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Rupp N. [Report of the Head and Neck Pathology Working Group of the German Society for Pathology]. PATHOLOGIE (HEIDELBERG, GERMANY) 2023; 44:252-253. [PMID: 37987812 DOI: 10.1007/s00292-023-01281-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/30/2023] [Indexed: 11/22/2023]
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Aprile E, Abe K, Agostini F, Ahmed Maouloud S, Althueser L, Andrieu B, Angelino E, Angevaare JR, Antochi VC, Antón Martin D, Arneodo F, Baudis L, Baxter AL, Bellagamba L, Biondi R, Bismark A, Brown A, Bruenner S, Bruno G, Budnik R, Bui TK, Cai C, Capelli C, Cardoso JMR, Cichon D, Clark M, Colijn AP, Conrad J, Cuenca-García JJ, Cussonneau JP, D'Andrea V, Decowski MP, Di Gangi P, Di Pede S, Di Giovanni A, Di Stefano R, Diglio S, Eitel K, Elykov A, Farrell S, Ferella AD, Ferrari C, Fischer H, Fulgione W, Gaemers P, Gaior R, Gallo Rosso A, Galloway M, Gao F, Gardner R, Glade-Beucke R, Grandi L, Grigat J, Guida M, Hammann R, Higuera A, Hils C, Hoetzsch L, Howlett J, Iacovacci M, Itow Y, Jakob J, Joerg F, Joy A, Kato N, Kara M, Kavrigin P, Kazama S, Kobayashi M, Koltman G, Kopec A, Kuger F, Landsman H, Lang RF, Levinson L, Li I, Li S, Liang S, Lindemann S, Lindner M, Liu K, Loizeau J, Lombardi F, Long J, Lopes JAM, Ma Y, Macolino C, Mahlstedt J, Mancuso A, Manenti L, Marignetti F, Marrodán Undagoitia T, Martens K, Masbou J, Masson D, Masson E, Mastroianni S, Messina M, Miuchi K, Mizukoshi K, Molinario A, Moriyama S, Morå K, Mosbacher Y, Murra M, Müller J, Ni K, Oberlack U, Paetsch B, Palacio J, Paschos P, Peres R, Peters C, Pienaar J, Pierre M, Pizzella V, Plante G, Qi J, Qin J, Ramírez García D, Reichard S, Rocchetti A, Rupp N, Sanchez L, Dos Santos JMF, Sarnoff I, Sartorelli G, Schreiner J, Schulte D, Schulte P, Schulze Eißing H, Schumann M, Scotto Lavina L, Selvi M, Semeria F, Shagin P, Shi S, Shockley E, Silva M, Simgen H, Stephen J, Takeda A, Tan PL, Terliuk A, Thers D, Toschi F, Trinchero G, Tunnell C, Tönnies F, Valerius K, Volta G, Wei Y, Weinheimer C, Weiss M, Wenz D, Wittweg C, Wolf T, Xu D, Xu Z, Yamashita M, Yang L, Ye J, Yuan L, Zavattini G, Zhong M, Zhu T. Search for New Physics in Electronic Recoil Data from XENONnT. PHYSICAL REVIEW LETTERS 2022; 129:161805. [PMID: 36306777 DOI: 10.1103/physrevlett.129.161805] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Accepted: 09/21/2022] [Indexed: 06/16/2023]
Abstract
We report on a blinded analysis of low-energy electronic recoil data from the first science run of the XENONnT dark matter experiment. Novel subsystems and the increased 5.9 ton liquid xenon target reduced the background in the (1, 30) keV search region to (15.8±1.3) events/(ton×year×keV), the lowest ever achieved in a dark matter detector and ∼5 times lower than in XENON1T. With an exposure of 1.16 ton-years, we observe no excess above background and set stringent new limits on solar axions, an enhanced neutrino magnetic moment, and bosonic dark matter.
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Rupp N. [Report on the meeting of the Head and Neck Pathology working group : 105th annual meeting of the German Society of Pathology, Münster, June 2022]. PATHOLOGIE (HEIDELBERG, GERMANY) 2022; 43:168-169. [PMID: 36260122 DOI: 10.1007/s00292-022-01146-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/21/2022] [Indexed: 12/23/2022]
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Aprile E, Abe K, Agostini F, Ahmed Maouloud S, Alfonsi M, Althueser L, Angelino E, Angevaare JR, Antochi VC, Antón Martin D, Arneodo F, Baudis L, Baxter AL, Bellagamba L, Biondi R, Bismark A, Brown A, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Cimmino B, Clark M, Colijn AP, Conrad J, Cuenca-García JJ, Cussonneau JP, D'Andrea V, Decowski MP, Gangi PD, Pede SD, Giovanni AD, Stefano RD, Diglio S, Elykov A, Farrell S, Ferella AD, Fischer H, Fulgione W, Gaemers P, Gaior R, Galloway M, Gao F, Glade-Beucke R, Grandi L, Grigat J, Higuera A, Hils C, Hiraide K, Hoetzsch L, Howlett J, Iacovacci M, Itow Y, Jakob J, Joerg F, Kato N, Kavrigin P, Kazama S, Kobayashi M, Koltman G, Kopec A, Landsman H, Lang RF, Levinson L, Li I, Liang S, Lindemann S, Lindner M, Liu K, Lombardi F, Long J, Lopes JAM, Ma Y, Macolino C, Mahlstedt J, Mancuso A, Manenti L, Manfredini A, Marignetti F, Marrodán Undagoitia T, Martens K, Masbou J, Masson D, Masson E, Mastroianni S, Messina M, Miuchi K, Mizukoshi K, Molinario A, Moriyama S, Morå K, Mosbacher Y, Murra M, Ni K, Oberlack U, Palacio J, Peres R, Pienaar J, Pierre M, Pizzella V, Plante G, Qi J, Qin J, Ramírez García D, Reichard S, Rocchetti A, Rupp N, Sanchez L, Dos Santos JMF, Sartorelli G, Schreiner J, Schulte D, Schulze Eißing H, Schumann M, Lavina LS, Selvi M, Semeria F, Shagin P, Shockley E, Silva M, Simgen H, Takeda A, Tan PL, Terliuk A, Therreau C, Thers D, Toschi F, Trinchero G, Tunnell C, Tönnies F, Valerius K, Volta G, Wei Y, Weinheimer C, Weiss M, Wenz D, Westermann J, Wittweg C, Wolf T, Xu Z, Yamashita M, Yang L, Ye J, Yuan L, Zavattini G, Zhang Y, Zhong M, Zhu T, Zopounidis JP, Laubenstein M, Nisi S. Material radiopurity control in the XENONnT experiment. THE EUROPEAN PHYSICAL JOURNAL. C, PARTICLES AND FIELDS 2022; 82:599. [PMID: 35821975 PMCID: PMC9270421 DOI: 10.1140/epjc/s10052-022-10345-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 04/19/2022] [Indexed: 11/18/2022]
Abstract
The selection of low-radioactive construction materials is of the utmost importance for rare-event searches and thus critical to the XENONnT experiment. Results of an extensive radioassay program are reported, in which material samples have been screened with gamma-ray spectroscopy, mass spectrometry, and \documentclass[12pt]{minimal}
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\begin{document}$$^{222}$$\end{document}222Rn emanation measurements. Furthermore, the cleanliness procedures applied to remove or mitigate surface contamination of detector materials are described. Screening results, used as inputs for a XENONnT Monte Carlo simulation, predict a reduction of materials background (\documentclass[12pt]{minimal}
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\begin{document}$$\sim $$\end{document}∼17%) with respect to its predecessor XENON1T. Through radon emanation measurements, the expected \documentclass[12pt]{minimal}
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\begin{document}$$^{222}$$\end{document}222Rn activity concentration in XENONnT is determined to be 4.2 (\documentclass[12pt]{minimal}
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\begin{document}$$^{+0.5}_{-0.7}$$\end{document}-0.7+0.5) \documentclass[12pt]{minimal}
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\begin{document}$$\upmu $$\end{document}μBq/kg, a factor three lower with respect to XENON1T. This radon concentration will be further suppressed by means of the novel radon distillation system.
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Aprile E, Abe K, Agostini F, Ahmed Maouloud S, Alfonsi M, Althueser L, Angelino E, Angevaare J, Antochi V, Antón Martin D, Arneodo F, Baudis L, Baxter A, Bellagamba L, Bernard A, Biondi R, Bismark A, Brown A, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso J, Cichon D, Cimmino B, Clark M, Colijn A, Conrad J, Cuenca-García J, Cussonneau J, D’Andrea V, Decowski M, Di Gangi P, Di Pede S, Di Giovanni A, Di Stefano R, Diglio S, Elykov A, Farrell S, Ferella A, Fischer H, Fulgione W, Gaemers P, Gaior R, Galloway M, Gao F, Glade-Beucke R, Grandi L, Grigat J, Higuera A, Hils C, Hoetzsch L, Howlett J, Iacovacci M, Itow Y, Jakob J, Joerg F, Joy A, Kato N, Kavrigin P, Kazama S, Kobayashi M, Koltman G, Kopec A, Landsman H, Lang R, Levinson L, Li I, Li S, Liang S, Lindemann S, Lindner M, Liu K, Lombardi F, Long J, Lopes J, Ma Y, Macolino C, Mahlstedt J, Mancuso A, Manenti L, Manfredini A, Marignetti F, Marrodán Undagoitia T, Martens K, Masbou J, Masson D, Masson E, Mastroianni S, Messina M, Miuchi K, Mizukoshi K, Molinario A, Moriyama S, Morå K, Mosbacher Y, Murra M, Müller J, Ni K, Oberlack U, Paetsch B, Palacio J, Peres R, Pienaar J, Pierre M, Pizzella V, Plante G, Qi J, Qin J, Ramírez García D, Reichard S, Rocchetti A, Rupp N, Sanchez L, dos Santos J, Sarnoff I, Sartorelli G, Schreiner J, Schulte D, Schulze Eißing H, Schumann M, Scotto Lavina L, Selvi M, Semeria F, Shagin P, Shi S, Shockley E, Silva M, Simgen H, Takeda A, Tan PL, Terliuk A, Thers D, Toschi F, Trinchero G, Tunnell C, Tönnies F, Valerius K, Volta G, Wei Y, Weinheimer C, Weiss M, Wenz D, Wittweg C, Wolf T, Xu Z, Yamashita M, Yang L, Ye J, Yuan L, Zavattini G, Zhang Y, Zhong M, Zhu T, Zopounidis J. Emission of single and few electrons in XENON1T and limits on light dark matter. Int J Clin Exp Med 2022. [DOI: 10.1103/physrevd.106.022001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Kaufmann B, Raess E, Donati O, Rupp N, Holger M, Mortezavi A, Eberli D. 3-year oncological outcome of a prospective trial using focal therapy for localized prostate cancer with High-Intensity Focused Ultrasound (HIFU). Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00397-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Rupp N. [Report on the meeting of the Head and Neck Pathology Working Group : 2021 Virtual Pathology Conference of the German Society for Pathology]. DER PATHOLOGE 2021; 42:194-196. [PMID: 34671839 DOI: 10.1007/s00292-021-01006-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/20/2021] [Indexed: 11/28/2022]
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Rupp N, Moch H. [FH-deficient renal cell carcinoma expands the spectrum of renal papillary tumors]. DER PATHOLOGE 2021; 42:560-564. [PMID: 34448900 PMCID: PMC8536582 DOI: 10.1007/s00292-021-00977-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 07/09/2021] [Indexed: 11/30/2022]
Abstract
Fumarate hydratase (FH)-deficient renal cell carcinoma (RCC) is a distinct entity, which shows a biallelic inactivation of the FH gene that consequently leads to FH protein expression and function loss, respectively. This alteration leads to an accumulation of the oncometabolite fumarate in the citrate cycle and various disorders of the cell balance and DNA processing. FH-deficient RCC often shows a morphologically overlapping spectrum with papillary renal cell carcinoma (type 2), whereby a typical mixture of growth patterns including tubulo-cystic, cribriform, and/or solid differentiation can be observed. A characteristic but non-specific morphological feature is prominent eosinophilic, virus-inclusion body-like nucleoli with perinucleolar halos. Tumoral immunohistochemical loss of FH expression supports the diagnosis but may be preserved in rare cases. Most FH-deficient RCCs show very aggressive biological behavior and are often metastasized at the time of diagnosis. The initial description encompassed RCC in association with the hereditary leiomyomatosis and renal cell carcinoma (HLRCC) syndrome, which also includes cutaneous and uterine leiomyomas. However, current data also show an increasing proportion of sporadic cases, so that a distinction (hereditary vs. sporadic) seems appropriate. So far, few but promising data on effective systemic therapeutic options have been reported. In summary, precise diagnosis is of great importance due to the frequent aggressive biological behavior, potential need to deviate from the therapeutic standard, and the possible indicator of a hereditary disease.
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Althueser L, Amaro FD, Antochi VC, Angelino E, Angevaare JR, Arneodo F, Barge D, Baudis L, Bauermeister B, Bellagamba L, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Cimmino B, Clark M, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, Depoian A, Di Gangi P, Di Giovanni A, Di Stefano R, Diglio S, Elykov A, Eurin G, Ferella AD, Fulgione W, Gaemers P, Gaior R, Rosso AG, Galloway M, Gao F, Grandi L, Garbini M, Hasterok C, Hils C, Hiraide K, Hoetzsch L, Hogenbirk E, Howlett J, Iacovacci M, Itow Y, Joerg F, Kato N, Kazama S, Kobayashi M, Koltman G, Kopec A, Landsman H, Lang RF, Levinson L, Lin Q, Lindemann S, Lindner M, Lombardi F, Lopes JAM, López Fune E, Macolino C, Mahlstedt J, Manenti L, Manfredini A, Marignetti F, Undagoitia TM, Martens K, Masbou J, Masson D, Mastroianni S, Messina M, Miuchi K, Molinario A, Morå K, Moriyama S, Mosbacher Y, Murra M, Naganoma J, Ni K, Oberlack U, Odgers K, Palacio J, Pelssers B, Peres R, Pienaar J, Pizzella V, Plante G, Qin J, Qiu H, García DR, Reichard S, Rocchetti A, Rupp N, Santos JMFD, Sartorelli G, Šarčević N, Scheibelhut M, Schindler S, Schreiner J, Schulte D, Schumann M, Lavina LS, Selvi M, Semeria F, Shagin P, Shockley E, Silva M, Simgen H, Takeda A, Therreau C, Thers D, Toschi F, Trinchero G, Tunnell C, Vargas M, Volta G, Wack O, Wang H, Wei Y, Weinheimer C, Weiss M, Wenz D, Westermann J, Wittweg C, Wulf J, Xu Z, Yamashita M, Ye J, Zavattini G, Zhang Y, Zhu T, Zopounidis JP. 222 Rn emanation measurements for the XENON1T experiment. THE EUROPEAN PHYSICAL JOURNAL. C, PARTICLES AND FIELDS 2021; 81:337. [PMID: 34720714 PMCID: PMC8550029 DOI: 10.1140/epjc/s10052-020-08777-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Accepted: 12/17/2020] [Indexed: 06/13/2023]
Abstract
The selection of low-radioactive construction materials is of utmost importance for the success of low-energy rare event search experiments. Besides radioactive contaminants in the bulk, the emanation of radioactive radon atoms from material surfaces attains increasing relevance in the effort to further reduce the background of such experiments. In this work, we present the 222 Rn emanation measurements performed for the XENON1T dark matter experiment. Together with the bulk impurity screening campaign, the results enabled us to select the radio-purest construction materials, targeting a 222 Rn activity concentration of 10 μ Bq / kg in 3.2 t of xenon. The knowledge of the distribution of the 222 Rn sources allowed us to selectively eliminate problematic components in the course of the experiment. The predictions from the emanation measurements were compared to data of the 222 Rn activity concentration in XENON1T. The final 222 Rn activity concentration of ( 4.5 ± 0.1 ) μ Bq / kg in the target of XENON1T is the lowest ever achieved in a xenon dark matter experiment.
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Aprile E, Aalbers J, Agostini F, Ahmed Maouloud S, Alfonsi M, Althueser L, Amaro FD, Andaloro S, Antochi VC, Angelino E, Angevaare JR, Arneodo F, Baudis L, Bauermeister B, Bellagamba L, Benabderrahmane ML, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Cimmino B, Clark M, Coderre D, Colijn AP, Conrad J, Cuenca J, Cussonneau JP, Decowski MP, Depoian A, Di Gangi P, Di Giovanni A, Di Stefano R, Diglio S, Elykov A, Ferella AD, Fulgione W, Gaemers P, Gaior R, Galloway M, Gao F, Grandi L, Hils C, Hiraide K, Hoetzsch L, Howlett J, Iacovacci M, Itow Y, Joerg F, Kato N, Kazama S, Kobayashi M, Koltman G, Kopec A, Landsman H, Lang RF, Levinson L, Liang S, Lindemann S, Lindner M, Lombardi F, Long J, Lopes JAM, Ma Y, Macolino C, Mahlstedt J, Mancuso A, Manenti L, Manfredini A, Marignetti F, Marrodán Undagoitia T, Martens K, Masbou J, Masson D, Mastroianni S, Messina M, Miuchi K, Mizukoshi K, Molinario A, Morå K, Moriyama S, Mosbacher Y, Murra M, Naganoma J, Ni K, Oberlack U, Odgers K, Palacio J, Pelssers B, Peres R, Pierre M, Pienaar J, Pizzella V, Plante G, Qi J, Qin J, Ramírez García D, Reichard S, Rocchetti A, Rupp N, Dos Santos JMF, Sartorelli G, Schreiner J, Schulte D, Schulze Eißing H, Schumann M, Scotto Lavina L, Selvi M, Semeria F, Shagin P, Shockley E, Silva M, Simgen H, Takeda A, Therreau C, Thers D, Toschi F, Trinchero G, Tunnell C, Valerius K, Vargas M, Volta G, Wei Y, Weinheimer C, Weiss M, Wenz D, Wittweg C, Wolf T, Xu Z, Yamashita M, Ye J, Zavattini G, Zhang Y, Zhu T, Zopounidis JP. Search for Coherent Elastic Scattering of Solar ^{8}B Neutrinos in the XENON1T Dark Matter Experiment. PHYSICAL REVIEW LETTERS 2021; 126:091301. [PMID: 33750173 DOI: 10.1103/physrevlett.126.091301] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 01/17/2021] [Accepted: 01/27/2021] [Indexed: 06/12/2023]
Abstract
We report on a search for nuclear recoil signals from solar ^{8}B neutrinos elastically scattering off xenon nuclei in XENON1T data, lowering the energy threshold from 2.6 to 1.6 keV. We develop a variety of novel techniques to limit the resulting increase in backgrounds near the threshold. No significant ^{8}B neutrinolike excess is found in an exposure of 0.6 t×y. For the first time, we use the nondetection of solar neutrinos to constrain the light yield from 1-2 keV nuclear recoils in liquid xenon, as well as nonstandard neutrino-quark interactions. Finally, we improve upon world-leading constraints on dark matter-nucleus interactions for dark matter masses between 3 and 11 GeV c^{-2} by as much as an order of magnitude.
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Rupp N. [Report on the meeting of the head and neck pathology working group : 104th annual digital conference of the DGP, Berlin]. DER PATHOLOGE 2020; 41:181-182. [PMID: 33113047 DOI: 10.1007/s00292-020-00840-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lindemann T, Gal M, Rupp N, Krauß T, Kratschmar A. Frühes akutes HELLP-Syndrom unter anthrazyklinhaltiger adjuvanter Chemotherapie bei Mammakarzinom: ein Case Report. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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13
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Rupp N, Kratschmar A, Gal M, Lindemann T, Krauß T, Beck V. Perinatale Enteroviren-Infektion des Neugeborenen mit schwerer Hirnschädigung. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1714001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Gal M, Beck V, Rupp N, Lindemann T, Krauß T, Kratschmar A. Spontane Schwangerschaft mit gutem Verlauf unter Peritonealdialyse. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1714003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Lindemann T, Kratschmar A, Rupp N, Gal M, Krauß T, Beck V. Frühes akutes HELLP-Syndrom unter anthrazyklinhaltiger adjuvanter Chemotherapie bei Mammakarzinom. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1714000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Althueser L, Amaro FD, Antochi VC, Angelino E, Arneodo F, Barge D, Baudis L, Bauermeister B, Bellagamba L, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, de Perio P, Depoian A, Di Gangi P, Di Giovanni A, Diglio S, Elykov A, Eurin G, Fei J, Ferella AD, Fieguth A, Fulgione W, Gaemers P, Gallo Rosso A, Galloway M, Gao F, Garbini M, Grandi L, Greene Z, Hasterok C, Hils C, Hogenbirk E, Howlett J, Iacovacci M, Itay R, Joerg F, Kazama S, Kish A, Kobayashi M, Koltman G, Kopec A, Landsman H, Lang RF, Levinson L, Lin Q, Lindemann S, Lindner M, Lombardi F, Lopes JAM, López Fune E, Macolino C, Mahlstedt J, Manfredini A, Marignetti F, Marrodán Undagoitia T, Masbou J, Mastroianni S, Messina M, Micheneau K, Miller K, Molinario A, Morå K, Mosbacher Y, Murra M, Naganoma J, Ni K, Oberlack U, Odgers K, Palacio J, Pelssers B, Peres R, Pienaar J, Pizzella V, Plante G, Podviianiuk R, Qin J, Qiu H, Ramírez García D, Reichard S, Riedel B, Rocchetti A, Rupp N, Dos Santos JMF, Sartorelli G, Šarčević N, Scheibelhut M, Schindler S, Schreiner J, Schulte D, Schumann M, Scotto Lavina L, Selvi M, Shagin P, Shockley E, Silva M, Simgen H, Therreau C, Thers D, Toschi F, Trinchero G, Tunnell C, Upole N, Vargas M, Volta G, Wack O, Wang H, Wei Y, Weinheimer C, Wenz D, Wittweg C, Wulf J, Ye J, Zhang Y, Zhu T, Zopounidis JP. Light Dark Matter Search with Ionization Signals in XENON1T. PHYSICAL REVIEW LETTERS 2019; 123:251801. [PMID: 31922764 DOI: 10.1103/physrevlett.123.251801] [Citation(s) in RCA: 64] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Revised: 11/07/2019] [Indexed: 06/10/2023]
Abstract
We report constraints on light dark matter (DM) models using ionization signals in the XENON1T experiment. We mitigate backgrounds with strong event selections, rather than requiring a scintillation signal, leaving an effective exposure of (22±3) tonne day. Above ∼0.4 keV_{ee}, we observe <1 event/(tonne day keV_{ee}), which is more than 1000 times lower than in similar searches with other detectors. Despite observing a higher rate at lower energies, no DM or CEvNS detection may be claimed because we cannot model all of our backgrounds. We thus exclude new regions in the parameter spaces for DM-nucleus scattering for DM masses m_{χ} within 3-6 GeV/c^{2}, DM-electron scattering for m_{χ}>30 MeV/c^{2}, and absorption of dark photons and axionlike particles for m_{χ} within 0.186-1 keV/c^{2}.
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Althueser L, Amaro FD, Antochi VC, Angelino E, Arneodo F, Barge D, Baudis L, Bauermeister B, Bellagamba L, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, de Perio P, Depoian A, Di Gangi P, Di Giovanni A, Diglio S, Elykov A, Eurin G, Fei J, Ferella AD, Fieguth A, Fulgione W, Gaemers P, Gallo Rosso A, Galloway M, Gao F, Garbini M, Grandi L, Greene Z, Hasterok C, Hils C, Hogenbirk E, Howlett J, Iacovacci M, Itay R, Joerg F, Kazama S, Kish A, Kobayashi M, Koltman G, Kopec A, Landsman H, Lang RF, Levinson L, Lin Q, Lindemann S, Lindner M, Lombardi F, Lopes JAM, López Fune E, Macolino C, Mahlstedt J, Manenti M, Manfredini A, Marignetti F, Marrodán Undagoitia T, Masbou J, Mastroianni S, Messina M, Micheneau K, Miller K, Molinario A, Morå K, Mosbacher Y, Murra M, Naganoma J, Ni K, Oberlack U, Odgers K, Palacio J, Pelssers B, Peres R, Pienaar J, Pizzella V, Plante G, Podviianiuk R, Qin J, Qiu H, Ramírez García D, Reichard S, Riedel B, Rocchetti A, Rupp N, Dos Santos JMF, Sartorelli G, Šarčević N, Scheibelhut M, Schindler S, Schreiner J, Schulte D, Schumann M, Scotto Lavina L, Selvi M, Shagin P, Shockley E, Silva M, Simgen H, Therreau C, Thers D, Toschi F, Trinchero G, Tunnell C, Upole N, Vargas M, Volta G, Wack O, Wang H, Wei Y, Weinheimer C, Wenz D, Wittweg C, Wulf J, Ye J, Zhang Y, Zhu T, Zopounidis JP. Search for Light Dark Matter Interactions Enhanced by the Migdal Effect or Bremsstrahlung in XENON1T. PHYSICAL REVIEW LETTERS 2019; 123:241803. [PMID: 31922867 DOI: 10.1103/physrevlett.123.241803] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 10/15/2019] [Indexed: 06/10/2023]
Abstract
Direct dark matter detection experiments based on a liquid xenon target are leading the search for dark matter particles with masses above ∼5 GeV/c^{2}, but have limited sensitivity to lighter masses because of the small momentum transfer in dark matter-nucleus elastic scattering. However, there is an irreducible contribution from inelastic processes accompanying the elastic scattering, which leads to the excitation and ionization of the recoiling atom (the Migdal effect) or the emission of a bremsstrahlung photon. In this Letter, we report on a probe of low-mass dark matter with masses down to about 85 MeV/c^{2} by looking for electronic recoils induced by the Migdal effect and bremsstrahlung using data from the XENON1T experiment. Besides the approach of detecting both scintillation and ionization signals, we exploit an approach that uses ionization signals only, which allows for a lower detection threshold. This analysis significantly enhances the sensitivity of XENON1T to light dark matter previously beyond its reach.
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Althueser L, Amaro FD, Anthony M, Antochi VC, Arneodo F, Baudis L, Bauermeister B, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, de Perio P, Di Gangi P, Di Giovanni A, Diglio S, Elykov A, Eurin G, Fei J, Ferella AD, Fieguth A, Fulgione W, Gallo Rosso A, Galloway M, Gao F, Garbini M, Grandi L, Greene Z, Hasterok C, Hogenbirk E, Howlett J, Iacovacci M, Itay R, Joerg F, Kazama S, Kish A, Koltman G, Kopec A, Landsman H, Lang RF, Levinson L, Lin Q, Lindemann S, Lindner M, Lombardi F, Lopes JAM, López Fune E, Macolino C, Mahlstedt J, Manfredini A, Marignetti F, Marrodán Undagoitia T, Masbou J, Masson D, Mastroianni S, Messina M, Micheneau K, Miller K, Molinario A, Morå K, Mosbacher Y, Murra M, Naganoma J, Ni K, Oberlack U, Odgers K, Pelssers B, Piastra F, Pienaar J, Pizzella V, Plante G, Podviianiuk R, Priel N, Qiu H, Ramírez García D, Reichard S, Riedel B, Rizzo A, Rocchetti A, Rupp N, Dos Santos JMF, Sartorelli G, Šarčević N, Scheibelhut M, Schindler S, Schreiner J, Schulte D, Schumann M, Scotto Lavina L, Selvi M, Shagin P, Shockley E, Silva M, Simgen H, Therreau C, Thers D, Toschi F, Trinchero G, Tunnell C, Upole N, Vargas M, Wack O, Wang H, Wang Z, Wei Y, Weinheimer C, Wenz D, Wittweg C, Wulf J, Xu Z, Ye J, Zhang Y, Zhu T, Zopounidis JP. Constraining the Spin-Dependent WIMP-Nucleon Cross Sections with XENON1T. PHYSICAL REVIEW LETTERS 2019; 122:141301. [PMID: 31050482 DOI: 10.1103/physrevlett.122.141301] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 03/07/2019] [Indexed: 06/09/2023]
Abstract
We report the first experimental results on spin-dependent elastic weakly interacting massive particle (WIMP) nucleon scattering from the XENON1T dark matter search experiment. The analysis uses the full ton year exposure of XENON1T to constrain the spin-dependent proton-only and neutron-only cases. No significant signal excess is observed, and a profile likelihood ratio analysis is used to set exclusion limits on the WIMP-nucleon interactions. This includes the most stringent constraint to date on the WIMP-neutron cross section, with a minimum of 6.3×10^{-42} cm^{2} at 30 GeV/c^{2} and 90% confidence level. The results are compared with those from collider searches and used to exclude new parameter space in an isoscalar theory with an axial-vector mediator.
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Althueser L, Amaro FD, Anthony M, Antochi VC, Arneodo F, Baudis L, Bauermeister B, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, de Perio P, Di Gangi P, Di Giovanni A, Diglio S, Elykov A, Eurin G, Fei J, Ferella AD, Fieguth A, Fulgione W, Gallo Rosso A, Galloway M, Gao F, Garbini M, Grandi L, Greene Z, Hasterok C, Hogenbirk E, Howlett J, Iacovacci M, Itay R, Joerg F, Kaminsky B, Kazama S, Kish A, Koltman G, Kopec A, Landsman H, Lang RF, Levinson L, Lin Q, Lindemann S, Lindner M, Lombardi F, Lopes JAM, López Fune E, Macolino C, Mahlstedt J, Manfredini A, Marignetti F, Marrodán Undagoitia T, Masbou J, Masson D, Mastroianni S, Messina M, Micheneau K, Miller K, Molinario A, Morå K, Murra M, Naganoma J, Ni K, Oberlack U, Odgers K, Pelssers B, Piastra F, Pienaar J, Pizzella V, Plante G, Podviianiuk R, Priel N, Qiu H, Ramírez García D, Reichard S, Riedel B, Rizzo A, Rocchetti A, Rupp N, Dos Santos JMF, Sartorelli G, Šarčević N, Scheibelhut M, Schindler S, Schreiner J, Schulte D, Schumann M, Scotto Lavina L, Selvi M, Shagin P, Shockley E, Silva M, Simgen H, Therreau C, Thers D, Toschi F, Trinchero G, Tunnell C, Upole N, Vargas M, Wack O, Wang H, Wang Z, Wei Y, Weinheimer C, Wenz D, Wittweg C, Wulf J, Ye J, Zhang Y, Zhu T, Zopounidis JP, Hoferichter M, Klos P, Menéndez J, Schwenk A. First Results on the Scalar WIMP-Pion Coupling, Using the XENON1T Experiment. PHYSICAL REVIEW LETTERS 2019; 122:071301. [PMID: 30848617 DOI: 10.1103/physrevlett.122.071301] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Indexed: 06/09/2023]
Abstract
We present first results on the scalar coupling of weakly interacting massive particles (WIMPs) to pions from 1 t yr of exposure with the XENON1T experiment. This interaction is generated when the WIMP couples to a virtual pion exchanged between the nucleons in a nucleus. In contrast to most nonrelativistic operators, these pion-exchange currents can be coherently enhanced by the total number of nucleons and therefore may dominate in scenarios where spin-independent WIMP-nucleon interactions are suppressed. Moreover, for natural values of the couplings, they dominate over the spin-dependent channel due to their coherence in the nucleus. Using the signal model of this new WIMP-pion channel, no significant excess is found, leading to an upper limit cross section of 6.4×10^{-46} cm^{2} (90% confidence level) at 30 GeV/c^{2} WIMP mass.
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Althueser L, Amaro FD, Anthony M, Arneodo F, Baudis L, Bauermeister B, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Capelli C, Cardoso JMR, Cichon D, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, de Perio P, Di Gangi P, Di Giovanni A, Diglio S, Elykov A, Eurin G, Fei J, Ferella AD, Fieguth A, Fulgione W, Gallo Rosso A, Galloway M, Gao F, Garbini M, Geis C, Grandi L, Greene Z, Qiu H, Hasterok C, Hogenbirk E, Howlett J, Itay R, Joerg F, Kaminsky B, Kazama S, Kish A, Koltman G, Landsman H, Lang RF, Levinson L, Lin Q, Lindemann S, Lindner M, Lombardi F, Lopes JAM, Mahlstedt J, Manfredini A, Marrodán Undagoitia T, Masbou J, Masson D, Messina M, Micheneau K, Miller K, Molinario A, Morå K, Murra M, Naganoma J, Ni K, Oberlack U, Pelssers B, Piastra F, Pienaar J, Pizzella V, Plante G, Podviianiuk R, Priel N, Ramírez García D, Rauch L, Reichard S, Reuter C, Riedel B, Rizzo A, Rocchetti A, Rupp N, Dos Santos JMF, Sartorelli G, Scheibelhut M, Schindler S, Schreiner J, Schulte D, Schumann M, Scotto Lavina L, Selvi M, Shagin P, Shockley E, Silva M, Simgen H, Thers D, Toschi F, Trinchero G, Tunnell C, Upole N, Vargas M, Wack O, Wang H, Wang Z, Wei Y, Weinheimer C, Wittweg C, Wulf J, Ye J, Zhang Y, Zhu T. Dark Matter Search Results from a One Ton-Year Exposure of XENON1T. PHYSICAL REVIEW LETTERS 2018; 121:111302. [PMID: 30265108 DOI: 10.1103/physrevlett.121.111302] [Citation(s) in RCA: 179] [Impact Index Per Article: 29.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Revised: 08/14/2018] [Indexed: 06/08/2023]
Abstract
We report on a search for weakly interacting massive particles (WIMPs) using 278.8 days of data collected with the XENON1T experiment at LNGS. XENON1T utilizes a liquid xenon time projection chamber with a fiducial mass of (1.30±0.01) ton, resulting in a 1.0 ton yr exposure. The energy region of interest, [1.4,10.6] keV_{ee} ([4.9,40.9] keV_{nr}), exhibits an ultralow electron recoil background rate of [82_{-3}^{+5}(syst)±3(stat)] events/(ton yr keV_{ee}). No significant excess over background is found, and a profile likelihood analysis parametrized in spatial and energy dimensions excludes new parameter space for the WIMP-nucleon spin-independent elastic scatter cross section for WIMP masses above 6 GeV/c^{2}, with a minimum of 4.1×10^{-47} cm^{2} at 30 GeV/c^{2} and a 90% confidence level.
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Amaro FD, Anthony M, Arneodo F, Barrow P, Baudis L, Bauermeister B, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Bütikofer L, Calvén J, Cardoso JMR, Cervantes M, Cichon D, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, de Perio P, Di Gangi P, Di Giovanni A, Diglio S, Eurin G, Fei J, Ferella AD, Fieguth A, Fulgione W, Gallo Rosso A, Galloway M, Gao F, Garbini M, Gardner R, Geis C, Goetzke LW, Grandi L, Greene Z, Grignon C, Hasterok C, Hogenbirk E, Howlett J, Itay R, Kaminsky B, Kazama S, Kessler G, Kish A, Landsman H, Lang RF, Lellouch D, Levinson L, Lin Q, Lindemann S, Lindner M, Lombardi F, Lopes JAM, Manfredini A, Mariş I, Marrodán Undagoitia T, Masbou J, Massoli FV, Masson D, Mayani D, Messina M, Micheneau K, Molinario A, Morå K, Murra M, Naganoma J, Ni K, Oberlack U, Pakarha P, Pelssers B, Persiani R, Piastra F, Pienaar J, Pizzella V, Piro MC, Plante G, Priel N, Rauch L, Reichard S, Reuter C, Riedel B, Rizzo A, Rosendahl S, Rupp N, Saldanha R, Dos Santos JMF, Sartorelli G, Scheibelhut M, Schindler S, Schreiner J, Schumann M, Scotto Lavina L, Selvi M, Shagin P, Shockley E, Silva M, Simgen H, Sivers MV, Stein A, Thapa S, Thers D, Tiseni A, Trinchero G, Tunnell C, Vargas M, Upole N, Wang H, Wang Z, Wei Y, Weinheimer C, Wulf J, Ye J, Zhang Y, Zhu T. First Dark Matter Search Results from the XENON1T Experiment. PHYSICAL REVIEW LETTERS 2017; 119:181301. [PMID: 29219593 DOI: 10.1103/physrevlett.119.181301] [Citation(s) in RCA: 67] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Indexed: 06/07/2023]
Abstract
We report the first dark matter search results from XENON1T, a ∼2000-kg-target-mass dual-phase (liquid-gas) xenon time projection chamber in operation at the Laboratori Nazionali del Gran Sasso in Italy and the first ton-scale detector of this kind. The blinded search used 34.2 live days of data acquired between November 2016 and January 2017. Inside the (1042±12)-kg fiducial mass and in the [5,40] keV_{nr} energy range of interest for weakly interacting massive particle (WIMP) dark matter searches, the electronic recoil background was (1.93±0.25)×10^{-4} events/(kg×day×keV_{ee}), the lowest ever achieved in such a dark matter detector. A profile likelihood analysis shows that the data are consistent with the background-only hypothesis. We derive the most stringent exclusion limits on the spin-independent WIMP-nucleon interaction cross section for WIMP masses above 10 GeV/c^{2}, with a minimum of 7.7×10^{-47} cm^{2} for 35-GeV/c^{2} WIMPs at 90% C.L.
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Aprile E, Aalbers J, Agostini F, Alfonsi M, Amaro FD, Anthony M, Arneodo F, Barrow P, Baudis L, Bauermeister B, Benabderrahmane ML, Berger T, Breur PA, Brown A, Brown E, Bruenner S, Bruno G, Budnik R, Bütikofer L, Calvén J, Cardoso JMR, Cervantes M, Cichon D, Coderre D, Colijn AP, Conrad J, Cussonneau JP, Decowski MP, de Perio P, Di Gangi P, Di Giovanni A, Diglio S, Eurin G, Fei J, Ferella AD, Fieguth A, Franco D, Fulgione W, Gallo Rosso A, Galloway M, Gao F, Garbini M, Geis C, Goetzke LW, Greene Z, Grignon C, Hasterok C, Hogenbirk E, Itay R, Kaminsky B, Kessler G, Kish A, Landsman H, Lang RF, Lellouch D, Levinson L, Lin Q, Lindemann S, Lindner M, Lopes JAM, Manfredini A, Maris I, Marrodán Undagoitia T, Masbou J, Massoli FV, Masson D, Mayani D, Messina M, Micheneau K, Miguez B, Molinario A, Murra M, Naganoma J, Ni K, Oberlack U, Pakarha P, Pelssers B, Persiani R, Piastra F, Pienaar J, Pizzella V, Piro MC, Plante G, Priel N, Rauch L, Reichard S, Reuter C, Rizzo A, Rosendahl S, Rupp N, Dos Santos JMF, Sartorelli G, Scheibelhut M, Schindler S, Schreiner J, Schumann M, Scotto Lavina L, Selvi M, Shagin P, Silva M, Simgen H, Sivers MV, Stein A, Thers D, Tiseni A, Trinchero G, Tunnell C, Wang H, Wei Y, Weinheimer C, Wulf J, Ye J, Zhang Y. Search for Electronic Recoil Event Rate Modulation with 4 Years of XENON100 Data. PHYSICAL REVIEW LETTERS 2017; 118:101101. [PMID: 28339273 DOI: 10.1103/physrevlett.118.101101] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Indexed: 06/06/2023]
Abstract
We report on a search for electronic recoil event rate modulation signatures in the XENON100 data accumulated over a period of 4 yr, from January 2010 to January 2014. A profile likelihood method, which incorporates the stability of the XENON100 detector and the known electronic recoil background model, is used to quantify the significance of periodicity in the time distribution of events. There is a weak modulation signature at a period of 431_{-14}^{+16} day in the low energy region of (2.0-5.8) keV in the single scatter event sample, with a global significance of 1.9σ; however, no other more significant modulation is observed. The significance of an annual modulation signature drops from 2.8σ, from a previous analysis of a subset of this data, to 1.8σ with all data combined. Single scatter events in the low energy region are thus used to exclude the DAMA/LIBRA annual modulation as being due to dark matter electron interactions via axial vector coupling at 5.7σ.
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De Blic J, Szefler S, Rupp N, Boner A, Azzi GE, Moroni-Zentgraf P, Engel M, Hamelmann E. Sécurité et tolérance de Tiotropium Respimat® une prise par jour en add on de traitement chez des enfants de 6–11 ans ayant un asthme sévère symptomatique. Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Karpf PM, Rupp N. [The clinical importance of arthrography after lesions of the meniscus and capsular ligament (author's transl)]. ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE 2008; 118:73-84. [PMID: 6893508 DOI: 10.1055/s-2008-1051474] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Clinical, arthrographic and operative findings of 100 patients were compared and analyzed by a study group with the result, that in questionable lesions of the meniscus, the indication for a double contrast arthrography was markedly reduced when plain films of the knee, an exact case history and a physical examination of the knee joint were performed. Above all, the improved examination technique, with the knowledge of the functional anatomy of the capsular ligament apparatus and the correlation of all stabilizing forces of the knee joint had reduced clinical errors in diagnosis. Clinically clearly analyzed meniscus lesions are therefore no indication for arthrography. In our clinic the indicatin will be reduced to those cases where there are still complaints after meniscectomy. There is a great advantage, if the examinating physician, the radiologist and the orthopedic surgeon cooperate closely together.
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Clevert DA, Jung EM, Johnson T, Kubale R, Rupp N, Schoenberg SO, Reiser M. Cervical artery dissection: improved diagnosis by B-Flow ultrasound. Clin Hemorheol Microcirc 2007; 36:141-53. [PMID: 17325438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
OBJECTIVE The objective of this study was to evaluate the efficiency of B-Flow ultrasound in diagnosing supraaortic vessel dissections compared with other ultrasound techniques including B scan, Color-Coded Doppler (CCDS) and Power Doppler (PD). MATERIALS AND METHODS Eighty-eight patients with suspected arterial dissection of the neck vessels were included in this prospective trial. All patients were examined using B scan, Color-Coded Doppler sonography and Power Doppler. After documentation of the diagnoses, the patients were additionally examined by B-Flow ultrasound. Contrast-enhanced magnetic resonance angiography (MRA) was used as reference standard in all cases. RESULTS Dissections of the carotid artery (n=19) and of the vertebral artery (n=35) were found in 44 patients. B-Flow imaging identified 52 of 54 arterial dissections that were confirmed by MRA. There were no false-positive diagnoses in ultrasound examination. The sensitivity of ultrasound examination using B scan, CCDS and PD in detecting all dissections was 95.9% and 99.1% with additional B-Flow examination. Sensitivity using B-Flow increased from 98.3% to 100% for carotid dissections and from 93.3% to 94.3% for vertebral artery dissections. Due to the lack of overwriting artifacts, B-Flow imaging detected residual flow within the false lumen more precisely. The reduced effect of the ultrasound probe angle facilitated imaging of fissures, membranes and low flow phenomena and improved the identification of low-reflection wall structures. The cine mode of the B-Flow showed undulating membrane movement most clearly. Contrast-enhanced MRA in conjunction with axial T1 and T2 weighted sequences enabled the best visualization of intramural hematomas. CONCLUSION B-Flow imaging can significantly increase the sensitivity of ultrasound examination for dissections of the neck vessels. It also improves the visualization of flow within the true and false lumen, of hypoechoic thrombi and of intramural hematoma.
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