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Recently, we illustrated the use of the $$\gamma $$ –g absolute B(E2) values in the Davydov–Filippov model (DFM), instead of the $$\gamma \! \!-\!\!g\, B(E2)$$ ratios, for analysing the spectral features of the $$(\gamma < 20^{\circ })$$ deformed nuclei. Here, we illustrate the application of the absolute $$\gamma \! \!-\!\!g \, B(E2)$$ values to the triaxial $$(\gamma > 20^{\circ })$$ nuclei to seek the new role of the $$\gamma $$ variable in these nuclei, and to derive the underlying physics. The decrease of the absolute $$\gamma -g\, B(E2)$$ value for $$\gamma > 20^{\circ }$$ , instead of an increase observed for $$\gamma < 20^{\circ }$$ deformed nuclei is explained. The increase of $$B(E2, 2_{\mathrm {\gamma }}- 0_{\mathrm {1}}^{\mathrm {+}})$$ in spite of the negative band mixing parameter, for deformed nuclei, reveals a new view of the band mixing angle, in contrast to its role for the triaxial nuclei. The three moment of inertia in DF model, for $${}^{\mathrm {158}}$$ Dy and $${}^{\mathrm {120}}$$ Xe display their degree of triaxiality.

The Kr isotopes lying in between the lighter isotopes of (Zn, Ge and Se) and the heavier isotopes of (Sr and Zr) in the [Formula: see text]–80 region exhibit very interesting spectral features. The spectra of [Formula: see text]Kr isotopes display a striking contrast from those of Zn, Ge and Se isotopes. The role of spherical and oblate and prolate deformed subshell gaps at specific [Formula: see text] and [Formula: see text] and the resulting re-inforcement are strikingly evident in these contrasting features, with variation in [Formula: see text] or [Formula: see text]. The evolution of the spectral features in Kr isotopes with [Formula: see text] as reflected in the quadrupole deformation, [Formula: see text]-band structures, [Formula: see text]0 decay, [Formula: see text]2) values, [Formula: see text]-softness of the nuclear core and odd–even staggering in [Formula: see text]-bands is studied to explore the role of the under lying nuclear interactions. The correlations with odd–[Formula: see text] isotopes are explored. The shape co-existence displayed in some Kr isotopes is studied. The large deformation observed in the ground bands of [Formula: see text]Kr, as exhibited in the [Formula: see text]2) values, is especially interesting.

The recent data on $B(E2)$ values, deduced from the multi-Coulex excitation of the low spin states in the decay of $^{152}\mathrm{Sm}$, and other experimental findings in the last two decades are compared with the predictions from the microscopic dynamic pairing plus quadrupole model of Kumar and Baranger. The 1292.8 keV ${2}^{+}$ state is assigned to the ${{0}_{3}}^{+}$ band, and the $K=2$ assignment of the 1769 keV ${2}^{+}$ state is confirmed. The anomaly of the shape coexistence of the assumed spherical \ensuremath{\beta} band versus the deformed ground band is resolved. The values from the critical point symmetry X(5) support the collective character of the \ensuremath{\beta} band. The problem with the two-term interacting boson model Hamiltonian in predicting \ensuremath{\beta} and \ensuremath{\gamma} bands in $^{152}\mathrm{Sm}$ leads to interesting consequences. The collective features of the second excited ${K}^{\ensuremath{\pi}}=\phantom{\rule{0.16em}{0ex}}{{0}_{3}}^{+}$ band are preferred over the ``pairing isomer'' view. Also the multiphonon nature of the higher lying ${K}^{\ensuremath{\pi}}={{2}_{2}}^{+}\phantom{\rule{0.16em}{0ex}}\ensuremath{\beta}\ensuremath{\gamma}$ band and ${K}^{\ensuremath{\pi}}={4}^{+}$ band are illustrated vis-\`a-vis the new data and the nuclear structure theory.

A host of alternative energy formulae for the ground bands of even Z even N nuclei are available in the literature. The usual approach is to compare the relative numerical accuracy of the predictions of the level energies by these formulae, for varying deformations of the nuclear core and for high spins. The soft rotor formula and variable moment of inertia model, the ab and pq formulae, the rotation vibration interaction and power index formulae are illustrated. Here, a new perspective is presented, with emphasis on the limitation of the region of their physical validity and on deriving useful meaning of their parameters.

In a previous study of the collective multiphonon bands in $^{154}\mathrm{Gd}$, using the microscopic dynamic pairing plus quadrupole model, data for eight $K$ bands were analyzed. In the last four decades, its decay scheme is significantly revised and the nuclear theory has undergone a significant change. Special focus is on new weak intensity transitions in several bands and on the reassigned levels in its decay scheme. The present study represents a detailed revised analysis of the collective even parity bands below 2.1 MeV. Also, a discussion is given on the nature of the ${K}^{\ensuremath{\pi}}={0}^{+}$ excited bands, validity of band mixing approach, and of the assumption of shape coexistence of \ensuremath{\beta} band with ground band. Comparison is made with the $X$(5) analytical symmetry and the algebraic interacting boson model predictions. Discussion of the $2n$ transfer reactions is given. The validity of the multiphonon view of the ${K}^{\ensuremath{\pi}}={4}^{+}$ and ${2}_{2}^{+}$ bands is also studied.

The α/β Branching Ratio in the Decay Scheme of K-40

High-spin states in 79Rb were populated in the reaction $\mathrm{^{63}Cu \ensuremath(^{19}F, p2n) ^{79}Rb}$ at E(beam) = 60 MeV. The lifetimes of the excited states of the $\pi \ensuremath g_{\frac{9}{2}}$ positive-parity yrast band and of the $\pi \ensuremath p_{\frac{3}{2}}$ negative-parity band in 79Rb were measured by the Doppler Shift Attenuation Method. The deduced transition quadrupole moments Qt are found to have a decreasing trend with rotational frequency for both the bands, consistent with those found experimentally in neighbouring nuclei.

The structure of theK π = 2+ gamma vibrational bands and the quasi-gamma bands of even-Z-even-N nuclei is investigated on a global scale, vis-a-vis the variation of band head, the moment of inertia of the band and the odd-even spin staggering. The variation withN andZ and with spinJ of the odd-even spin energy staggering index is studied and a unified view of the same is presented.

The recently extended level structure of 104–108Mo isotopes, with g-, γ- and the possible Kπ = 4+ 2γ phonon band structures have been studied in the interacting boson model-1. The unique features of these Mo isotopes with large quadrupole deformation β2, and the γ-soft vibrational band structures as reflected in the γ–g B(E2) ratios have been reproduced. The evidence for the 2γ-phonon bands in 104,106Mo is discussed.

The level structure of 144-150Nd is analysed taking into account the experimental information available, with respect to the symmetries of IBM-1. The level energies, B(E2) values, and interband B(E2) ratios are compared with available data. The adopted level schemes of 144-150Nd and the varying limitations of the interacting boson model in these isotopes are discussed.

Item does not contain fulltext BACKGROUND: The effect of intensified platelet inhibition for patients with unstable angina or myocardial infarction without ST-segment elevation who do not undergo revascularization has not been delineated. METHODS: In this double-blind, randomized trial, in a primary analysis involving 7243 patients under the age of 75 years receiving aspirin, we evaluated up to 30 months of treatment with prasugrel (10 mg daily) versus clopidogrel (75 mg daily). In a secondary analysis involving 2083 patients 75 years of age or older, we evaluated 5 mg of prasugrel versus 75 mg of clopidogrel. RESULTS: At a median follow-up of 17 months, the primary end point of death from cardiovascular causes, myocardial infarction, or stroke among patients under the age of 75 years occurred in 13.9% of the prasugrel group and 16.0% of the clopidogrel group (hazard ratio in the prasugrel group, 0.91; 95% confidence interval [CI], 0.79 to 1.05; P=0.21). Similar results were observed in the overall population. The prespecified analysis of multiple recurrent ischemic events (all components of the primary end point) suggested a lower risk for prasugrel among patients under the age of 75 years (hazard ratio, 0.85; 95% CI, 0.72 to 1.00; P=0.04). Rates of severe and intracranial bleeding were similar in the two groups in all age groups. There was no significant between-group difference in the frequency of nonhemorrhagic serious adverse events, except for a higher frequency of heart failure in the clopidogrel group. CONCLUSIONS: Among patients with unstable angina or myocardial infarction without ST-segment elevation, prasugrel did not significantly reduce the frequency of the primary end point, as compared with clopidogrel, and similar risks of bleeding were observed. (Funded by Eli Lilly and Daiichi Sankyo; TRILOGY ACS ClinicalTrials.gov number, NCT00699998.).

The change in the structure of the collective levels with spin angular momentum in atomic nuclei is often expressed in terms of the classical concepts of the kinematic and the dynamic moments of inertia varying with spin. For the well deformed even-even nuclei the kinematic moment of inertia increases with spin up to 10%-20%, at say I{sup {pi}} = 12{sup +}. However, for the shape transitional nuclei, or almost spherical nuclei, it increases with spin much faster. The pitfalls of using the rotor model form of kinematic moment of inertia in such cases are pointed out here. Alternative methods of extracting the nuclear structure information are explored. The important role of the ground state deformation is illustrated. The use of the power index formula for evaluating the effective moment of inertia, free from the assumption of the rotor model, is described.

A comparison of the efficacy of the SU(5) and O(6) limits of the interacting boson model in reproducing the spectra of the neutron deficient 136-140Sm isotopes is presented. The role of the ( beta , gamma ) deformation inducing nu 0 and nu 2 terms in the IBM-1 Hamiltonian for generating the proper level spacings of the odd-even spins in the Kpi =2+ band and up to high spins Ipi

Triple A syndrome (Allgrove syndrome) is an autosomal recessive disorder consisting of achalasia, alacrima and Addison insufficiency. We report an 11-year-old girl with predominant symptom of achalasia who was diagnosed as Triple A syndrome almost 3 years after initial presentation.

The prevalence of risk factors for coronary heart disease has been inadequately studied in India. A repeat cross-sectional survey was carried out to evaluate the changes in the major coronary risk factors in the urban population of Jaipur previously studied in the early 1990s.Randomly selected adultsor =20 years of age were studied using stratified sampling. The target study sample was 1800 with a population proportionate gender distribution (males 960, females 840). Coronary risk factors, anthropometric variables, blood pressure, ECG, fasting blood glucose and lipids were evaluated. A total of 1123 subjects (62.4%) (males 550, females 573) were examined. Fasting blood samples were available in 523 males and 559 females. Overall coronary heart diesase prevalence, diagnosed by history or ECG changes, was found in 34 males (6.18%) and 58 females (10.12%). Risk factor prevalence showed that smoking/tobacco use was present in 201 males (36.5%) and 67 females (11.7%). Physical inactivity, either work-related or leisure time, was seen in 157 males (28.5%) and 130 females (22.7%). Hypertension (or =140 and/or 90 mmHg) was present in 200 males (36.4%) and 215 females (37.5%). Diabetes diagnosed by history or fasting glucoseor =126 mg/dl was found in 72 males (13.1%) and 65 females (11.3%). Obesity, body mass indexor =27 kg/m2 was present in 135 males (24.5%) and 173 females (30.2%), while truncal obesity (waist:hip0.9 males,0.8 females) was found in 316 males (57.4%) and 392 females (68.4%). The most common dyslipidemia in both males and females was low HDL-cholesterol (40 mg/dl: males 54.9%, females 54.2%). High total cholesterol levels ofor =200 mg/dl (males 37.4%, females 4.1%), high LDL-cholesterol levels ofor =130 mg/dl (males 37.0%, females 45.8%) and high levels of triglyceridesor = 150 mg/dl (males 32.3%, females 28.6%) were also seen in a significant number. Hypertension, obesity, truncal obesity, diabetes and dyslipidemias increased significantly with age in both males and females (Mantel-Haenzel chi2 for trend, p0.05).There is a high prevalence of standard coronary risk factors--smoking, physical inactivity, hypertension, hypercholesterolemia, diabetes and obesity--as well as factors peculiar to south Asians--truncal obesity, low HDL-cholesterol and high triglycerides--in this urban Indian population. As compared to a previous study in the early 1900s in a similar population, there is a significant increase in the number of people with obesity, diabetes and dyslipidemias.

Histoplasmosis is a progressive granulomatous disease caused by the intracellular dimorphic fungus Histoplasma capsulatum. We report a rare case of esophageal histoplasmosis in a renal allograft recipient. A 55-year-old male who received a live, unrelated renal allograft 20 years ago presented with complaints of recurrent fever for ten to 12 months, weight loss over six months, progressive dysphagia more for solids for five to six months and joint pain and swelling involving the bilateral metacarpo-phalangeal and proximal interphalangeal joints. Biopsy from the esophageal ulcers revealed dense inflammation infiltrated with lymphocytes and macrophages with clusters of strongly positive intracellular fungal spores with a clear area or "halo-like" zone suggestive of Histoplasma capsulatum invasion. The patient was treated with intravenous liposomal amphotericin B for ten days and later switched over to oral itraconazole. Repeated endoscopy revealed significant improvement of the lesions.

India has predominantly poor rural population where brain CT scan, most often advised investigation in patients of stroke, may not always be available, hence Indian physician in such setting base his diagnosis on bed side sign evaluation for which Siriraj Stroke Score (SSS) could be helpful. Objective of study: to assess the utility of SSS in patients of stroke. Methodology: sixty subjects of stroke were evaluated on SSS and 'probable' diagnosis so made was compared with CT scan's (brain) 'certain' diagnosis. Main findings: by using SSS, the probable bedside diagnosis was cerebral infarct (score < -1) in 32 subjects and cerebral haemorrhage (score > +1) in 24 subjects while 4 subjects had indeterminant score (-1 to +1). Fifty subjects had their probable diagnosis matched with brain CT scan certain diagnosis. The above findings showed that SSS had 93.7% sensitivity, 76.6% specificity, 81.2% positive predictive value, 92% negative predictive value with an overall accuracy as 93.7% for diagnosis of cerebral infarction. For patients of cerebral haemorrhage the sensitivity was 83.3%, specificity was 92.5%, positive predictive value was 86.9%, negative predictive values was 92.5% with overall accuracy as 83.3%. Principal conclusion: physicians in the rural settings may find SSS to be quite useful in the management of stroke especially where more sophisticated radiological investigations may not be available for confirmation of diagnosis due to high cost or attended due to transportation risk. (Med J Indones 2007; 10: 164-8) Keywords: stroke, cerebrovascular accident, infarction, haemorrhage

During the recent epidemic in North Bihar, a total of 65 cases which were clinically designated as Kala-azar had been subjected to bone-marrow aspiration from the iliac crest, out of which the L.D. body was demonstrated in 55 cases (84.61 per cent). Culture analysis of bone-marrow on modified Tobie's medium, revealed that ten cases (15.39 per cent) which were negative for L.D. body did not show any leptomonads, whereas out of 55 L.D. body positive cases, the promastigote forms developed in 22 cases (40.00 per cent). The probable reasons for the negative findings and also the age and sex distribution in Kala-azar are discussed in brief.

Dynamic deformation theory based on a pairing plus quadrupole model (DPPQ model) is extended to 25 levels belonging to various multi phonon vibrational bands in 154Gd. Although the calculated excited band energies are too high by factors of 1�4-1�7, there is generally reasonable agreement with the experimental energies, B(E2) values, magnetic moments, E2-Ml mixing ratios and EO moments. Many new values are predicted. A brief comparison with some results derived from a new version of dynamic deformation theory, the so-called DNSB model, is also given.