embolic agents. At the end of the 17-month follow-up all 24 target vessels had occluded. Two patients developed persistent buttock claudication, and one had a left hemiparesis. The AVP is useful as an adjunctive device in the management of aneurysms. It has a particular role in embolisation of large-diameter vessels with a short implantation zone. The device is safe and easy to use. (orig.)
[en] We compared the use of manual compression and Angio-Seal and Starclose arterial closure devices to achieve hemostasis following common femoral artery (CFA) punctures in order to evaluate safety and efficacy. A prospective nonrandomized, single-center study was carried out on all patients undergoing CFA punctures over 1 year. Hemostasis was achieved using manual compression in 108 cases, Angio-Seal in 167 cases, and Starclose in 151 cases. Device-failure rates were low and not significantly different in the two groups (manual compression and closure devices; p = 0.8). There were significantly more Starclose (11.9%) patients compared to Angio-Seal (2.4%), with successful initial deployment subsequently requiring additional manual compression to achieve hemostasis (p < 0.0001). A significant number of very thin patients failed to achieve hemostasis (p = 0.014). Major complications were seen in 2.9% of Angio-Seal, 1.9% of Starclose, and 3.7% of manual compression patients, with no significant difference demonstrated; 4.7% of the major complications were seen in female patients compared to 1.3% in males (p = 0.0415). All three methods showed comparable safety and efficacy. Very thin patients are more likely to have failed hemostasis with the Starclose device, although this did not translate into an increased complication rate. There is a significant increased risk of major puncture-site complications in women with peripheral vascular disease
[en] The direct detection of photons emitted or reflected by extrasolar planets, spatially resolved from their parent star, is a major frontier in the study of other solar systems. Direct detection will provide statistical information on planets in 5-50 AU orbits, inaccessible to current Doppler searches, and allow spectral characterization of radius, temperature, surface gravity, and perhaps composition. Achieving this will require new dedicated high-contrast instruments. One such system under construction is the Gemini Planet Imager (GPI.) This combines a high-order/high-speed adaptive optics system to control wavefront errors from the Earth's atmosphere, an advanced coronagraph to block diffraction, ultrasmooth optics, a precision infrared interferometer to measure and correct systematic errors, and a integral field spectrograph/polarimeter to image and characterize target planetary systems. We predict that GPI will be able to detect planets with brightness less than 10-7 of their parent star, sufficient to observe warm self-luminous planets around a large population of targets
[en] Following the optical imaging of exoplanet candidate Fomalhaut b (Fom b), we present a numerical model of how Fomalhaut's debris disk is gravitationally shaped by a single interior planet. The model is simple, adaptable to other debris disks, and can be extended to accommodate multiple planets. If Fom b is the dominant perturber of the belt, then to produce the observed disk morphology it must have a mass M pl < 3M J, an orbital semimajor axis a pl > 101.5 AU, and an orbital eccentricity e pl = 0.11-0.13. These conclusions are independent of Fom b's photometry. To not disrupt the disk, a greater mass for Fom b demands a smaller orbit farther removed from the disk; thus, future astrometric measurement of Fom b's orbit, combined with our model of planet-disk interaction, can be used to determine the mass more precisely. The inner edge of the debris disk at a ∼ 133 AU lies at the periphery of Fom b's chaotic zone, and the mean disk eccentricity of e ∼ 0.11 is secularly forced by the planet, supporting predictions made prior to the discovery of Fom b. However, previous mass constraints based on disk morphology rely on several oversimplifications. We explain why our constraint is more reliable. It is based on a global model of the disk that is not restricted to the planet's chaotic zone boundary. Moreover, we screen disk parent bodies for dynamical stability over the system age of ∼ 100 Myr, and model them separately from their dust grain progeny; the latter's orbits are strongly affected by radiation pressure and their lifetimes are limited to ∼ 0.1 Myr by destructive grain-grain collisions. The single planet model predicts that planet and disk orbits be apsidally aligned. Fomalhaut b's nominal space velocity does not bear this out, but the astrometric uncertainties may be large. If the apsidal misalignment proves real, our calculated upper mass limit of 3M J still holds. If the orbits are aligned, our model predicts M pl = 0.5M J, a pl = 115 AU, and e pl = 0.12. Parent bodies are evacuated from mean-motion resonances with Fom b; these empty resonances are akin to the Kirkwood gaps opened by Jupiter. The belt contains at least 3M + of solids that are grinding down to dust, their velocity dispersions stirred so strongly by Fom b that collisions are destructive. Such a large mass in solids is consistent with Fom b having formed in situ.
[en] We demonstrate arrays of cantilevers with different lengths, fabricated by focused ion beam milling. The arrays of oscillators generate a spectrum of different resonant frequencies, where each frequency correlates to the corresponding individual cantilever. The frequency response from all the cantilevers is collected from a single measurement under the same environment and conditions for the entire array. The mass response of the system generated the same Δf/f0 for the cantilevers, within 0.1% accuracy. We denote the method MFSAC: multi-frequency signal analysis from an array of cantilevers. The simultaneous detection of several frequencies in one spectrum has great benefits in mass sensor applications, offering the possibility for true label-free detection
[en] We present spatially resolved near-IR spectroscopic observations of 15 young stars. Using a grism spectrometer behind the Keck interferometer, we obtained an angular resolution of a few milliarcseconds and a spectral resolution of 230, enabling probes of both gas and dust in the inner disks surrounding the target stars. We find that the angular size of the near-IR emission typically increases with wavelength, indicating hot, presumably gaseous material within the dust sublimation radius. Our data also clearly indicate Brγ emission arising from hot hydrogen gas, and suggest the presence of water vapor and carbon monoxide gas in the inner disks of several objects. This gaseous emission is more compact than the dust continuum emission in all cases. We construct simple physical models of the inner disk and fit them to our data to constrain the spatial distribution and temperature of dust and gas emission components.
[en] This school, dedicated to young researchers, will clarify our present knowledge of the X-ray sky and give the opportunity to learn about the observatories and tools which are available. The contributions have been organized into 3 issues: -) fundamental physics, -) X-ray and Gamma-ray instruments and analysis techniques, and -) astrophysical objects. This document gathers only the slides of the presentations
[en] We present a theoretical investigation of the electronic and optical properties of hydrogen-coated silicon nanocrystals (Si:H NCs). On one hand, the density-functional theory (DFT) is used to both calculate the total energy and relax the NCs. On a second hand, the tight-binding method, which includes the minimal sp3-basis set within the second-nearest-neighbor interaction scheme, is applied to calculate the electronic structures, oscillator strength (OS) and recombination rate (RR) versus the NC size, coating and atomic relaxation. Three main findings are reported: (i) The quantum confinement in these NCs do follow similar rule to the case of a single-particle in a box, where the confinement energy decays in power-law with the increasing NC's size. (ii) The coating is shown to play the essential role in creation of large band-gap energy lying within the visible-light energy spectrum. (iii) The surface atomic relaxation is found to reduce the band-gap energy by about 150 meV and enhance both OS and RR. Our claims are corroborated by the available experimental data.
[en] We employ focused ion beam patterning of single crystal Si(100) surfaces to template the assembly of Ge(Si) nanostructure arrays. The evolution and final structures of the templated arrays are determined by combinations of transmission electron, low energy electron microscope, focused ion beam and scanning probe microscopies. It is shown how the positions of individual nanostructures may be controlled to the order of 10 nm. However, to achieve controlled spacings between elements that are in the 10 nm range requires careful matching of the characteristic lengths scales of self assembly mechanisms to the length scales of the external lithographic forcing functions.