494 research outputs found
Thrombolysis in very elderly people: controlled comparison of SITS international stroke thrombolysis registry and virtual international stroke trials archive
<p>Objective To assess effect of age on response to alteplase in acute ischaemic stroke.</p>
<p>Design Adjusted controlled comparison of outcomes between non-randomised patients who did or did not undergo thrombolysis. Analysis used Cochran-Mantel-Haenszel test and proportional odds logistic regression analysis.</p>
<p>Setting Collaboration between International Stroke Thrombolysis Registry (SITS-ISTR) and Virtual International Stroke Trials Archive (VISTA).</p>
<p>Participants 23 334 patients from SITS-ISTR (December 2002 to November 2009) who underwent thrombolysis and 6166 from VISTA neuroprotection trials (1998-2007) who did not undergo thrombolysis (as controls). Of the 29 500 patients (3472 aged >80 (“elderly,” mean 84.6), data on 272 patients were missing for baseline National Institutes of Health stroke severity score, leaving 29 228 patients for analysis adjusted for age and baseline severity.</p>
<p>Main outcome measures Functional outcomes at 90 days measured by score on modified Rankin scale.</p>
<p>Results Median severity at baseline was the same for patients who underwent thrombolysis and controls (median baseline stroke scale score: 12 for each group, P=0.14; n=29 228). The distribution of scores on the modified Rankin scale was better among all thrombolysis patients than controls (odds ratio 1.6, 95% confidence interval 1.5 to 1.7; Cochran-Mantel-Haenszel P<0.001). The association occurred independently among patients aged ≤80 (1.6, 1.5 to 1.7; P<0.001; n=25 789) and in those aged >80 (1.4, 1.3 to 1.6; P0.001; n=3439). Odds ratios were consistent across all 10 year age ranges above 30, and benefit was significant from age 41 to 90; dichotomised outcomes (score on modified Rankin scale 0-1 v 2-6; 0-2 v 3-6; and 6 (death) v rest) were consistent with the results of the ordinal analysis.</p>
<p>Conclusions Outcome in patients with acute ischaemic stroke is significantly better in those who undergo thrombolysis compared with those who do not. Increasing age is associated with poorer outcome but the association between thrombolysis treatment and improved outcome is maintained in very elderly people. Age alone should not be a barrier to treatment.</p>
Application of the scattering rate sum-rule to the interplane optical conductivity of high temperature superconductors: pseudogap and bi-layer effects
We use a recently proposed model of the interplane conductivity of high
temperature superconductors to investigate the `scattering rate sum-rule'
introduced by Basov and co-workers. We present a new derivation of the
sum-rule. The quantal and thermal fluctuations of the order parameter which
have been argued to produce the observed pseudogap behavior are shown to
increase the total integrated `scattering rate' but may either increase or
decrease the `quasiparticle' contribution from frequencies greater than twice
the superconducting gap.Comment: 4 pages, 5 figures, revise
Building typologies in northern European cities:daylight, solar access, and building energy use
Beyond the binary collision approximation for the large- response of liquid He
We discuss corrections to the linear response of a many-body system beyond
the binary collision approximation. We first derive for smooth pair
interactions an exact expression of the response , considerably
simplifying existing forms and present also the generalization for interactions
with a strong, short-range repulsion. We then apply the latter to the case of
liquid He. We display the numerical influence of the correction
around the quasi-elastic peak and in the low-intensity wings of the response,
far from that peak. Finally we resolve an apparent contradiction in previous
discussions around the fourth order cumulant expansion coefficient. Our results
prove that the large- response of liquid He can be accurately understood
on the basis of a dynamical theory.Comment: 19 p. Figs. available on reques
Experimental implications of quantum phase fluctuations in layered superconductors
I study the effect of quantum and thermal phase fluctuations on the in-plane
and c-axis superfluid stiffness of layered d-wave superconductors. First, I
show that quantum phase fluctuations in the superconductor can be damped in the
presence of external screening of Coulomb interactions, and suggest an
experiment to test the importance of these fluctuations, by placing a metal in
close proximity to the superconductor to induce such screening. Second, I show
that a combination of quantum phase fluctuations and the linear temperature
dependence of the in-plane superfluid stiffness leads to a linear temperature
dependence of the c-axis penetration depth, below a temperature scale
determined by the magnitude of in-plane dissipation.Comment: 6 pgs, 1 figure, minor changes in comparison with c-axis expt, final
published versio
Screened Coulomb interactions in metallic alloys: II Screening beyond the single-site and atomic sphere approximations
A quantitative description of the configurational part of the total energy of
metallic alloys with substantial atomic size difference cannot be achieved in
the atomic sphere approximation: It needs to be corrected at least for the
multipole moment interactions in the Madelung part of the one-electron
potential and energy. In the case of a random alloy such interactions can be
accounted for only by lifting the atomic sphere and single-site approximations,
in order to include the polarization due to local environment effects.
Nevertheless a simple parameterization of the screened Coulomb interactions for
the ordinary single-site methods, including the generalized perturbation
method, is still possible. We obtained such a parameterization for bulk and
surface NiPt alloys, which allows one to obtain quantitatively accurate
effective interactions in this system.Comment: 24 pages, 2 figure
Finite temperature scaling theory for the collapse of Bose-Einstein condensate
We show how to apply the scaling theory in an inhomogeneous system like
harmonically trapped Bose condensate at finite temperatures. We calculate the
temperature dependence of the critical number of particles by a scaling theory
within the Hartree-Fock approximation and find that there is a dramatic
increase in the critical number of particles as the condensation point is
approached.Comment: Published online [6 pages, 3 figures
Structure optimization effects on the electronic properties of BiSrCaCuO
We present detailed first-principles calculations for the normal state
electronic properties of the high T superconductor
BiSrCaCuO, by means of the linearized augmented plane wave
(LAPW) method within the framework of density functional theory (DFT). As a
first step, the body centered tetragonal (BCT) cell has been adopted, and
optimized regarding its volume, ratio and internal atomic positions by
total energy and force minimizations. The full optimization of the BCT cell
leads to small but visible changes in the topology of the Fermi surface,
rounding the shape of CuO barrels, and causing both the BiO bands,
responsible for the pockets near the \textit{\=M} 2D symmetry point, to dip
below the Fermi level. We have then studied the influence of the distortions in
the BiO plane observed in nature by means of a
orthorhombic cell (AD-ORTH) with space group. Contrary to what has been
observed for the Bi-2201 compound, we find that for Bi-2212 the distortion does
not sensibly shift the BiO bands which retain their metallic character. As a
severe test for the considered structures we present Raman-active phonon
frequencies () and eigenvectors calculated within the frozen-phonon
approximation. Focussing on the totally symmetric A modes, we observe
that for a reliable attribution of the peaks observed in Raman experiments,
both - and a-axis vibrations must be taken into account, the latter being
activated by the in-plane orthorhombic distortion.Comment: 22 pages, 4 figure
A jump-growth model for predator-prey dynamics: derivation and application to marine ecosystems
This paper investigates the dynamics of biomass in a marine ecosystem. A
stochastic process is defined in which organisms undergo jumps in body size as
they catch and eat smaller organisms. Using a systematic expansion of the
master equation, we derive a deterministic equation for the macroscopic
dynamics, which we call the deterministic jump-growth equation, and a linear
Fokker-Planck equation for the stochastic fluctuations. The McKendrick--von
Foerster equation, used in previous studies, is shown to be a first-order
approximation, appropriate in equilibrium systems where predators are much
larger than their prey. The model has a power-law steady state consistent with
the approximate constancy of mass density in logarithmic intervals of body mass
often observed in marine ecosystems. The behaviours of the stochastic process,
the deterministic jump-growth equation and the McKendrick--von Foerster
equation are compared using numerical methods. The numerical analysis shows two
classes of attractors: steady states and travelling waves.Comment: 27 pages, 4 figures. Final version as published. Only minor change
Onset of magnetism in B2 transition metals aluminides
Ab initio calculation results for the electronic structure of disordered bcc
Fe(x)Al(1-x) (0.4<x<0.75), Co(x)Al(1-x) and Ni(x)Al(1-x) (x=0.4; 0.5; 0.6)
alloys near the 1:1 stoichiometry, as well as of the ordered B2 (FeAl, CoAl,
NiAl) phases with point defects are presented. The calculations were performed
using the coherent potential approximation within the Korringa-Kohn-Rostoker
method (KKR-CPA) for the disordered case and the tight-binding linear
muffin-tin orbital (TB-LMTO) method for the intermetallic compounds. We studied
in particular the onset of magnetism in Fe-Al and Co-Al systems as a function
of the defect structure. We found the appearance of large local magnetic
moments associated with the transition metal (TM) antisite defect in FeAl and
CoAl compounds, in agreement with the experimental findings. Moreover, we found
that any vacancies on both sublattices enhance the magnetic moments via
reducing the charge transfer to a TM atom. Disordered Fe-Al alloys are
ferromagnetically ordered for the whole range of composition studied, whereas
Co-Al becomes magnetic only for Co concentration >0.5.Comment: 11 pages with 9 embedded postscript figures, to be published in
Phys.Rev.
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