No evidence for antineutrinos significantly influencing exponential ß+ decay.

High-precision measurements were conducted on the time evolution of gamma-ray count rates during reactor-on and reactor-off periods to investigate the possible influence of antineutrinos on nuclear decay. This experiment was triggered by a recent analysis (Jenkins et al., 2009) of long-term measurements suggesting a possible link to variations in nuclear decay rate and solar neutrino flux. The antineutrino flux during reactor-off periods is mainly due to geoneutrinos and four orders of magnitude lower than during reactor-on periods. No effects have been observed for the two branches in the decay of (152)Eu and the decay of (137)Cs, (54)Mn and (22)Na. The upper limit determined of the ratio Δλ/λ for (22)Na is (-1±2)×10(-4), and (54)Mn is (-1±4)×10(-4). In comparison to the interpretation of Jenkins et al. our measurements do not show any such effect to at least two orders of magnitude less. Hence either the hypothesis of Jenkins et al. is not true or else one of two rather unlikely possibilities must also be true: either the effect of neutrinos on ß(-) decay differs considerably from the effect of antineutrinos on ß(+) decay, or the effect of antineutrinos on ß(+) decay must be identical to their effect on ß(-) and electron-capture decay.

In-field radon measurement in water: a novel approach.

This paper presents a novel approach of measuring radon in-water in the field by inserting a MEDUSA gamma-ray detector into a 210 L or 1000 L container. The experimental measurements include investigating the effect of ambient background gamma-rays on in-field radon measurement, calibrating the detector efficiency using several amounts of KCl salt dissolved in tap water, and measuring radon in borehole water. The results showed that there is fairly good agreement between the field and laboratory measurements of radon in water, based on measurements with Marinelli beakers on a HPGe detector. The MDA of the method is 0.5 Bq L⁻¹ radon in-water.

Gamma-ray spectrometry of radon in water and the role of radon to representatively sample aquifers.

Measurement of radon in water by gamma-ray spectrometry using a HPGe detector has been investigated to determine aquifer characteristics. The radon activity concentration is determined by taking the weighted average of the concentrations derived from gamma-ray lines associated with (214)Pb and (214)Bi decay. The role of accurate radon data to representatively sample aquifers was also investigated by studying a semi-cased borehole. A simplified physical model describing the change of radon concentration with the pumping time, reproduces the data and predicts the time for representative sampling of the aquifer.

Revising two-point discrimination assessment in normal aging and in patients with polyneuropathies.

OBJECTIVES: To revise the static and dynamic normative values for the two-point discrimination test and to examine its applicability and validity in patients with a polyneuropathy. METHODS: Two-point discrimination threshold values were assessed in 427 healthy controls and 99 patients mildly affected by a polyneuropathy. The controls were divided into seven age groups ranging from 20-29, 30-39,..., up to 80 years and older; each group consisted of at least 30 men and 30 women. Two-point discrimination examination took place under standardised conditions on the index finger. Correlation studies were performed between the scores obtained and the values derived from the Weinstein Enhanced Sensory Test (WEST) and the arm grade of the Overall Disability SumScore (ODSS) in the patients' group (validity studies). Finally, the sensitivity to detect patients mildly affected by a polyneuropathy was evaluated for static and dynamic assessments. RESULTS: There was a significant age-dependent increase in the two-point discrimination values. No significant gender difference was found. The dynamic threshold values were lower than the static scores. The two-point discrimination values obtained correlated significantly with the arm grade of the ODSS (static values: r = 0.33, p = 0.04; dynamic values: r = 0.37, p = 0.02) and the scores of the WEST in patients (static values: r = 0.58, p = 0.0001; dynamic values: r = 0.55, p = 0.0002). The sensitivity for the static and dynamic threshold values was 28% and 33%, respectively. CONCLUSION: This study provides age-related normative two-point discrimination threshold values using a two-point discriminator (an aesthesiometer). This easily applicable instrument could be used as part of a more extensive neurological sensory evaluation.

Determination of soil, sand and ore primordial radionuclide concentrations by full-spectrum analyses of high-purity germanium detector spectra.

The full-spectrum analysis (FSA) method was used to determine primordial activity concentrations (ACs) in soil, sand and ore samples, in conjunction with a HPGe detector. FSA involves the least-squares fitting of sample spectra by linear combinations of (238)U, (232)Th and (40)K standard spectra. The differences between the FSA results and those from traditional windows analyses (using regions-of-interest around selected photopeaks) are less than 10% for all samples except zircon ore, where FSA yielded an unphysical (40)K AC.

Long-life vibration-free 4.5 K sorption cooler for space applications.

A breadboard 4.5 K helium sorption cooler for use in vibration-sensitive space missions was developed and successfully tested. This type of cooler has no moving parts and is, therefore, essentially vibration-free. The absence of moving parts also simplifies scaling down of the cooler to small sizes, and it contributes to achieving a very long lifetime. In addition, the cooler operates with limited dc's so that hardly any electromagnetic interference is generated. This cooler is a favorite option for future missions such as ESA's Darwin mission, a space interferometer in which the sensitive optics and detectors can hardly accept any vibration. The system design consists of a hydrogen stage cooling from 80 to 14.5 K and a helium stage establishing 5 mW at 4.5 K. Both stages use microporous activated carbon as the adsorption material. The two cooler stages need about 3.5 W of total input power and are heat sunk at two passive radiators at temperatures of about 50 and 80 K-radiators which are constructed at the cold side of the spacecraft. We developed, built, and tested a demonstrator of the helium cooler. This demonstrator has four sorption compressor cells in two compressor stages. Test experiments on this cooler showed that it performs within all specifications imposed by ESA. The cooler delivered 4.5 mW at 4.5 K with a long-term temperature stability of 1 mK and an input power of 1.96 W. So far, the cooler has operated continuously for a period of 2.5 months and has not shown any sign of performance degradation.

[Modifiable determinants of delayed hospital admission following a cerebrovascular accident]. / Beïnvloedbare determinanten van vertraagde ziekenhuisopname van patiënten met een beroerte.

OBJECTIVE: To identify the modifiable determinants of delayed hospital admission of stroke patients. DESIGN: Multicentre observational study. METHOD: In the period from 1 October 1998 to 31 May 1999, before thrombolysis was an accepted treatment for ischaemic stroke in the Netherlands, we interviewed 252 consecutively admitted patients with stroke upon admission. The patients were asked to describe their symptoms and personal reaction to the stroke event in everyday language. The study was carried out in 14 regional hospitals and one university hospital in the Netherlands. The determinants of delay were calculated by means of multiple linear regression analysis. RESULTS: A total of 252 patients took part in the study: 136 men and 116 women, of whom 130 (52%) were 75 years of age or older. The median time from onset of symptoms to calling in any professional assistance was 60 minutes. The median time from onset of symptoms to arrival at the hospital was 5 hours and 10 minutes. One-third (n = 87; 34%) of the patients reached the hospital within 2.5 hours. Nearly half of the patients (46%) recognised their symptoms as a stroke. Patients who had not recognised their symptoms as a stroke (54%) and patients who had waited until their symptoms had worsened (20%) waited longer before calling in professional assistance than those who did not. Hospital admission was delayed in patients who had waited until their symptoms had worsened, and in those who had first called a family physician (87%). On the other hand, a more rapid admission was achieved in case of referral by the family physician by telephone and also after transportation by ambulance (77%). CONCLUSION: The modifiable determinants of delayed calling for professional help by stroke patients were the fact that they did not recognise the symptoms as a stroke, and the circumstance that they waited until the symptoms would disappear or become worse. This latter circumstance, referral by the family physician by telephone and transportation by ambulance, were modifiable determinants of delayed hospital admission.

Moisture dependence of radon transport in concrete: measurements and modeling.

The moisture dependence of the radon-release rate of concrete was measured under well controlled conditions. It was found that the radon-release rate almost linearly increases up to moisture contents of 50 to 60%. At 70 to 80% a maximum was found and for higher moisture contents the radon-release rate decreases very steeply. It is demonstrated that this dependence can be successfully modeled on basis of the multi-phase radon-transport equation in which values for various input parameters (porosity, diffusion coefficient, emanation factor, etc.) were obtained from independent measurements. Furthermore, a concrete structure development model was used to predict at any moment in time the values of input parameters that depend on the evolution of the concrete microstructure. Information on the concrete manufacturing recipe and curing conditions (temperature, relative humidity) was used as input for the concrete structure model. The combined radon transport and concrete structure model supplied sufficient information to assess the influence of relative humidity on the radon source and barrier aspects of concrete. More specifically, the model has been applied to estimate the relative contributions to the radon exhalation rate of a 20-cm-thick concrete slab of radon produced in the concrete slab itself and due to diffusive transport through the slab of radon from soil gas.

MCNP modelling of scintillation-detector gamma-ray spectra from natural radionuclides.

gamma-ray spectra of natural radionuclides are simulated for a BGO detector in a borehole geometry using the Monte Carlo code MCNP. All gamma-ray emissions of the decay of 40K and the series of 232Th and 238U are used to describe the source. A procedure is proposed which excludes the time-consuming electron tracking in less relevant areas of the geometry. The simulated gamma-ray spectra are benchmarked against laboratory data.

Accuracy of eosinophils and eosinophil cationic protein to predict steroid improvement in asthma.

BACKGROUND: There is a large variability in clinical response to corticosteroid treatment in patients with asthma. Several markers of inflammation like eosinophils and eosinophil cationic protein (ECP), as well as exhaled nitric oxide (NO), are good candidates to predict clinical response. AIM: We wanted to determine whether we could actually predict a favourable response to inhaled corticosteroids in individual patients. METHODS: One hundred and twenty patients with unstable asthma were treated with either prednisolone 30 mg/day, fluticasone propionate 1000 microg/day b.i.d. or fluticasone propionate 250 microg/day b.i.d., both via Diskhaler. They were treated during 2 weeks, in a double-blind, parallel group, double dummy design. We measured eosinophils and ECP in blood and sputum, and exhaled nitric oxide as inflammatory parameters before and after 2 weeks in order to predict the changes in forced expiratory volume in 1 s (FEV1), provocative concentration of methacholine causing a 20% fall in FEV1 (PC20 Mch), and asthma quality of life (QOL). Secondly, to test whether these results were applicable in clinical practice we determined the individual prediction of corticosteroid response. RESULTS: We found that changes in FEV1, PC20 Mch and QOL with corticosteroids were predominantly predicted by their respective baseline value and to a smaller extent by eosinophils in blood or sputum. ECP, measured in blood or sputum, was certainly not better than eosinophils in predicting clinical response to corticosteroids. Smoking status was an additional predictor for change in FEV1, but not for change in PC20 Mch or QOL. Prediction of a good clinical response was poor. For instance, high sputum eosinophils (> or = 3%) correctly predicted an improvement in PC20 Mch in only 65% of the patients. CONCLUSION: Our findings show that baseline values of the clinical parameters used as outcome parameters are the major predictors of clinical response to corticosteroids. Eosinophil percentage in blood or sputum adds to this, whereas ECP provides no additional information. Correct prediction of clinical response in an individual patient, however, remains poor with our currently used clinical and inflammatory parameters.

Monte Carlo simulations as a feasibility tool for non-metallic land-mine detection by thermal-neutron backscattering.

The use of Monte Carlo simulations is presented for modelling a simplified land-mine detector system with thermal neutron backscattering (TNB) analysis based on a 252Cf-neutron source. Different aspects and a variety of external conditions, related to localisation and identification of a buried object have been investigated. In particular, the influence of moisture in a formation has been assessed, as moisture can be a serious interference for hydrogen as an indicator for explosives. The results of sensitivity calculations confirm that land-mine detection methods, based on an analysis of TNB may be applicable in homogeneous formations with low porosity provided that pore-water remains <5% by weight. In dry limestone, the TNT-based explosives can be well distinguished from other hydrogen-rich materials, except wood. However, in dry siliciclastic sands TNT explosives and wood are distinguishable.

Gamma-ray spectrometry intra- and interlaboratory test of the Dutch protocol.

This paper presents the results of a test programme to validate the Dutch pre-normative protocol NVN 5623 'Radioactivity measurements: Determination of the activity of gamma-ray emitting nuclides in a counting sample by means of semi-conductor gamma-spectrometry'. Batches of two reference materials, water and sand, both spiked with radionuclides (133Ba, 134Cs, 137Cs, 40K, 57Co and 60Co) were used in an intra- and interlaboratory test. For the water and sand, 10 and 9 laboratories, respectively, agreed to analyse three samples of each reference material strictly according to the pre-normative protocol. The interlaboratory test programme showed that for both reference materials the values for the reproducibility standard deviation were 1.5-6 times larger than those for the repeatability standard deviation. This extra variation is caused by the parameter 'laboratory'. For both reference materials the repeatability standard deviation was found in the range 0.9-2.0% of the mean activity concentration; the reproducibility standard deviation ranged from 2.5-6.0%. Bias of the test method was found for 134Cs (-6.8%) and 133Ba (-2.3%) in case of the spiked water and for 134Cs (-7.8%) in case of the spiked sand. This bias is attributed to no or insufficient correction for coincidence summing. In general, the interlaboratory test showed satisfactory agreement between laboratories. In the light of regulations on radioactivity in materials it is concluded that for measurement of this activity the Dutch protocol may serve as a blueprint for an (European Community) protocol.

Corticosteroid-induced improvement in the PC20 of adenosine monophosphate is more closely associated with reduction in airway inflammation than improvement in the PC20 of methacholine.

It has been suggested in cross-sectional studies that provocation with adenosine 5'-monophosphate (AMP) more closely reflects the inflammatory process in asthma than does provocation with methacholine or histamine. We investigated whether the steroid-induced improvement in the provocative concentration of AMP producing a 20% decline in FEV1 (PC20 AMP) is more closely associated with the concomitant reduction in airway inflammation than is the improvement in PC20 methacholine. In 120 asthmatic patients, we measured PC20 methacholine and PC20 AMP as well as sputum induction and nitric oxide (NO) in exhaled air before and after 2 weeks of treatment with corticosteroids. Improvement in PC20 AMP was solely related to reduction in airway inflammation (i.e., change in the number of sputum eosinophils, lymphocytes, epithelial cells, and concentration of NO in exhaled air). In contrast, improvement in PC20 methacholine was related to both reduction in airway inflammation (i.e., change in the number of sputum eosinophils and lymphocytes) and increase in FEV1 %predicted. The total explained variance of the improvement in bronchial hyperresponsiveness was greater for AMP than for methacholine (36% versus 22%, respectively). We conclude that PC20 AMP is more sensitive to changes in acute airway inflammation than is PC20 methacholine, further reinforcing the notion that PC20 AMP can be a useful tool for monitoring the effects of antiinflammatory therapy.

Effect of paracetamol (acetaminophen) on body temperature in acute ischemic stroke: a double-blind, randomized phase II clinical trial.

BACKGROUND AND PURPOSE: Body temperature is a strong predictor of outcome in acute stroke. However, it is unknown whether antipyretic treatment leads to early and clinically worthwhile reduction of body temperature in patients with acute stroke, especially when they have no fever. The main purpose of this trial was to study whether early treatment of acute ischemic stroke patients with acetaminophen (paracetamol) reduces body temperature. METHODS: Seventy-five patients with acute ischemic stroke confined to the anterior circulation were randomized to treatment with either 500 mg (low dose) or 1000 mg (high dose) acetaminophen or with placebo, administered as suppositories 6 times daily during 5 days. Body temperatures were measured with a rectal electronic thermometer at the start of treatment and after 24 hours and with an infrared tympanic thermometer at 2-hour intervals during the first 24 hours and at 6-hour intervals thereafter. The primary outcome measure was rectal temperature at 24 hours after the start of treatment. RESULTS: Treatment with high-dose acetaminophen resulted in 0.4 degrees C lower body temperatures than placebo treatment at 24 hours (95% CI 0.1 degrees C to 0.7 degrees C). The mean reduction from baseline temperature with high-dose acetaminophen was 0.3 degrees C (95% CI 0 degrees C to 0.6 degrees C) higher than that in placebo-treated patients. Treatment with low-dose acetaminophen did not result in lower body temperatures. After 5 days of treatment, no differences in temperature were found between the placebo and the high- or low-dose acetaminophen groups. CONCLUSIONS: Treatment with a daily dose of 6000 mg acetaminophen may result in a small, but potentially beneficial, decrease in body temperature shortly after ischemic stroke, even in normothermic and subfebrile patients. Further studies should determine whether this effect is reproducible and whether early reduction of body temperature leads to improved outcome.

Natural radionuclides as tracers of the dispersal of dredge spoil dumped at sea.

Monitoring large (underwater) surfaces, with rapidly varying composition, requires a sampling density which exceeds the capabilities of standard techniques. These techniques involve sample collection and a number of treatments and measurements in the laboratory; both steps are laborious, tedious and costly. This paper presents an in situ method in which a detector system is trailed over the surface and measures continuously the gamma rays emitted by the natural radionuclides in the sediment. Since each sediment component has its own characteristic set of activity-concentration values (radiometric fingerprint), the composition of the sediment can be deduced quantitatively. This paper shows the application of this technique for monitoring the dispersal of dredge spoil from Rotterdam harbour, dumped in the North Sea. In addition to a qualitative picture of dredge spoil dispersal, a mass balance equation has been used to quantitatively assess the dredge spoil transport with time.

PC(20) adenosine 5'-monophosphate is more closely associated with airway inflammation in asthma than PC(20) methacholine.

Inhalation of a direct stimulus such as histamine or methacholine is generally used to measure bronchial hyperresponsiveness (BHR). Provocation with adenosine 5'-monophosphate (AMP), an indirect airway challenge, has been suggested to be a better marker of airway inflammation than direct challenges. However, so far little information on this subject is available. The aim of our study was to assess whether the concentration of AMP causing the FEV(1) to drop by 20% (PC(20)) is more closely associated with inflammatory parameters in asthma than PC(20) methacholine. In 120 patients with atopic asthma (median FEV(1) 81% predicted [pred], median age 27 yr), PC(20) methacholine and PC(20) AMP as well as sputum induction, blood sampling, and measurement of nitric oxide in exhaled air were performed. PC(20) methacholine was predominantly predicted by FEV(1) %pred (explained variance [ev] = 18%) with the percentage of peripheral blood monocytes being a weak additional independent predictor (total ev = 23%). By contrast, PC(20) AMP was predominantly predicted by the percentage of eosinophils in sputum (ev = 25%), while FEV(1) %pred was only an additional independent predictor (total ev = 36%). PC(20) AMP reflects more closely the extent of airway inflammation due to asthma than PC(20) methacholine.

Full-spectrum analysis of natural gamma-ray spectra.

In this paper, a new system to measure natural gamma-radiation in situ will be presented. This system combines a high-efficiency BGO scintillation detector with full-spectrum data analysis (FSA). This technique uses the (nearly) full spectral shape and the so-called 'standard spectra' to calculate the activity concentrations of 40K, 232Th and 238U present in a geological matrix (sediment, rock, etc.). We describe the FSA and the determination of the standard spectra. Standard spectra are constructed for various geometries and a comparison in intensity and shape will be made. The performance of such a system has been compared to a more traditional system, consisting of a NaI detector in combination with the 'windows' analysis. For count rates typically encountered in field experiments, the same accuracy is obtained 10-20 times faster using the new system. This allows for shorter integration times and hence shorter measurements or a better spatial resolution. The applicability of such a system will be illustrated via an example of an airborne experiment in which the new system produced results comparable to those of much larger traditional systems. This paper will conclude with a discussion of the current status of the system and an outlook for future research.

Experimental set-up for measuring diffusive and advective transport of radon through building materials.

This study describes an approach for measuring and modelling diffusive and advective transport of radon through building materials. The goal of these measurements and model calculations is to improve our understanding concerning the factors influencing the transport of radon through building materials. To reach this goal, a number of experiments have to be conducted. These experiments, including measurements in a large cylinder for creating diffusive and advective transport of radon under controlled, 'dwelling-like' conditions, are described here and the initial results are presented. A better understanding about the transport of radon through building materials will lead to more effective ways to decrease or to prevent the entrance of radon into dwellings.

Cluster analysis of radionuclide concentrations in beach sand.

This paper presents a method in which natural radionuclide concentrations of beach sand minerals are traced along a stretch of coast by cluster analysis. This analysis yields two groups of mineral deposit with different origins. The method deviates from standard methods of following dispersal of radionuclides in the environment, which are usually based on the construction of lines of equal concentrations. The paper focuses on the methodology of quantitatively correlating activity concentrations of natural radionuclides in two groups of minerals. The methodology is widely applicable, but is demonstrated for natural radioactivity in beach sands along the coast of South West Australia.