Deaths certified as asthma and use of medical services: A national case-control study

This is an open access publication. The official published version can be accessed from the link below.Background: Studies have linked asthma death to either increased or decreased use of medical services. Methods: A population based case-control study of asthma deaths in 1994–8 was performed in 22 English, six Scottish, and five Welsh health authorities/boards. All 681 subjects who died were under the age of 65 years with asthma in Part I on the death certificates. After exclusions, 532 hospital controls were matched to 532 cases for age, district, and date of asthma admission/death. Data were extracted blind from primary care records. Results: The median age of the subjects who died was 53 years; 60% of cases and 64% of controls were female. There was little difference in outpatient attendance (55% and 55%), hospital admission for asthma (51% and 54%), and median inpatient days (20 days and 15 days) in the previous 5 years. After mutual adjustment and adjustment for sex, using conditional logistic regression, three variables were independently associated with asthma death: fewer general practice contacts (odds ratio 0.82 (95% confidence interval (CI) 0.74 to 0.91) per 5 contacts) in the previous year, more home visits (1.14 (95% CI 1.08 to 1.21) per visit) in the previous year, and fewer peak expiratory flow recordings (0.83 (95% CI 0.74 to 0.92) per occasion) in the previous 3 months. These associations were similar after adjustment for markers of severity, psychosocial factors, systemic steroids, short acting bronchodilators and antibiotics, although the association with peak flow was weakened and just lost significance. Conclusion: Asthma death is associated with less use of primary care services. Both practice and patient factors may be involved and a better understanding of these may offer possibilities for reducing asthma death.This study was funded jointly between the National Research and Development Asthma Management Programme (contract number AM1/ 05/002) and the National Asthma Campaign through a grant from Glaxo Wellcome (now GlaxoSmithKline)

Quantum Cosmological Relational Model of Shape and Scale in 1-d

Relational particle models are useful toy models for quantum cosmology and the problem of time in quantum general relativity. This paper shows how to extend existing work on concrete examples of relational particle models in 1-d to include a notion of scale. This is useful as regards forming a tight analogy with quantum cosmology and the emergent semiclassical time and hidden time approaches to the problem of time. This paper shows furthermore that the correspondence between relational particle models and classical and quantum cosmology can be strengthened using judicious choices of the mechanical potential. This gives relational particle mechanics models with analogues of spatial curvature, cosmological constant, dust and radiation terms. A number of these models are then tractable at the quantum level. These models can be used to study important issues 1) in canonical quantum gravity: the problem of time, the semiclassical approach to it and timeless approaches to it (such as the naive Schrodinger interpretation and records theory). 2) In quantum cosmology, such as in the investigation of uniform states, robustness, and the qualitative understanding of the origin of structure formation.Comment: References and some more motivation adde

Self-interference of a single Bose-Einstein condensate due to boundary effects

A simple model wavefunction, consisting of a linear combination of two free-particle Gaussians, describes many of the observed features seen in the interactions of two isolated Bose-Einstein condensates as they expand, overlap, and interfere. We show that a simple extension of this idea can be used to predict the qualitative time-development of a single expanding BEC condensate produced near an infinite wall boundary, giving similar interference phenomena. We also briefly discuss other possible time-dependent behaviors of single BEC condensates in restricted geometries,such as wave packet revivals.Comment: 8 pages, no figures, to appear in Physica Script

Test for interlayer coherence in a quasi-two-dimensional superconductor

Peaks in the magnetoresistivity of the layered superconductor $\kappa$-(BEDT-TTF)$_2$Cu(NCS)$_2$, measured in fields $\leq 45$ T applied within the layers, show that the Fermi surface is extended in the interlayer direction and enable the interlayer transfer integral ($t_{\perp} \approx 0.04$ meV) to be deduced. However, the quasiparticle scattering rate $\tau^{-1}$ is such that $\hbar/\tau \sim 6t_{\perp}$, implying that $\kappa$-(BEDT-TTF)$_2$Cu(NCS)$_2$ meets the criterion used to identify interlayer incoherence. The applicability of this criterion to anisotropic materials is thus shown to be questionable.Comment: 5 pages, 4 figure

Dimensionality of superconductivity in the infinite-layer high-temperature cuprate Sr0.9M0.1CuO2 (M = La, Gd)

The high magnetic field phase diagram of the electron-doped infinite layer high-temperature superconducting (high-T_c) compound Sr_{0.9}La_{0.1}CuO_2 was probed by means of penetration depth and magnetization measurements in pulsed fields to 60 T. An anisotropy ratio of 8 was detected for the upper critical fields with H parallel (H_{c2}^{ab}) and perpendicular (H_{c2}^c) to the CuO_2 planes, with H_{c2}^{ab} extrapolating to near the Pauli paramagnetic limit of 160 T. The longer superconducting coherence length than the lattice constant along the c-axis indicates that the orbital degrees of freedom of the pairing wavefunction are three dimensional. By contrast, low-field magnetization and specific heat measurements of Sr_{0.9}Gd_{0.1}CuO_2 indicate a coexistence of bulk s-wave superconductivity with large moment Gd paramagnetism close to the CuO_2 planes, suggesting a strong confinement of the spin degrees of freedom of the Cooper pair to the CuO_2 planes. The region between H_{c2}^{ab} and the irreversibility line in the magnetization, H_{irr}^{ab}, is anomalously large for an electron-doped high-T_c cuprate, suggesting the existence of additional quantum fluctuations perhaps due to a competing spin-density wave order.Comment: 4 pages, 4 figures, submitted to Phys. Rev. B, Rapid Communications (2004). Corresponding author: Nai-Chang Yeh (E-mail: [email protected]

Exact solution for two interacting electrons on artificial atoms and molecules in solids

We present a general scheme for finding the exact eigenstates of two electrons, with on-site repulsive potentials U_i, on I impurities in a macroscopic crystal. The model describes impurities in doped semiconductors and artificial molecules in quantum dots. For quantum dots, the energy cost for adding two electrons is bounded by the single-electron spectrum, and does not diverge when U_i approaches infinity, implying limitations on the validity of the Coulomb blockade picture. Analytic applications on a one-dimensional chain yield quantum delocalization and magnetic transitions.Comment: 4 pages, 1 figur

Excitation-assisted inelastic processes in trapped Bose-Einstein condensates

We find that inelastic collisional processes in Bose-Einstein condensates induce local variations of the mean-field interparticle interaction and are accompanied by the creation/annihilation of elementary excitation. The physical picture is demonstrated for the case of three body recombination in a trapped condensate. For a high trap barrier the production of high energy trapped single particle excitations results in a strong increase of the loss rate of atoms from the condensate.Comment: 4 pages, no figure

Evidence of magnetic mechanism for cuprate superconductivity

A proper understanding of the mechanism for cuprate superconductivity can emerge only by comparing materials in which physical parameters vary one at a time. Here we present a variety of bulk, resonance, and scattering measurements on the (Ca_xLa_{1-x})(Ba_{1.75-x}La_{0.25+x})Cu_3O_y high temperature superconductors, in which this can be done. We determine the superconducting, Neel, glass, and pseudopage critical temperatures. In addition, we clarify which physical parameter varies, and, equally important, which does not, with each chemical modification. This allows us to demonstrate that a single energy scale, set by the superexchange interaction J, controls all the critical temperatures of the system. J, in-turn, is determined by the in plane Cu-O-Cu buckling angle.Comment: 17 pages, 13 figure

Effects of Electron Correlation, Orbital Degeneracy and Jahn-Teller Coupling in Perovskite Manganites

Roles of Coulomb interaction, orbital degeneracy and Jahn-Teller coupling in double-exchange models are examined for Mn perovskite oxides. We study the undoped Mott insulator as well as metal-insulator transitions by hole doping, and especially strong incoherence of ferromagnetic metal. We derive models where all the spins are fully polarized in two-dimensional planes as in the experimental indications, and investigate their ground-state properties by quantum Monte Carlo method. At half filling where the number of $e_{g}$ electron is one per site on average, the Coulomb interaction opens a Mott gap and induces a staggered orbital ordering. The opening of the Mott gap is, however, substantially slower than the mean-field results if the Jahn-Teller coupling is absent. The synergy between the strong correlation and the Jahn-Teller coupling largely enhances the Mott gap amplitude and reproduces realistic amplitudes and stabilization energy of the Jahn-Teller distortion. Upon doping, the orbital ordering stabilized by the Coulomb interaction is destroyed immediately. Toward the metal-insulator transition, the short-ranged orbital correlation is critically enhanced in metals, which should be related to strong incoherence of charge dynamics observed in experiments. Our model, moreover, exhibits a uniform ordering of $d_{x^{2}-y^{2}}$ orbital in a wide region of doping in agreement with experimental indications.Comment: 4 pages LaTeX including 3 PS figures, submitted to J.Phys.Soc.Jp

Identification and quantification of microplastics in wastewater using focal plane array-based reflectance micro-FT-IR imaging

Microplastics (<5 mm) have been documented in environmental samples on a global scale. While these pollutants may enter aquatic environments via wastewater treatment facilities, the abundance of microplastics in these matrices has not been investigated. Although efficient methods for the analysis of microplastics in sediment samples and marine organisms have been published, no methods have been developed for detecting these pollutants within organic-rich wastewater samples. In addition, there is no standardized method for analyzing microplastics isolated from environmental samples. In many cases, part of the identification protocol relies on visual selection before analysis, which is open to bias. In order to address this, a new method for the analysis of microplastics in wastewater was developed. A pretreatment step using 30% hydrogen peroxide (H2O2) was employed to remove biogenic material, and focal plane array (FPA)-based reflectance micro-Fourier-transform (FT-IR) imaging was shown to successfully image and identify different microplastic types (polyethylene, polypropylene, nylon-6, polyvinyl chloride, polystyrene). Microplastic-spiked wastewater samples were used to validate the methodology, resulting in a robust protocol which was nonselective and reproducible (the overall success identification rate was 98.33%). The use of FPA-based micro-FT-IR spectroscopy also provides a considerable reduction in analysis time compared with previous methods, since samples that could take several days to be mapped using a single-element detector can now be imaged in less than 9 h (circular filter with a diameter of 47 mm). This method for identifying and quantifying microplastics in wastewater is likely to provide an essential tool for further research into the pathways by which microplastics enter the environment.This work is funded by a NERC (Natural Environment Research Council) CASE studentship (NE/K007521/1) with contribution from industrial partner Fera Science Ltd., United Kingdom. The authors would like to thank Peter Vale, from Severn Trent Water Ltd, for providing access to and additionally Ashley Howkins (Brunel University London) for providing travel and assistance with the sampling of the Severn Trent wastewater treatment plant in Derbyshire, UK. We are grateful to Emma Bradley and Chris Sinclair for providing helpful suggestions for our research