537 research outputs found
Quantum anomalies and linear response theory
The analysis of diffusive energy spreading in quantized chaotic driven
systems, leads to a universal paradigm for the emergence of a quantum anomaly.
In the classical approximation a driven chaotic system exhibits stochastic-like
diffusion in energy space with a coefficient that is proportional to the
intensity of the driving. In the corresponding quantized problem
the coherent transitions are characterized by a generalized Wigner time
, and a self-generated (intrinsic) dephasing process leads to
non-linear dependence of on .Comment: 8 pages, 2 figures, textual improvements (as in published version
Anomalous decay of a prepared state due to non-Ohmic coupling to the continuum
We study the decay of a prepared state into a continuum {E_k} in the
case of non-Ohmic models. This means that the coupling is with . We find that irrespective of model details
there is a universal generalized Wigner time that characterizes the
evolution of the survival probability . The generic decay behavior
which is implied by rate equation phenomenology is a slowing down stretched
exponential, reflecting the gradual resolution of the bandprofile. But
depending on non-universal features of the model a power-law decay might take
over: it is only for an Ohmic coupling to the continuum that we get a robust
exponential decay that is insensitive to the nature of the intra-continuum
couplings. The analysis highlights the co-existence of perturbative and
non-perturbative features in the dynamics. It turns out that there are special
circumstances in which is reflected in the spreading process and not only
in the survival probability, contrary to the naive linear response theory
expectation.Comment: 13 pages, 11 figure
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Clinical Outcome of Breast Cancer Occurring after Treatment for Hodgkin's Lymphoma: Case-Control Analysis
Background: To evaluate diagnosis, management and outcome of breast cancer (BC) occurring after irradiation for Hodgkin's lymphoma (HL). Methods: 39 cases of BC in 28 HL survivors were retrospectively reviewed. 21 patients were included in a case-control analysis. Results: The median age at diagnosis of HL and BC was 25.3 and 45.3 years, respectively. The median interval to develop BC was 16.1 years. Eleven women (39.2%) had bilateral disease. Mode of detection of the index breast cancers was by mammographic screening in 17 patients (60.7%), palpable lump in 8 patients (28.6%), clinical examination in two patients (7.1%), and unknown in one patient (3.6%). Case-control analysis showed that histological features and prognosis of BC after HL were similar to those of primary BC, however, for BC after HL, mastectomy was the predominant surgery (P = .001) and adjuvant radiotherapy and anthracycline-based chemotherapy were less frequently used as compared to primary BC (P < .001 and .003, respectively). Conclusion: The previous history of HL does not appear to be a poor prognostic factor for BC occurring thereafter
Clinical outcome of breast cancer occurring after treatment for Hodgkin's lymphoma: case-control analysis
<p>Abstract</p> <p>Background</p> <p>To evaluate diagnosis, management and outcome of breast cancer (BC) occurring after irradiation for Hodgkin's lymphoma (HL).</p> <p>Methods</p> <p>39 cases of BC in 28 HL survivors were retrospectively reviewed. 21 patients were included in a case-control analysis.</p> <p>Results</p> <p>The median age at diagnosis of HL and BC was 25.3 and 45.3 years, respectively. The median interval to develop BC was 16.1 years. Eleven women (39.2%) had bilateral disease. Mode of detection of the index breast cancers was by mammographic screening in 17 patients (60.7%), palpable lump in 8 patients (28.6%), clinical examination in two patients (7.1%), and unknown in one patient (3.6%). Case-control analysis showed that histological features and prognosis of BC after HL were similar to those of primary BC, however, for BC after HL, mastectomy was the predominant surgery (<it>P </it>= .001) and adjuvant radiotherapy and anthracycline-based chemotherapy were less frequently used as compared to primary BC (<it>P </it>< .001 and .003, respectively).</p> <p>Conclusion</p> <p>The previous history of HL does not appear to be a poor prognostic factor for BC occurring thereafter.</p
Quantum decay into a non-flat continuum
We study the decay of a prepared state into non-flat continuum. We find that
the survival probability might exhibit either stretched-exponential or
power-law decay, depending on non-universal features of the model. Still there
is a universal characteristic time that does not depend on the functional
form. It is only for a flat continuum that we get a robust exponential decay
that is insensitive to the nature of the intra-continuum couplings. The
analysis highlights the co-existence of perturbative and non-perturbative
features in the local density of states, and the non-linear dependence of
on the strength of the coupling.Comment: 10 pages, 4 figure
Predictive factors for success of awake proning in hypoxemic respiratory failure secondary to COVID-19: A retrospective cohort study
BACKGROUND: Awake prone positioning has been recommended as an adjunctive measure in spontaneously breathing patients with hypoxemic respiratory failure during the COVID-19 pandemic. It remains uncertain as to how long this should be implemented, what variables to follow and who would be the ideal candidates for this adjunctive therapy.
METHODS: A retrospective chart review of patients admitted from April to August 2020 within our institution with multifocal pneumonia and hypoxemic respiratory failure secondary to COVID-19 who underwent awake-proning for at least 3 hours was conducted.
RESULTS: Improvement in respiratory parameters including ROX (SpO2/Fio2/ Respiratory Rate) indices and inflammatory markers within 4 days of institution of awake proning predicted a higher chance for success of this strategy in preventing need for mechanical ventilation. Moreover, benefits of awake proning were limited to patients with mild to moderate ARDS.
CONCLUSIONS: Awake prone positioning can be safely performed with improvement in oxygenation. However, its institution may be beneficial only in patients with mild to moderate ARDS and requires careful evaluation of respiratory parameters and serum inflammatory markers to avoid a delay in endotracheal intubation and consequent increase in mortality rates
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