1,807 research outputs found

    Hamiltonian Formalism in Quantum Mechanics

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    Heisenberg motion equations in Quantum mechanics can be put into the Hamilton form. The difference between the commutator and its principal part, the Poisson bracket, can be accounted for exactly. Canonical transformations in Quantum mechanics are not, or at least not what they appear to be; their properties are formulated in a series of Conjectures

    Minimizing the waiting time for emergency surgery

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    Hospitals aim to deliver the highest quality of care. One key priority is to schedule emergency surgeries as quickly as possible, because postponing them generally increases a patient’s risk of complications and even death. In this paper, we consider the case that emergency surgeries are scheduled in one of the elective Operating Rooms (ORs). In this situation, emergency patients are operated once an going elective surgery has finished. We denote these completion times of the elective surgeries by ‘break-in-moments’ (BIMs). The waiting time for emergency surgeries can be reduced by spreading these BIMs as evenly as possible over the day. This can be achieved by sequencing the surgeries in their assigned OR, such that the maximum interval between two consecutive BIMs is minimized. In this paper, we discuss several exact and heuristic solution methods for this new type of scheduling problem. However, in practice, emergency surgeries arising throughout the day and the uncertainty of the durations of elective surgeries, may disrupt the initial schedule. As a result, the completion times of the elective surgeries, and therefore, the BIMs change, leading also to a change of the maximum distance between two BIMs. To estimate this effect and investigate the robustness of the created schedules, we conduct a simulation study. Computational results show that the best approaches reduce the waiting time of emergency surgeries by approximately 10%

    Dutch patients, retail chicken meat and poultry share the same ESBL genes, plasmids and strains

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    Intestinal carriage of extended-spectrum beta-lactamase (ESBL) -producing bacteria in food-producing animals and contamination of retail meat may contribute to increased incidences of infections with ESBL-producing bacteria in humans. Therefore, distribution of ESBL genes, plasmids and strain genotypes in Escherichia coli obtained from poultry and retail chicken meat in the Netherlands was determined and defined as ‘poultry-associated’ (PA). Subsequently, the proportion of E. coli isolates with PA ESBL genes, plasmids and strains was quantified in a representative sample of clinical isolates. The E. coli were derived from 98 retail chicken meat samples, a prevalence survey among poultry, and 516 human clinical samples from 31 laboratories collected during a 3-month period in 2009. Isolates were analysed using an ESBL-specific microarray, sequencing of ESBL genes, PCR-based replicon typing of plasmids, plasmid multi-locus sequence typing (pMLST) and strain genotyping (MLST). Six ESBL genes were defined as PA (blaCTX-M-1, blaCTX-M-2, blaSHV-2, blaSHV-12, blaTEM-20, blaTEM-52): 35% of the human isolates contained PA ESBL genes and 19% contained PA ESBL genes located on IncI1 plasmids that were genetically indistinguishable from those obtained from poultry (meat). Of these ESBL genes, 86% were blaCTX-M-1 and blaTEM-52 genes, which were also the predominant genes in poultry (78%) and retail chicken meat (75%). Of the retail meat samples, 94% contained ESBL-producing isolates of which 39% belonged to E. coli genotypes also present in human samples. These findings are suggestive for transmission of ESBL genes, plasmids and E. coli isolates from poultry to humans, most likely through the food chain

    Fean wetter buorkje II : Samenvattende rapportage praktijkproeven hoger zomerpeil Fries Veenweidegebied 2007-2008

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    De provincie Fryslân en Wetterskip Fryslân zoeken naar een vorm van peilbeheer die de bodemdaling in het Friese veenweidegebied vertraagt, maar een sterke landbouw niet in de weg staat. De oplossing wordt gezocht in hoger zomerpeil. Daarbij is ’s zomers, wanneer vanwege de lagere grondwaterstanden en de hogere temperaturen 90% van de bodemdaling plaatsvindt, de drooglegging 60-70 cm, terwijl die ‘s winters 90 cm blijft

    Long Range Magnetic Order and the Darwin Lagrangian

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    We simulate a finite system of NN confined electrons with inclusion of the Darwin magnetic interaction in two- and three-dimensions. The lowest energy states are located using the steepest descent quenching adapted for velocity dependent potentials. Below a critical density the ground state is a static Wigner lattice. For supercritical density the ground state has a non-zero kinetic energy. The critical density decreases with NN for exponential confinement but not for harmonic confinement. The lowest energy state also depends on the confinement and dimension: an antiferromagnetic cluster forms for harmonic confinement in two dimensions.Comment: 5 figure

    Femorodistal venous bypass evaluated with intravascular ultrasound

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    Objective:To evaluate the feasibility of intravascular ultrasound imaging during femorodistal venous bypass procedures to assess qualitative and quantitative parameters of the greater saphenous vein and to detect potential causes for (re)stenosis and/or occlusion.Methods:Intravascular ultrasound data obtained from 15 patients were reviewed and compared with angiographic data.Results:Intravascular ultrasound enabled differentiation between normal and thickened vein wall. Venous side-branches could be located. Intact valves could be differentiated from valves disrupted by valve cutting. Patent anastomoses could be distinguished from anastomoses with some degree of obstruction. Intravascular ultrasound imaging of the inflow and outflow tracts revealed obstructive lesions, not evidenced angiographically. Quantitative analysis revealed that the median normal vein wall thickness (tunica intima and tunica media) was 0.25 mm (range 0.17–0.40 mm). The distinct vein wall thickening encountered in three patients measured 0.82, 0.95 and 1.06 mm, respectively, and was associated with narrowing in two patients. In five of 15 patients intravascular ultrasound findings altered surgical management.Conclusion:Intravascular ultrasound is able to assess qualitative and quantitative parameters of the venous bypass and has the potential to influence surgical management based on morphologic and quantitative data

    Effect of Raloxifene Treatment on Osteocyte Apoptosis in Postmenopausal Women

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    Increased osteocyte apoptosis, as the result of estrogen deficiency, could play a role in the decrease of bone mass and bone strength seen in postmenopausal osteoporosis. We investigated whether treatment with raloxifene of postmenopausal women with osteoporosis affects osteocyte apoptosis. Transiliac bone biopsies were obtained from 26 osteoporotic women at baseline and after 2 years of treatment with placebo or raloxifene. Immunohistochemical detection of cleaved caspase-3 was performed on sections from nondecalcified bone biopsies to visualize apoptosis. In the trabecular bone total osteocytes, positively stained osteocytes and empty lacunae were counted and percent positive cells and percent empty lacunae determined. Statistical evaluation was performed by Wilcoxon’s paired t-test and Spearman’s rank correlations. There was no significant difference in percentage positive osteocytes between baseline and follow-up biopsies in both the placebo and the raloxifene groups. The percentage empty lacunae increased significantly in the placebo group (11.20 ± 1.43 vs. 9.00 ± 2.25, P = 0.014) but not in the raloxifene group. At baseline in both groups combined, there was a negative correlation between indices of bone remodeling and the percentage positive osteocytes (bone formation rate/bone volume r = −0.67, P = 0.001). We found no direct evidence for an effect of raloxifene treatment on osteocyte apoptosis, but small effects of raloxifene treatment cannot be excluded. The percent of apoptotic osteocytes was dependent on the level of bone remodeling in an individual

    Some Siegel modular standard L-values, and Shafarevich–Tate groups

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    AbstractWe explain how the Bloch–Kato conjecture leads us to the following conclusion: a large prime dividing a critical value of the L-function of a classical Hecke eigenform f of level 1, should often also divide certain ratios of critical values for the standard L-function of a related genus two (and in general vector-valued) Hecke eigenform F. The relation between f and F (Harderʼs conjecture in the vector-valued case) is a congruence involving Hecke eigenvalues, modulo the large prime. In the scalar-valued case we prove the divisibility, subject to weak conditions. In two instances in the vector-valued case, we confirm the divisibility using elaborate computations involving special differential operators. These computations do not depend for their validity on any unproved conjecture

    A Generalization of Mathieu Subspaces to Modules of Associative Algebras

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    We first propose a generalization of the notion of Mathieu subspaces of associative algebras A\mathcal A, which was introduced recently in [Z4] and [Z6], to A\mathcal A-modules M\mathcal M. The newly introduced notion in a certain sense also generalizes the notion of submodules. Related with this new notion, we also introduce the sets σ(N)\sigma(N) and τ(N)\tau(N) of stable elements and quasi-stable elements, respectively, for all RR-subspaces NN of A\mathcal A-modules M\mathcal M, where RR is the base ring of A\mathcal A. We then prove some general properties of the sets σ(N)\sigma(N) and τ(N)\tau(N). Furthermore, examples from certain modules of the quasi-stable algebras [Z6], matrix algebras over fields and polynomial algebras are also studied.Comment: A new case has been added; some mistakes and misprints have been corrected. Latex, 31 page
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