94 research outputs found
Influence of spin fluctuations on the superconducting transition temperature and resistivity in the t-J model at large N
Spin fluctuations enter the calculation of the superconducting transition
temperature T only in the next-to-leading order (i.e., in O(1/N) of the
1/N expansion of the t-J model. We have calculated these terms and show that
they have only little influence on the value of T obtained in the leading
order O(1/N) in the optimal and overdoped region, i.e., for dopings larger than
the instability towards a flux phase. This result disagrees with recent
spin-fluctuation mediated pairing theories. The discrepancies can be traced
back to the fact that in our case the coupling between electrons and spins is
determined by the t-J model and not adjusted and that the spin susceptibility
is rather broad and structureless and not strongly peaked at low energies as in
spin-fluctuation models. Relating T and transport we show that the
effective interactions in the particle-particle and particle-hole channels are
not simply related within the 1/N expansion by different Fermi surface averages
of the same interactin as in the case of phonons or spin fluctuations. As a
result, we find that large values for T and rather small scattering rates
in the normal state as found in the experiments can easily be reconciled with
each other. We also show that correlation effects heavily suppress transport
relaxation rates relative to quasiparticle relaxation rates in the case of
phonons but not in the case of spin fluctuations.Comment: 16 pages, 10 figures, will appear in Phys. Rev.
Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial
Abstract\ud
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Introduction\ud
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Several studies have shown that maximizing stroke volume (or increasing it until a plateau is reached) by volume loading during high-risk surgery may improve post-operative outcome. This goal could be achieved simply by minimizing the variation in arterial pulse pressure (ÎPP) induced by mechanical ventilation. We tested this hypothesis in a prospective, randomized, single-centre study. The primary endpoint was the length of postoperative stay in hospital.\ud
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Methods\ud
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Thirty-three patients undergoing high-risk surgery were randomized either to a control group (group C, n = 16) or to an intervention group (group I, n = 17). In group I, ÎPP was continuously monitored during surgery by a multiparameter bedside monitor and minimized to 10% or less by volume loading.\ud
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Results\ud
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Both groups were comparable in terms of demographic data, American Society of Anesthesiology score, type, and duration of surgery. During surgery, group I received more fluid than group C (4,618 ± 1,557 versus 1,694 ± 705 ml (mean ± SD), P < 0.0001), and ÎPP decreased from 22 ± 75 to 9 ± 1% (P < 0.05) in group I. The median duration of postoperative stay in hospital (7 versus 17 days, P < 0.01) was lower in group I than in group C. The number of postoperative complications per patient (1.4 ± 2.1 versus 3.9 ± 2.8, P < 0.05), as well as the median duration of mechanical ventilation (1 versus 5 days, P < 0.05) and stay in the intensive care unit (3 versus 9 days, P < 0.01) was also lower in group I.\ud
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Conclusion\ud
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Monitoring and minimizing ÎPP by volume loading during high-risk surgery improves postoperative outcome and decreases the length of stay in hospital.\ud
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Trial registration\ud
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NCT00479011The authors thank Maria De Amorim (Paris, France) and Julia Fukushima (SĂŁo Paulo, SP, Brazil) for help in data analysis, Dr Julia Wendon (London, UK) for reviewing the manuscript, and Dixtal (Sao Paulo, SP, Brazil) for providing the software for the automatic calculation of ?PP.The authors thank Maria De Amorim (Paris, France) and Julia Fukushima (SĂŁo Paulo, SP, Brazil) for help in data analysis, Dr Julia Wendon (London, UK) for reviewing the manuscript, and Dixtal (Sao Paulo, SP, Brazil) for providing the software for the automatic calculation of ?PP
The Oldest Case of Decapitation in the New World (Lapa do Santo, East-Central Brazil)
We present here evidence for an early Holocene case of decapitation in the New World (Burial 26), found in the rock shelter of Lapa do Santo in 2007. Lapa do Santo is an archaeological site located in the Lagoa Santa karst in east-central Brazil with evidence of human occupation dating as far back as 11.7-12.7 cal kyBP (95.4% interval). An ultra-filtered AMS age determination on a fragment of the sphenoid provided an age range of 9.1-9.4 cal kyBP (95.4% interval) for Burial 26. The interment was composed of an articulated cranium, mandible and first six cervical vertebrae. Cut marks with a v-shaped profile were observed in the mandible and sixth cervical vertebra. The right hand was amputated and laid over the left side of the face with distal phalanges pointing to the chin and the left hand was amputated and laid over the right side of the face with distal phalanges pointing to the forehead. Strontium analysis comparing Burial 26's isotopic signature to other specimens from Lapa do Santo suggests this was a local member of the group. Therefore, we suggest a ritualized decapitation instead of trophy-taking, testifying for the sophistication of mortuary rituals among hunter-gatherers in the Americas during the early Archaic period. In the apparent absence of wealth goods or elaborated architecture, Lapa do Santo's inhabitants seemed to use the human body to express their cosmological principles regarding death
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