PT-symmetry in honeycomb photonic lattices

We apply gain/loss to honeycomb photonic lattices and show that the dispersion relation is identical to tachyons - particles with imaginary mass that travel faster than the speed of light. This is accompanied by PT-symmetry breaking in this structure. We further show that the PT-symmetry can be restored by deforming the lattice

Fractoluminescence characterization of the energy dissipated during fast fracture of glass

Fractoluminescence experiments are performed on two kinds of silicate glasses. All the light spectra collected during dynamic fracture reveal a black body radiator behaviour, which is interpreted as a crack velocity-dependent temperature rise close to the crack tip. Crack velocities are estimated to be of the order of 1300 m.s$^{-1}$ and fracture process zones are shown to extend over a few nanometers.Comment: Accepted for publication in Europhysics Letters; 5 pages; 4 figure

Critical features in electromagnetic anomalies detected prior to the L'Aquila earthquake

Electromagnetic (EM) emissions in a wide frequency spectrum ranging from kHz to MHz are produced by opening cracks, which can be considered as the so-called precursors of general fracture. We emphasize that the MHz radiation appears earlier than the kHz in both laboratory and geophysical scale. An important challenge in this field of research is to distinguish characteristic epochs in the evolution of precursory EM activity and identify them with the equivalent last stages in the earthquake (EQ) preparation process. Recently, we proposed the following two epochs/stages model: (i) The second epoch, which includes the finally emerged strong impulsive kHz EM emission is due to the fracture of the high strength large asperities that are distributed along the activated fault sustaining the system. (ii) The first epoch, which includes the initially emerged MHz EM radiation is thought to be due to the fracture of a highly heterogeneous system that surrounds the family of asperities. A catastrophic EQ of magnitude Mw = 6.3 occurred on 06/04/2009 in central Italy. The majority of the damage occurred in the city of L'Aquila. Clear kHz - MHz EM anomalies have been detected prior to the L'Aquila EQ. Herein, we investigate the seismogenic origin of the detected MHz anomaly. The analysis in terms of intermittent dynamics of critical fluctuations reveals that the candidate EM precursor: (i) can be described in analogy with a thermal continuous phase transition; (ii) has anti-persistent behaviour. These features suggest that the emerged candidate precursor could be triggered by microfractures in the highly disordered system that surrounded the backbone of asperities of the activated fault. We introduce a criterion for an underlying strong critical behavior.Comment: 8 pages, 6 figure

Orthogeriatrics: a vital requirement for improving fragility fracture patient care internationally with particular reference to Turkey

peer reviewedPurpose: Orthogeriatrics is a team approach that aims to provide adequate and timely intervention for individuals suffering from fragility fractures, particularly hip fractures. These patients are mostly the frailest older adults. The aim of orthogeriatrics is to re-gain functionality as early as possible and to decrease disability and mortality. Some developed countries have established orthogeriatric services, while many others, including Turkey, have so far not. Here, to identify areas for improvement, we outline the status of the orthogeriatrics in older adults in Turkey. Methods: We present clear calls for action, emphasizing possible and noteworthy areas for improvement. Results: Our proposals include the need for an easily applied, short version of comprehensive geriatric assessment; appropriate laboratory testing on admission; paracetamol with a special emphasis in its dosings and clues for state-of-the-art analgesic management; the essential need to introduce oral nutritional supplementation, irrespective of nutritional status; the need for vitamin D commencement, in almost all patients; and starting osteoporosis treatment in fracture hospitalization, whenever appropriate. Last but not least, the ever-increasing prerequisite to establish “fracture liaison services” is stipulated. Conclusion: We suggest that our recommendations offer great potential in Turkey, for the improvement of frail fracture patients’ care. We call the other countries that do not have established orthogeriatric lines to model our approach to improve the management of fracture patients globally

Managing Injuries of the Neck Trial (MINT) : design of a randomised controlled trial of treatments for whiplash associated disorders

Background: A substantial proportion of patients with whiplash injuries develop chronic symptoms. However, the best treatment of acute injuries to prevent long-term problems is uncertain. A stepped care treatment pathway has been proposed, in which patients are given advice and education at their initial visit to the emergency department (ED), followed by review at three weeks and physiotherapy for those with persisting symptoms. MINT is a two-stage randomised controlled trial to evaluate two components of such a pathway: 1. use of The Whiplash Book versus usual advice when patients first attend the emergency department; 2. referral to physiotherapy versus reinforcement of advice for patients with continuing symptoms at three weeks. Methods: Evaluation of the Whiplash Book versus usual advice uses a cluster randomised design in emergency departments of eight NHS Trusts. Eligible patients are identified by clinicians in participating emergency departments and are sent a study questionnaire within a week of their ED attendance. Three thousand participants will be included. Patients with persisting symptoms three weeks after their ED attendance are eligible to join an individually randomised study of physiotherapy versus reinforcement of the advice given in ED. Six hundred participants will be randomised. Follow-up is at 4, 8 and 12 months after their ED attendance. Primary outcome is the Neck Disability Index (NDI), and secondary outcomes include quality of life and time to return to work and normal activities. An economic evaluation is being carried out. Conclusion: This paper describes the protocol and operational aspects of a complex intervention trial based in NHS emergency and physiotherapy departments, evaluating two components of a stepped-care approach to the treatment of whiplash injuries. The trial uses two randomisations, with the first stage being cluster randomised and the second individually randomised

Dirac Neutrinos, Dark Energy and Baryon Asymmetry

We explore a new origin of neutrino dark energy and baryon asymmetry in the universe. The neutrinos acquire small masses through the Dirac seesaw mechanism. The pseudo-Nambu-Goldstone boson associated with neutrino mass-generation provides a candidate for dark energy. The puzzle of cosmological baryon asymmetry is resolved via neutrinogenesis.Comment: 6 pages, 1 figure. Accepted by JCAP (only minor rewordings, refs added

Photonic realization of the relativistic Kronig-Penney model and relativistic Tamm surface states

Photonic analogues of the relativistic Kronig-Penney model and of relativistic surface Tamm states are proposed for light propagation in fibre Bragg gratings (FBGs) with phase defects. A periodic sequence of phase slips in the FBG realizes the relativistic Kronig-Penney model, the band structure of which being mapped into the spectral response of the FBG. For the semi-infinite FBG Tamm surface states can appear and can be visualized as narrow resonance peaks in the transmission spectrum of the grating

Sudden drop of fractal dimension of electromagnetic emissions recorded prior to significant earthquake

The variation of fractal dimension and entropy during a damage evolution process, especially approaching critical failure, has been recently investigated. A sudden drop of fractal dimension has been proposed as a quantitative indicator of damage localization or a likely precursor of an impending catastrophic failure. In this contribution, electromagnetic emissions recorded prior to significant earthquake are analysed to investigate whether they also present such sudden fractal dimension and entropy drops as the main catastrophic event is approaching. The pre-earthquake electromagnetic time series analysis results reveal a good agreement to the theoretically expected ones indicating that the critical fracture is approaching

Protecting Older Patients with Cardiovascular Diseases from COVID-19 Complications Using Current Medications

Purpose: In the pathogenesis of severe COVID-19 complications, derangements of renin-angiotensin-aldosterone system (RAAS), vascular endothelial dysfunction leading to inflammation and coagulopathy, and arrhythmias play an important role. Therefore, it is worth considering the use of currently available drugs to protect COVID-19 patients with cardiovascular diseases. Methods: We review the current experience of conventional cardiovascular drugs [angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers, anticoagulants, acetosalicylic acid, antiarrhythmic drugs, statins] as well as some other drug classes (antidiabetic drugs, vitamin D and NSAIDs) frequently used by older patients with cardiovascular diseases. Data were sought from clinical databases for COVID-19 and appropriate key words. Conclusions and recommendations are based on a consensus among all authors. Results: Several cardiovascular drugs have a potential to protect patients with COVID-19, although evidence is largely based on retrospective, observational studies. Despite propensity score adjustments used in many analyses observational studies are not equivalent to randomised controlled trials (RCTs). Ongoing RCTs include treatment with antithrombotics, pulmonary vasodilators, RAAS-related drugs, and colchicine. RCTs in the acute phase of COVID-19 may not, however, recognise the benefits of long term anti-atherogenic therapies, such as statins. Conclusions: Most current cardiovascular drugs can be safely continued during COVID-19. Some drug classes may even be protective. Age-specific data are scarce, though, and conditions which are common in older patients (frailty, comorbidities, polypharmacy) must be individually considered for each drug group.info:eu-repo/semantics/publishedVersio