4,323 research outputs found
Strongly correlated metal interfaces in the Gutzwiller approximation
We study the effect of spatial inhomogeneity on the physics of a strongly
correlated electron system exhibiting a metallic phase and a Mott insulating
phase, represented by the simple Hubbard model. In three dimensions, we
consider various geometries, including vacuum-metal-vacuum, a junction between
a weakly and a strongly correlated metal, and finally the double junctions
metal-Mott insulator-metal and metal-strongly correlated metal- metal. We
applied to these problems the self-consistent Gutzwiller technique recently
developed in our group, whose approximate nature is compensated by an extreme
flexibility,ability to treat very large systems, and physical transparency. The
main general result is a clear characterization of the position dependent
metallic quasiparticle spectral weight. Its behavior at interfaces reveals the
ubiquitous presence of exponential decays and crossovers, with decay lengths of
clear physical significance. The decay length of metallic strength in a
weakly-strongly correlated metal interface is due to poor screening in the
strongly correlated side. The decay length of metallic strength from a metal
into a Mott insulator (or into vacuum) is due to tunneling. In both cases, the
decay length is a bulk property, and diverges with a critical exponent ( in the present approximation, mean field in character) as the (continuous,
paramagnetic) Mott transition is approached.Comment: 19 pages, 19 figure
Comparison of Costs of Home and Facility-based Basic Obstetric Care in Rural Bangladesh
This study compared the costs of providing antenatal, delivery and postnatal care in the home and in a basic obstetric facility in rural Bangladesh. The average costs were estimated by interviewing midwives and from institutional records. The main determinants of cost in each setting were also assessed. The cost of basic obstetric care in the home and in a facility was very similar, although care in the home was cheaper. Deliveries in the home took more time but this was offset by the capital costs associated with facility-based care. As use-rates increase, deliveries in a facility will become cheaper. Antenatal and postnatal care was much cheaper to provide in the facility than in the home. Facility-based delivery care is likely to be a cheaper and more feasible method for the care provider as demand rises. In settings where skilled attendance rates are very low, home-based care will be cheaper
Diffusion flame attachment and flame front propagation along mixing layers
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The association between serum uric acid levels and 10-year cardiovascular disease incidence: results from the ATTICA prospective study.
Limited data suggests possible gender-specific association between serum uric acid (SUA) and cardiovascular disease (CVD) incidence. The aim of the present analysis was to evaluate the association between SUA levels and 10-year CVD incidence (2002-2012) in the ATTICA study participants. Overall, 1687 apparently healthy volunteers, with SUA measurements, residing in the greater metropolitan Athens area (Greece), were included. Multivariable Cox-regression models were used to estimate the hazard ratios for SUA in relation to 10-year CVD incidence. Receiver operating curve analysis was conducted to detect optimal SUA cut-off values. Participants in the 2nd and 3rd SUA tertile had 29 and 73% higher 10-year CVD incidence compared with those in the 1st tertile (p < 0.001). In gender-specific analysis, only in women SUA was independently associated with CVD incidence; women in the 3rd SUA tertile had 79% greater 10-year CVD event risk compared to their 1st tertile counterparts. Obese in the 3rd SUA tertile had 2-times higher CVD incidence compared to those in the 1st tertile. Similar findings were observed in metabolically healthy (vs. unhealthy) and metabolically healthy obese. SUA thresholds best predicting 10-year CVD incidence was 5.05 and 4.15 mg/dL (0.30 and 0.25 mmol/L) in men and women, respectively. In conclusion, increased SUA levels were independently related to 10-year CVD event rate in women, obese and metabolically healthy individuals. SUA could predict 10-year CVD incidence even at low levels. Further studies are warranted to identify SUA cut-off values that may improve the detection of individuals at higher CVD risk in clinical practice
The X-Gamma Imaging Spectrometer (XGIS) onboard THESEUS
A compact and modular X and gamma-ray imaging spectrometer (XGIS) has been
designed as one of the instruments foreseen on-board the THESEUS mission
proposed in response to the ESA M5 call. The experiment envisages the use of
CsI scintillator bars read out at both ends by single-cell 25 mm 2 Silicon
Drift Detectors. Events absorbed in the Silicon layer (lower energy X rays) and
events absorbed in the scintillator crystal (higher energy X rays and
Gamma-rays) are discriminated using the on-board electronics. A coded mask
provides imaging capabilities at low energies, thus allowing a compact and
sensitive instrument in a wide energy band (~2 keV up to ~20 MeV). The
instrument design, expected performance and the characterization performed on a
series of laboratory prototypes are discussed.Comment: To be published in the Proceedings of the THESEUS Workshop 2017
(http://www.isdc.unige.ch/theseus/workshop2017.html), Journal of the Italian
Astronomical Society (Mem.SAIt), Editors L. Amati, E. Bozzo, M. Della Valle,
D. Gotz, P. O'Brien. Details on the THESEUS mission concept can be found in
the white paper Amati et al. 2017 (arXiv:171004638) and Stratta et al. 2017
(arXiv:1712.08153
Understanding the influence of surgical parameters on craniofacial surgery outcomes: a computational study
Sagittal craniosynostosis (SC) is a congenital condition whereby the newborn skull develops abnormally owing to the premature ossification of the sagittal suture. Spring-assisted cranioplasty (SAC) is a minimally invasive surgical technique to treat SC, where metallic distractors are used to reshape the newbornâs head. Although safe and effective, SAC outcomes remain uncertain owing to the limited understanding of skullâdistractor interaction and the limited information provided by the analysis of single surgical cases. In this work, an SC population-averaged skull model was created and used to simulate spring insertion by means of the finite-element analysis using a previously developed modelling framework. Surgical parameters were varied to assess the effect of osteotomy and spring positioning, as well as distractor combinations, on the final skull dimensions. Simulation trends were compared with retrospective measurements from clinical imaging (X-ray and three-dimensional photogrammetry scans). It was found that the on-table post-implantation head shape change is more sensitive to spring stiffness than to the other surgical parameters. However, the overall end-of-treatment head shape is more sensitive to spring positioning and osteotomy size parameters. The results of this work suggest that SAC surgical planning should be performed in view of long-term results, rather than immediate on-table reshaping outcomes
Three-Dimensional Handheld Scanning to Quantify Head-Shape Changes in Spring-Assisted Surgery for Sagittal Craniosynostosis
Three-dimensional (3D) imaging is an important tool for diagnostics, surgical planning, and evaluation of surgical outcomes in craniofacial procedures. Gold standard for acquiring 3D imaging is computed tomography that entails ionizing radiations and, in young children, a general anaesthesia. Three-dimensional photographic imaging is an alternative method to assess patients who have undergone calvarial reconstructive surgery. The aim of this study was to assess the utility of 3D handheld scanning photography in a cohort of patients who underwent spring-assisted correction surgery for scaphocephaly. Pre- and postoperative 3D scans acquired in theater and at the 3-week follow-up in clinic were postprocessed for 9 patients. Cephalic index (CI), head circumference, volume, sagittal length, and coronal width over the head at pre-op, post-op, and follow-up were measured from the 3D scans. Cephalic index from 3D scans was compared with measurements from planar x-rays. Statistical shape modeling (SSM) was used to calculate the 3D mean anatomical head shape of the 9 patients at the pre-op, post-op, and follow-up. No significant differences were observed in the CI between 3D and x-ray. Cephalic index, volume, and coronal width increased significantly over time. Mean shapes from SSM visualized the overall and regional 3D changes due to the expansion of the springs in situ. Three-dimensional handheld scanning followed by SSM proved to be an efficacious and practical method to evaluate 3D shape outcomes after spring-assisted cranioplasty in individual patients and the population
Towards a radiation free numerical modelling framework to predict spring assisted correction of scaphocephaly
Sagittal Craniosynostosis (SC) is a congenital craniofacial malformation, involving premature sagittal suture ossification; spring-assisted cranioplasty (SAC) â insertion of metallic distractors for skull reshaping â is an established method for treating SC. Surgical outcomes are predictable using numerical modelling, however published methods rely on computed tomography (CT) scans availability, which are not routinely performed. We investigated a simplified method, based on radiation-free 3D stereophotogrammetry scans.Eight SAC patients (age 5.1â±â0.4âmonths) with preoperative CT and 3D stereophotogrammetry scans were included. Information on osteotomies, spring model and post-operative spring opening were recorded. For each patient, two preoperative models (PREOP) were created: i) CT model and ii) S model, created by processing patient specific 3D surface scans using population averaged skin and skull thickness and suture locations. Each model was imported into ANSYS Mechanical (Analysis System Inc., Canonsburg, PA) to simulate spring expansion. Spring expansion and cranial index (CI - skull width over length) at times equivalent to immediate postop (POSTOP) and follow up (FU) were extracted and compared with in-vivo measurements.Overall expansion patterns were very similar for the 2 models at both POSTOP and FU. Both models had comparable outcomes when predicting spring expansion. Spring induced CI increase was similar, with a difference of 1.2%±0.8% for POSTOP and 1.6%±0.6% for FU.This work shows that a simplified model created from the head surface shape yields acceptable results in terms of spring expansion prediction. Further modelling refinements will allow the use of this predictive tool during preoperative planning
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