Multiple Myeloma Vaccination Patterns in a Large Health System: A Pilot Study

Purpose: Common reasons for hospitalization and death in patients with multiple myeloma (MM) are infections. As patients with MM are living longer and are treated with immunomodulatory drugs, there is a need to immunize against vaccine-preventable diseases and ultimately determine the efficacy of these vaccines. We evaluated vaccination practice patterns in MM patients at our health system using electronic medical records and data analytics. Methods: This institutional review board-approved study retrospectively reviewed patients with MM who visited the health system from May 2012 to May 2014. Data collected included demographics, influenza vaccination (FV) and pneumonia vaccination (PV) history, hospitalization episodes and associated costs, and duration of survival. Patients were considered PV-positive if vaccinated within 5 years prior to study. FV was defined as optimal (two FV in 2012–2014), suboptimal (one FV in 2012–2014) or none (in 2012–2014). Results: Of 411 MM patients, 55% were male and 85% Caucasian. Nearly 58% received PV in the past 5 years. FV was 15% optimal, 52% suboptimal and 33% none. A total of 444 hospitalizations involving 204 patients were observed over 2-year follow-up. More than $23 million was incurred from hospitalizations in the 2-year study period. There was no statistically significant difference in all-cause hospitalization and overall survival by FV and PV status. Conclusions: Despite recommendations of vaccination in multiple myeloma, our cohort had low rates of influenza and pneumonia vaccination. FV and PV status did not show any significant association with additional hospitalization or overall survival in this pilot study. Future prospective studies are needed to ascertain the immunological and clinical efficacy and effectiveness of these vaccines in immunosuppressed patients

Antiferromagnetic Excitations and Van Hove Singularities in YBa2_2Cu3_3O6+x_{6+x}

We show that in quasi-two-dimensional $d$-wave superconductors Van Hove singularities close to the Fermi surface lead to novel magnetic quasi-particle excitations. We calculate the temperature and doping dependence of dynamical magnetic susceptibility for YBCO and show that the proposed excitations are in agreement with inelastic neutron scattering experiments. In addition, the values of the gap parameter and in-plane antiferromagnetic coupling are much smaller than usually believed.Comment: REVTeX, 4 pages + 3 PostScript (compressed) figures; to appear in Phys. Rev. B (Rap. Comm.

Resonant Raman Scattering in Antiferromagnets

Two-magnon Raman scattering provides important information about electronic correlations in the insulating parent compounds of high-$T_c$ materials. Recent experiments have shown a strong dependence of the Raman signal in $B_{1g}$ geometry on the frequency of the incoming photon. We present an analytical and numerical study of the Raman intensity in the resonant regime. It has been previously argued by one of us (A.Ch) and D. Frenkel that the most relevant contribution to the Raman vertex at resonance is given by the triple resonance diagram. We derive an expression for the Raman intensity in which we simultaneously include the enhancement due to the triple resonance and a final state interaction. We compute the two-magnon peak height (TMPH) as a function of incident frequency and find two maxima at $\omega^{(1)}_{res} \approx 2\Delta + 3J$ and $\omega^{(2)}_{res} \approx 2\Delta + 8J$. We argue that the high-frequency maximum is cut only by a quasiparticle damping, while the low-frequency maximum has a finite amplitude even in the absence of damping. We also obtain an evolution of the Raman profile from an asymmetric form around $\omega^{(1)}_{res}$ to a symmetric form around $\omega^{(2)}_{res}$. We further show that the TMPH depends on the fermionic quasiparticle damping, the next-nearest neighbor hopping term $t^{\prime}$ and the corrections to the interaction vertex between light and the fermionic current. We discuss our results in the context of recent experiments by Blumberg et al. on $Sr_2CuO_2Cl_2$ and $YBa_2Cu_3O_{6.1}$ and R\"{u}bhausen et al. on $PrBa_2Cu_3O_7$ and show that the triple resonance theory yields a qualitative and to some extent also quantitative understanding of the experimental data.Comment: 19 pages, RevTeX, 16 figures embedded in the text, ps-file is also available at http://lifshitz.physics.wisc.edu/www/morr/morr_homepage.htm

C-axis electronic Raman scattering in Bi_2Sr_2CaCu_2O_{8+\delta}

We report a c-axis-polarized electronic Raman scattering study of Bi_2Sr_2CaCu_2O_{8+\delta} single crystals. In the normal state, a resonant electronic continuum extends to 1.5 eV and gains significant intensity as the incoming photon energy increases. In the superconducting state, a coherence 2\Delta peak appears around 50 meV, with a suppression of the scattering intensity at frequencies below the peak position. The peak energy, which is higher than that seen with in-plane polarizations, signifies distinctly different dynamics of quasiparticle excitations created with out-of-plane polarization.Comment: 12 pages, REVTEX, 3 postscript figure

Anomalous Self-Energy Effects of the B_1g Phonon in Y_{1-x}(Pr,Ca)_xBa_2Cu_3O_7 Films

In Raman spectra of cuprate superconductors the gap shows up both directly, via a redistribution of the electronic background, the so-called "2Delta peaks", and indirectly, e.g. via the renormalization of phononic excitations. We use a model that allows us to study the redistribution and the related phonon self-energy effects simultaneously. We apply this model to the B_1g phonon of Y_{1-x}(Pr,Ca)_xBa_2Cu_3O_7 films, where Pr or Ca substitution enables us to investigate under- and overdoped samples. While various self-energy effects can be explained by the strength and energy of the 2\Delta peaks, anomalies remain. We discuss possible origins of these anomalies.Comment: 6 pages including 4 figure

Spin correlations in the electron-doped high-transition-temperature superconductor Nd{2-x}Ce{x}CuO{4+/-delta}

High-transition-temperature (high-Tc) superconductivity develops near antiferromagnetic phases, and it is possible that magnetic excitations contribute to the superconducting pairing mechanism. To assess the role of antiferromagnetism, it is essential to understand the doping and temperature dependence of the two-dimensional antiferromagnetic spin correlations. The phase diagram is asymmetric with respect to electron and hole doping, and for the comparatively less-studied electron-doped materials, the antiferromagnetic phase extends much further with doping [1, 2] and appears to overlap with the superconducting phase. The archetypical electron-doped compound Nd{2-x}Ce{x}CuO{4\pm\delta} (NCCO) shows bulk superconductivity above x \approx 0.13 [3, 4], while evidence for antiferromagnetic order has been found up to x \approx 0.17 [2, 5, 6]. Here we report inelastic magnetic neutron-scattering measurements that point to the distinct possibility that genuine long-range antiferromagnetism and superconductivity do not coexist. The data reveal a magnetic quantum critical point where superconductivity first appears, consistent with an exotic quantum phase transition between the two phases [7]. We also demonstrate that the pseudogap phenomenon in the electron-doped materials, which is associated with pronounced charge anomalies [8-11], arises from a build-up of spin correlations, in agreement with recent theoretical proposals [12, 13].Comment: 5 pages, 4 figure

Resonant Two-Magnon Raman Scattering in Cuprate Antiferromagnetic Insulators

We present results of low-temperature two-magnon resonance Raman excitation profile measurements for single layer Sr_2CuO_2Cl_2 and bilayer YBa_2Cu_3O_{6 + \delta} antiferromagnets over the excitation region from 1.65 to 3.05 eV. These data reveal composite structure of the two-magnon line shape and strong nonmonotic dependence of the scattering intensity on excitation energy. We analyze these data using the triple resonance theory of Chubukov and Frenkel (Phys. Rev. Lett., 74, 3057 (1995)) and deduce information about magnetic interaction and band parameters in these materials.Comment: REVTeX, 4 pages + 2 PostScript (compressed) figure

Interlayer Registry Determines the Sliding Potential of Layered Metal Dichalcogenides: The case of 2H-MoS2

We provide a simple and intuitive explanation for the interlayer sliding energy landscape of metal dichalcogenides. Based on the recently introduced registry index (RI) concept, we define a purely geometrical parameter which quantifies the degree of interlayer commensurability in the layered phase of molybdenum disulphide (2HMoS2). A direct relation between the sliding energy landscape and the corresponding interlayer registry surface of 2H-MoS2 is discovered thus marking the registry index as a computationally efficient means for studying the tribology of complex nanoscale material interfaces in the wearless friction regime.Comment: 13 pages, 7 figure

Raman spectrum and lattice parameters of MgB2 as a function of pressure

We report Raman spectra and synchrotron x-ray diffraction measurements of lattice parameters of polycrystalline MgB2 under hydrostatic pressure conditions up to 15 GPa. An anomalously broadened Raman band at 620 cm-1 is observed that exhibits a large linear pressure shift of its frequency. The large mode damping and Gruneisen parameter indicate a highly anharmonic nature of the mode, broadly consistent with theoretical predictions for the E2g in-plane boron stretching mode. The results obtained may provide additional constraints on the electron-phonon coupling in the system.Comment: 3 pages, 3 figure