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At least 955 records · Page 53

Probing gluon saturation with next-to-leading order photon production at central rapidities in proton-nucleus collisions

Here, we compute the cross section for photons emitted from sea quarks in proton-nucleus collisions at collider energies. The computation is performed within the dilute-dense kinematics of the Color Glass Condensate (CGC) effective field theory. Albeit the result obtained is formally at next-to-leading order in the CGC power counting, it provides the dominant contribution for central rapidities. We observe that the inclusive photon cross section is proportional to all-twist Wilson line correlators in the nucleus. These correlators also appear in quark-pair production; unlike the latter, photon production is insensitive to hadronization uncertainties and therefore more sensitive to multi-parton correlations in the gluon saturation regime of QCD. We demonstrate that k ⊥ and collinear factorized expressions for inclusive photon production are obtained as leading twist approximations to our result. In particular, the collinearly factorized expression is directly sensitive to the nuclear gluon distribution at small x. Other results of interest include the realization of the Low-Burnett-Kroll soft photon theorem in the CGC framework and a comparative study of how the photon amplitude is obtained in Lorenz and light-cone gauges.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

The central dogma and cosmological horizons

The central dogma of black hole physics – which says that from the outside a black hole can be described in terms of a quantum system with exp(Area/4G N ) states evolving unitarily – has recently been supported by computations indicating that the interior of the black hole is encoded in the Hawking radiation of the exterior. In this paper, we probe whether such a dogma for cosmological horizons has any support from similar computations. The fact that the de Sitter bifurcation surface is a minimax surface (instead of a maximin surface) causes problems with this interpretation when trying to import calculations analogous to the AdS case. This suggests anchoring extremal surfaces to the horizon itself, where we formulate a two-sided extremization prescription and find answers consistent with general expectations for a quantum theory of de Sitter space: vanishing total entropy, an entropy of A/4G N when restricting to a single static patch, an entropy of a subregion of the horizon which grows as the region size grows until an island-like transition at half the horizon size when the entanglement wedge becomes the entire static patch interior, and a de Sitter version of the Hartman-Maldacena transition.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Geometric constraints on the space of N=2 SCFTs. Part III: enhanced Coulomb branches and central charges

This is the third in a series of three papers on the systematic analysis of rank 1 four dimensional N = 2 SCFTs. In the first two papers [1, 2] we developed and carried out a strategy for classifying and constructing physical planar rank-1 Coulomb branch geometries of N = 2 SCFTs. Presently, we describe general features of the Higgs and mixed branch geometries of the moduli space of these SCFTs, and use this, along with their Coulomb branch geometry, to compute their conformal and flavor central charges. We conclude with a summary of the state of the art for rank-1 N = 2 SCFTs.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Long-range and short-range dihadron angular correlations in central PbPb collisions at a nucleon-nucleon center of mass energy of 2.76 TeV

First measurements of dihadron correlations for charged particles are presented for central PbPb collisions at a nucleon-nucleon center-of-mass energy of 2.76 TeV over a broad range in relative pseudorapidity, Delta(eta), and the full range of relative azimuthal angle, Delta(phi). The data were collected with the CMS detector, at the LHC. A broadening of the away-side (Delta(phi) approximately pi) azimuthal correlation is observed at all Delta(eta), as compared to the measurements in pp collisions. Furthermore, long-range dihadron correlations in Delta(eta) are observed for particles with similar phi values. This phenomenon, also known as the "ridge", persists up to at least |Delta(eta)| = 4. For particles with transverse momenta (pt) of 2-4 GeV/c, the ridge is found to be most prominent when these particles are correlated with particles of pt = 2-6 GeV/c, and to be much reduced when paired with particles of pt = 10-12 GeV/c.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Dependence on pseudorapidity and centrality of charged hadron production in PbPb collisions at a nucleon-nucleon centre-of-mass energy of 2.76 TeV

A measurement is presented of the charged hadron multiplicity in hadronic PbPb collisions, as a function of pseudorapidity and centrality, at a collision energy of 2.76 TeV per nucleon pair. The data sample is collected using the CMS detector and a minimum-bias trigger, with the CMS solenoid off. The number of charged hadrons is measured both by counting the number of reconstructed particle hits and by forming hit doublets of pairs of layers in the pixel detector. The two methods give consistent results. The charged hadron multiplicity density dN(ch)/d eta, evaluated at eta=0 for head-on collisions, is found to be 1612 +/- 55, where the uncertainty is dominated by systematic effects. Comparisons of these results to previous measurements and to various models are also presented.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Medium modification of the shape of small-radius jets in central Pb-Pb collisions at $\sqrt{s_{\mathrm{NN}}}=2.76$ TeV

We present the measurement of a new set of jet shape observables for track-based jets in central Pb-Pb collisions at $\sqrt{s_{\mathrm{NN}}}=2.76$ TeV. The set of jet shapes includes the first radial moment or angularity, g; the momentum dispersion, pTD; and the difference between the leading and sub-leading constituent track transverse momentum, LeSub. These observables provide complementary information on the jet fragmentation and can constrain different aspects of the theoretical description of jet-medium interactions. The jet shapes were measured for a small resolution parameter R = 0.2 and were fully corrected to particle level. The observed jet shape modifications indicate that in-medium fragmentation is harder and more collimated than vacuum fragmentation as obtained by PYTHIA calculations, which were validated with the measurements of the jet shapes in proton-proton collisions at $\sqrt{s}=7$ TeV. The comparison of the measured distributions to templates for quark and gluon-initiated jets indicates that in-medium fragmentation resembles that of quark jets in vacuum. We further argue that the observed modifications are not consistent with a totally coherent energy loss picture where the jet loses energy as a single colour charge, suggesting that the medium resolves the jet structure at the angular scales probed by our measurements (R = 0.2). Furthermore, we observe that small-R jets can help to isolate purely energy loss effects from other effects that contribute to the modifications of the jet shower in medium such as the correlated background or medium response.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Complete mesocolic excision and central vascular ligation for right colon cancer: an introduction for abdominal radiologists

Objective: To provide an overview of complete mesocolic excision, along with a review of the relevant vascular anatomy and locoregional staging concepts, for abdominal radiologists. Results: Complete mesocolic excision (CME) with central vascular ligation (CVL) for colon cancer has emerged as a technique that has growing interest in surgical oncology. Specific anatomic considerations and patterns of nodal spread have thus gained clinical significance, and should be familiar to abdominal radiologists. This review article provides an overview of CME with CVL, and discusses some of the important anatomic considerations in patients with colon cancer that are relevant to radiologists. Conclusion: Knowledge of CME with CVL and the relevant anatomic and staging considerations is important for abdominal radiologists, as this surgical technique becomes increasingly utilized.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Subclavian Vein Versus Arm Vein for Totally Implantable Central Venous Port for Patients with Head and Neck Cancer: A Retrospective Comparative Analysis

Purpose: This study was designed to compare central venous ports (CVP) from two different routes of venous access-the subclavian vein and arm vein-in terms of safety for patients with head and neck cancer (HNC). Methods: Patients with HNC who underwent image-guided implantations of CVPs were retrospectively evaluated. All CVPs were implanted under local anesthesia. Primary outcome measurements were rates and types of adverse events (AEs). Secondary outcomes included technical success and rate and reason of CVP removal. Results: A total of 162 patients (subclavian port group, 47; arm port group, 115) were included in this study. Technical success was achieved in all patients. The median follow-up period was 94 (range, 1-891) days. Two patients in the subclavian port group experienced periprocedural complications. Postprocedural AEs were observed in 8.5 and 22.6% of the subclavian port and arm port group patients, respectively (P = 0.044). Phlebitis and system occlusions were observed only in the arm port group. The rate of infection was not significantly different between the two groups. The CVP was removed in 34 and 39.1% of the subclavian port and arm port patients, respectively. Conclusions: Both subclavian and arm CVPs are feasible in patients with HNC. AEs were more frequent in the arm port group; thus, the arm port is not recommended as the first choice for patients with HNC. However, further experience is needed to improve the placement technique and the maintenance of CVPs and a prospective analysis is warranted.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

AngioVac Aspiration for Paradoxical Emboli Protection through a Fenestrated Fontan During Central Venous Thrombus Manipulation

This case reports describes a 39-year-old female with a history of surgically repaired hypoplastic left heart syndrome who presented with a left peripherally inserted central catheter (PICC) with associated large volume subclavian and brachiocephalic vein thrombus. Due to the presence of a right-to-left shunt via a fenestrated Fontan, there was clinical concern for a paradoxical embolism during removal of the PICC. The AngioVac aspiration system was successfully utilized to aspirate thromboemboli from the level of the proximal Glenn shunt during manipulation and removal of the PICC. This is the first reported case to demonstrate the safe and effective use of the AngioVac aspiration system for protection of paradoxical emboli through a cardiac right-to-left shunt during a procedure at high risk for thromboembolism.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Peripherally Inserted Central Catheter-Related Infections in a Cohort of Hospitalized Adult Patients

PurposeTo determine the incidence and the risks factors of peripherally inserted central catheter (PICC)-related infectious complications.Materials and MethodsMedical charts of every in-patient that underwent a PICC insertion in our hospital between January 2010 and October 2013 were reviewed. All PICC-related infections were recorded and categorized as catheter-related bloodstream infections (CR-BSI), exit-site infections, and septic thrombophlebitis.ResultsNine hundred and twenty-three PICCs were placed in 644 unique patients, mostly male (68.3 %) with a median age of 58 years. 31 (3.4 %) PICC-related infections occurred during the study period corresponding to an infection rate of 1.64 per 1000 catheter-days. We observed 27 (87.1 %) CR-BSI, corresponding to a rate of 1.43 per 1000 catheter-days, 3 (9.7 %) septic thrombophlebitis, and 1 (3.2 %) exit-site infection. Multivariate logistic regression analysis showed a higher PICC-related infection rate with chemotherapy (odds ratio (OR) 7.2–confidence interval (CI) 95 % [1.77–29.5]), auto/allograft (OR 5.9–CI 95 % [1.2–29.2]), and anti-coagulant therapy (OR 2.2–95 % [1.4–12]).ConclusionChemotherapy, auto/allograft, and anti-coagulant therapy are associated with an increased risk of developing PICC-related infections.Clinical AdvanceChemotherapy, auto/allograft, and anti-coagulant therapy are important predictors of PICC-associated infections. A careful assessment of these risk factors may be important for future success in preventing PICC-related infections.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

An Endovascular Approach to the Entrapped Central Venous Catheter After Cardiac Surgery

PurposeEntrapment of central venous catheters (CVC) at the superior vena cava (SVC) cardiopulmonary bypass cannulation site by closing purse-string sutures is a rare complication of cardiac surgery. Historically, resternotomy has been required for suture release. An endovascular catheter release approach was developed.Materials and MethodsFour cases of CVC tethering against the SVC wall and associated resistance to removal, suggestive of entrapment, were encountered. In each case, catheter removal was achieved using a reverse catheter fluoroscopically guided over the suture fixation point between catheter and SVC wall, followed by the placement of a guidewire through the catheter. The guidewire was snared and externalized to create a through-and-through access with the apex of the loop around the suture. A snare placed from the femoral venous access provided concurrent downward traction on the distal CVC during suture release maneuvers.ResultsIn the initial attempt, gentle traction freed the CVC, which fractured and was removed in two sections. In the subsequent three cases, traction alone did not release the CVC. Therefore, a cutting balloon was introduced over the guidewire and inflated. Gentle back-and-forth motion of the cutting balloon atherotomes successfully incised the suture in all three attempts. No significant postprocedural complications were encountered. During all cases, a cardiovascular surgeon was present in the interventional suite and prepared for emergent resternotomy, if necessary.ConclusionAn endovascular algorithm to the “entrapped CVC” is proposed, which likely reduces risks posed by resternotomy to cardiac surgery patients in the post-operative period.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Evidence of Specific MJO Phase Occurrence with Summertime California Central Valley Extreme Hot Weather

This study examines associations between California Central Valley (CCV) heat waves and the Madden Julian Oscillation (MJO). These heat waves have major economic impact. Our prior work showed that CCV heat waves are frequently preceded by convection over the tropical Indian and eastern Pacific oceans, in patterns identifiable with MJO phases. The main analysis method is lagged composites (formed after each MJO phase pair) of CCV synoptic station temperature, outgoing longwave radiation (OLR), and velocity potential (VP). Over the CCV, positive temperature anomalies occur only after the Indian Ocean (phases 2–3) or eastern Pacific Ocean (phases 8–1) convection (implied by OLR and VP fields). The largest fractions of CCV hot days occur in the two weeks after onset of those two phase pairs. OLR and VP composites have significant subsidence and convergence above divergence over the CCV during heat waves, and these structures are each part of larger patterns having significant areas over the Indian and Pacific Oceans. Prior studies showed that CCV heat waves can be roughly grouped into two clusters: Cluster 2 is preceded by a heat wave over northwestern North America, while Cluster 1 is not. OLR and VP composite analyses are applied separately to these two clusters. However, for Cluster 2, the subsidence and VP over the CCV are not significant, and the large-scale VP pattern has low correlation with the MJO lagged composite field. Therefore, the association between the MJO convection and subsequent CCV heat wave is more evident in Cluster 1 than Cluster 2.

54 ENVIRONMENTAL SCIENCES↗

Machine Learning Analysis of Impact of Western US Fires on Central US Hailstorms

Fires, including wildfires, harm air quality and essential public services like transportation, communication, and utilities. These fires can also influence atmospheric conditions, including temperature and aerosols, potentially affecting severe convective storms. Here, we investigate the remote impacts of fires in the western United States (WUS) on the occurrence of large hail (size: $\geqslant$ 2.54 cm) in the central US (CUS) over the 20-year period of 2001–20 using the machine learning (ML), Random Forest (RF), and Extreme Gradient Boosting (XGB) methods. The developed RF and XGB models demonstrate high accuracy (> 90%) and F1 scores of up to 0.78 in predicting large hail occurrences when WUS fires and CUS hailstorms coincide, particularly in four states (Wyoming, South Dakota, Nebraska, and Kansas). The key contributing variables identified from both ML models include the meteorological variables in the fire region (temperature and moisture), the westerly wind over the plume transport path, and the fire features (i.e., the maximum fire power and burned area). Importantly, the results confirm a linkage between WUS fires and severe weather in the CUS, corroborating the findings of our previous modeling study conducted on case simulations with a detailed physics model.

54 ENVIRONMENTAL SCIENCES↗

Stem respiration and growth in a central Amazon rainforest

Tropical forests cycle a large amount of CO 2 between the land and atmosphere, with a substantial portion of the return flux due tree respiratory processes. However, in situ estimates of woody tissue respiratory fluxes and carbon use efficiencies (CUEW) and their dependencies on physiological processes including stem wood production (Pw) and transpiration in tropical forests remain scarce. In this work, we synthesize monthly Pw and daytime stem CO 2 efflux (ES) measurements over one year from 80 trees with variable biomass accumulation rates in the central Amazon. On average, carbon flux to woody tissues, expressed in the same stem area normalized units as ES, averaged 0.90 ± 1.2 µmol m -2 s -1 for Pw, and 0.55 ± 0.33 µmol m -2 s -1 for daytime ES. A positive linear correlation was found between stem growth rates and stem CO 2 efflux, with respiratory carbon loss equivalent to 15 ± 3% of stem carbon accrual. CUEW of stems was non-linearly correlated with growth and was as high as 77-87% for a fast-growing tree. Diurnal measurements of stem CO 2 efflux for three individuals showed a daytime reduction of ES by 15-50% during periods of high sap flow and transpiration. The results demonstrate that high daytime ES fluxes are associated with high CUE W during fast tree growth, reaching higher values than previously observed in the Amazon Basin (e.g. maximum CUEW up to 77-87%, versus 30-56%). The observations are consistent with the emerging view that diurnal dynamics of stem water status influences growth processes and associated respiratory metabolism.

54 ENVIRONMENTAL SCIENCES↗

Water-table and discharge changes associated with the 2016–2017 seismic sequence in central Italy: hydrogeological data and a conceptual model for fractured carbonate aquifers

A seismic sequence in central Italy from August 2016 to January 2017 affected groundwater dynamics in fractured carbonate aquifers. Changes in spring discharge, water-table position, and streamflow were recorded for several months following nine Mw 5.0–6.5 seismic events. Data from 22 measurement sites, located within 100 km of the epicentral zones, were analyzed. The intensity of the induced changes were correlated with seismic magnitude and distance to epicenters. The additional post-seismic discharge from rivers and springs was found to be higher than 9 m{sup 3}/s, totaling more than 0.1 km{sup 3} of groundwater release over 6 months. This huge and unexpected contribution increased streamflow in narrow mountainous valleys to previously unmeasured peak values. Analogously to the L’Aquila 2009 post-earthquake phenomenon, these hydrogeological changes might reflect an increase of bulk hydraulic conductivity at the aquifer scale, which would increase hydraulic heads in the discharge zones and lower them in some recharge areas. The observed changes may also be partly due to other mechanisms, such as shaking and/or squeezing effects related to intense subsidence in the core of the affected area, where effects had maximum extent, or breaching of hydraulic barriers.

58 GEOSCIENCES↗

A Deep-Learning System for Fully-Automated Peripherally Inserted Central Catheter (PICC) Tip Detection

A peripherally inserted central catheter (PICC) is a thin catheter that is inserted via arm veins and threaded near the heart, providing intravenous access. The final catheter tip position is always confirmed on a chest radiograph (CXR) immediately after insertion since malpositioned PICCs can cause potentially life-threatening complications. Although radiologists interpret PICC tip location with high accuracy, delays in interpretation can be significant. In this study, we proposed a fully-automated, deep-learning system with a cascading segmentation AI system containing two fully convolutional neural networks for detecting a PICC line and its tip location. A preprocessing module performed image quality and dimension normalization, and a post-processing module found the PICC tip accurately by pruning false positives. Our best model, trained on 400 training cases and selectively tuned on 50 validation cases, obtained absolute distances from ground truth with a mean of 3.10 mm, a standard deviation of 2.03 mm, and a root mean squares error (RMSE) of 3.71 mm on 150 held-out test cases. This system could help speed confirmation of PICC position and further be generalized to include other types of vascular access and therapeutic support devices.

62 RADIOLOGY AND NUCLEAR MEDICINE↗