Zinc increases the effects of essential amino acids-whey protein supplements in frail elderly

Abstract: Protein undernutrition is frequent in the elderly. It contributes to the development of osteoporosis, possibly via lower IGF-I. Dietary zinc can influence IGF-I production. Objectives: To determine the influence of dietary zinc addition on IGF-I and bone turnover responses to essential amino acids-whey (EAA-W) protein supplements in frail elderly. Design and setting: A daily oral protein supplement was given to hospitalized patients for 4 weeks. On a randomized, double-blind basis, patients received either an additional 30 mg/day of zinc or control. Participants: Sixty-one hospitalized elderly aged 66.7 to 105.8, with a mini-nutritional assessment score between 17 and 24 were enrolled. Measurements: Activities of daily living; dietary intakes; serum IGF-I, IGF-BP3, CrossLaps™, osteocalcin and zinc were measured before and after 1, 2 and 4 weeks of protein supplementation. Results: Serum IGF-I rapidly increased in both groups. Zinc accelerated this increase with changes of +48.2±14.3 and +22.4±4.7% (p<.05) by 1 week, in the zinc-supplemented and control groups, respectively. Zinc significantly decreased the serum bone resorption marker CrossLaps™ by already 1 week. Activities of daily living improved by +27.0±3.1 and +18.3±4.5% in zinc-supplemented and control groups, respectively. Conclusion: In the elderly, zinc supplementation accelerated the serum IGF-I response to EAA-W protein by 1 week and decreased a biochemical marker of bone resorptio

Rejets radioactifs et environnement du CERN en 2003

La radioactivité de l’environnement autour de l’Organisation Européenne pour la Recherche Nucléaire (CERN) et les doses de rayonnements qui en résultent pour la population avoisinante sont contrôlées par la Commission de Sûreté du CERN et de manière indépendante par les autorités compétentes des deux Etats Hôtes, l’Institut de Radioprotection et de Sûreté Nucléaire (IRSN) côté France et l’Office Fédéral de la Santé Publique (OFSP) côté Suisse. Dans ce rapport, les résultats de mesures concernent en particulier le territoire suisse. L’ensemble des mesures effectuées en 2003 prouve que le fonctionnement des installations du CERN était sans conséquence radiologique sur l’environnement et la population. Le contrôle des émissions montre que les rejets effectifs se situent également en 2003 nettement en dessous des limites réglementaires. Ce constat est confirmé par le contrôle des immissions dans l’environnement. Le CERN a bien respecté en 2003 comme dans les années précédentes la valeur directrice de dose liée à la source fixée à 0.3 mSv/an. L’impact réel représente en fait moins de 10% de cette valeur, comme l’indique l’estimation pour le groupe critique, qui est de l’ordre de 0.03 mSv/an

ELENA, a preliminary cost and feasibility study

To produce dense pbar beams at very low energies (100-200 keV), a small decelerator ring could be built and installed between the existing AD ring and the experimental area. Phase-space blowup during deceleration would be compensated by electron cooling in order to obtain final emittances comparable to the 5MeV beam presently delivered by the AD. This report describes preliminary machine parameters and layout of ELENA and also gives an approximate estimate of cost and manpower needs

The CERN PS multi-turn extraction based on beam splittting in stable islands of transverse phase space: Design Report

Since 2001 considerable effort has been devoted to the study of a possible replacement of the continuous-transfer extraction mode from the PS to the SPS. Such an approach, called Multi-Turn Extraction (MTE), is based on capture of the beam inside stable islands of transverse phase space, generated by sextupoles and octupoles, thanks to a properly chosen tune variation. Both numerical simulations and measurements with beam were performed to understand the properties of this new extraction mode. The experimental study was completed at the end of 2004 and by the end of 2005 a scheme to implement this novel approach in the PS machine was defined and its performance assessed. This design report presents the outcome of the studies undertaken both in terms of technical issues as well as of resources necessary to implement the proposed scheme

IONS FOR LHC: STATUS OF THE INJECTOR CHAIN

The LHC will, in addition to proton runs, be operated with Pb ions and provide collisions at energies of 5.5 TeV per nucleon pair, i.e. more than 1.1 PeV per event, to experiments. The transformation of CERN's ion injector complex (Linac3-LEIR-PS-SPS) to allow collision of ions in LHC in 2008 is well under way. The status of these modifications and the latest results of commissioning will be presented. The remaining challenges are reviewed

The energy calibration of LEP in the 1993 scan

This report summarizes the procedure for providing the absolute energy calibration of the LEP beams during the energy scan in 1993. The average beam energy around the LEP ring was measured in 25 calibrations with the resonant depolarization technique. The time variation of this average beam energy is well described by a model of the accelerator based on monitored quantities. The absolute calibration of the centre of mass energies of the off-peak points is determined with a precision of 2 parts in 10(5) resulting in a systematic error on the Z-mass of about 1.4 MeV and on the Z-width of about 1.5 MeV

Installation and Hardware commissioning of the Multi-Turn extraction at the CERN proton synchrotron

The implementation of the new Multi-Turn Extraction (MTE) at the CERN Proton Synchrotron required major hardware changes for the nearly 50-year old accelerator. The installation of new Pulse Forming Networks (PFN) and refurbished kicker magnets for the extraction, new sextupole and octupole magnets, new power converters, together with an in-depth review of the machine aperture leading to the design of new vacuum chambers was required. As a result, a heavy programme of interventions had to be scheduled during the winter shut-down 2007-8. The newly installed hardware and its commissioning is presented and discussed in details

An evidence-based recommendation on bed head elevation for mechanically ventilated patients

A semi-upright position in ventilated patients is recommended to prevent ventilator-associated pneumonia (VAP) and is one of the components in the Ventilator Bundle of the Institute for Health Care Improvement. This recommendation, however, is not an evidence-based one.status: publishe