4,077 research outputs found
Evolution speed of open quantum dynamics
The space of density matrices is embedded in a Euclidean space to deduce the
dynamical equation satisfied by the state of an open quantum system. The
Euclidean norm is used to obtain an explicit expression for the speed of the
evolution of the state. The unitary contribution to the evolution speed is
given by the modified skew information of the Hamiltonian, while the radial
component of the evolution speed, connected to the rate at which the purity of
the state changes, is shown to be determined by the modified skew information
of the Lindblad operators. An open-system analogue of the quantum navigation
problem is posed, and a perturbative analysis is presented to identify the
amount of change on the speed. Properties of the evolution speed are examined
further through example systems, showing that the evolution speed need not be a
decreasing function of time.Comment: 5 page
Lytic and mechanical stability of clots composed of fibrin and blood vessel wall components.
Background
Proteases expressed in atherosclerotic plaque lesions generate collagen fragments, release glycosaminoglycans (chondroitin sulfate [CS] and dermatan sulfate [DS]) and expose extracellular matrix (ECM) proteins (e.g. decorin) at sites of fibrin formation.
Objective
Here we address the effect of these vessel wall components on the lysis of fibrin by the tissue plasminogen activator (tPA)/plasminogen system and on the mechanical stability of clots.
Methods and results
MMP-8-digested collagen fragments, isolated CS, DS, glycosylated decorin and its core protein were used to prepare mixed matrices with fibrin (additives present at a 50-fold lower mass concentration than fibrinogen). Scanning electron microscopy (SEM) showed that the presence of ECM components resulted in a coarse fibrin structure, most pronounced for glycosylated decorin causing an increase in the median fiber diameter from 85 to 187 nm. Rheological measurements indicated that these structural alterations were coupled to decreased shear resistance (1.8-fold lower shear stress needed for gel/fluid transition of the clots containing glycosylated decorin) and rigidity (reduction of the storage modulus from 54.3 to 33.2 Pa). The lytic susceptibility of the modified fibrin structures was increased. The time to 50% lysis by plasmin was reduced approximately 2-fold for all investigated ECM components (apart from the core protein of decorin which produced a moderate reduction of the lysis time by 25%), whereas fibrin-dependent plasminogen activation by tPA was inhibited by up to 30%.
Conclusion
ECM components compromise the chemical and mechanical stability of fibrin as a result of changes in its ultrastructure
On Markovian solutions to Markov Chain BSDEs
We study (backward) stochastic differential equations with noise coming from
a finite state Markov chain. We show that, for the solutions of these equations
to be `Markovian', in the sense that they are deterministic functions of the
state of the underlying chain, the integrand must be of a specific form. This
allows us to connect these equations to coupled systems of ODEs, and hence to
give fast numerical methods for the evaluation of Markov-Chain BSDEs
Managing orthodontic appliances in everyday life: A qualitative study of young people’s experiences with removable functional appliances, fixed appliances and retainers
Objective:
To compare young people’s experiences of wearing a range of orthodontic appliances.
Design:
A cross-sectional, qualitative study with purposive sampling.
Setting:
UK dental teaching hospital.
Participants:
Twenty-six orthodontic patients aged 11–17 years.
Methods:
Patients participated in in-depth semi-structured interviews. All interviews were transcribed verbatim and analysed thematically.
Results:
Young people reported physical, practical and emotional impacts from their appliances. Despite these reported impacts, participants described ‘getting used’ to and, therefore, not being bothered by their appliance. Framework analysis of the data identified a multi-dimensional social process of managing everyday life with an appliance. This involves addressing the ‘dys-appearance’ of the body through physically adapting to an appliance. This process also includes psychological approaches, drawing on social networks, developing strategies and situating experiences in a longer-term context. Engaging in this process allowed young people to address the physical, practical and emotional impacts of their appliances.
Conclusion:
This qualitative research has identified how young people manage everyday life with an appliance. Understanding this process will help orthodontists to support their patients
Note and Comment
Carriers - Second Cummins Amendment - It was seven years after the Carmack Amendment of the Hepburn Act of i9o6 before the Supreme Court began that series of decisions, extending from Adams Express Co. v. Croninger, 226 U. S. 491 (1913), to George N. Pierce Co. v. Wells, Fargo & Co., 236 U. S. 278 (1915), which directly resulted in the First Cummins Amendment of March, 1915. One has only to read those cases, reviewed in 13 Micn. L. REv. 59o, and other notes referred to in 17 MICH. L. Rzv. 183, to see that the language of the Cummins Amendment was framed expressly to undo the interpretations of the court on the Carmack Amendment, and make the liability of the car\u27-ier just what during the years 19o6-1912 it had generally been understood the Carmack Amendment intended it to be. Indeed, from the decision of New Jersey Steam Navigation Co. v. Merchants Bank, 6 How. (U. S.) 344 (1848), to the present day there has been a contest between the courts and legislatures as to what should be the law of liability of common carriers, the courts through one device or another opening a way of escape for the carrier from the strict common law liability, and the legislatures, state and federal, passing statute after statute to bring the law back to its pristine simplicity and strictness
Managing complex respiratory patients in the community: an evaluation of a pilot integrated respiratory care service
Introduction: In the UK, there is significant variation in respiratory care and outcomes. An integrated approach to the management of high-risk respiratory patients, incorporating specialist and primary care teams' expertise, is the basis for new integrated respiratory services designed to reduce this variation; however, this model needs evaluating.Methods: To evaluate an integrated service managing high-risk respiratory patients, electronic searches for patients with asthma and chronic obstructive pulmonary disease at risk of poor outcomes were performed in two general practitioner (GP) practices in a local service-development initiative. Patients were reviewed at joint clinics by primary and secondary care professionals. GPs also nominated patients for inclusion. Reviews were delivered to best standards of care including assessments of diagnosis, control, spirometry, self-management, education, medication, inhaler technique and smoking cessation support. Follow-up of routine clinical data collected at 9-months postclinic were compared with seasonally matched 9-months prior to integrated review.Results: 82 patients were identified, 55 attended. 13 (23.6%) had their primary diagnosis changed. In comparison with the seasonally adjusted baseline period, in the 9-month follow-up there was an increase in inhaled corticosteroid prescriptions of 23.3%, a reduction in short-acting β2-agonist prescription of 33.3%, a reduction in acute respiratory exacerbations of 67.6%, in unscheduled GP surgery visits of 53.3% and acute respiratory hospital admissions reduced from 3 to 0. Only 4 patients (7.3%) required referral to secondary care. Health economic evaluation showed respiratory-related costs per patient reduced by £231.86.Conclusions: Patients with respiratory disease in this region at risk of suboptimal outcomes identified proactively and managed by an integrated team improved outcomes without the need for hospital referral
Mutiprocessor Adaptation of a Texture Segmentation Scheme for Satellite Radar Images
This paper presents a scheme for segmenting images on the basis of differences in localised measures of spatial texture. The scheme used was originally proposed by Wilson and Spann [1] but incorporates a new clustering algorithm which gives improved overall segmentation performance. The Wilson and Spann [1] algorithm uses a clustering algorithm which proved susceptible to initial input parameters and gave poor segmentation on our images. Our algorithm uses a modification of the Koontz, Narendra and Fukunaga [2] clustering algorithm. By linking the clustering to the resolution of the image, significant clusters were able to be realised, yielding a more robust segmentation scheme. The adaptation also resulted in a significant reduction in run-time. The paper is directed towards the problem of segmenting satellite synthetic aperture radar (SAR) images and we give comparisons of the techniques on SAR and other images
Kinetic regulation of the binding of prothrombin to phospholipid membranes
A wide range of equilibrium and kinetic constants exist for the interaction of prothrombin and other coagulation factors with various model membranes from a variety of techniques. We have investigated the interaction of prothrombin with pure dioleoylphosphatidylcholine (DOPC) membranes and dioleoylphosphatidlyserine (DOPS)-containing membranes (DOPC:DOPS, 3:1) using surface plasmon resonance (SPR, with four different model membrane presentations) in addition to isotheral titration calorimetry (ITC, with suspensions of phospholipid vesicles) and ELISA methods. Using ITC, we found a simple low-affinity interaction with DOPC:DOPS membranes with a K D = 5.1 μM. However, ELISA methods using phospholipid bound to microtitre plates indicated a complex interaction with both DOPC:DOPS and DOPC membranes with K D values of 20 and 58 nM, respectively. An explanation for these discrepant results was developed from SPR studies. Using SPR with low levels of immobilised DOPC:DOPS, a high-affinity interaction with a K D of 18 nM was obtained. However, as phospholipid and prothrombin concentrations were increased, two distinct interactions could be discerned: (i) a kinetically slow, high-affinity interaction with K D in the 10−8 M range and (ii) a kinetically rapid, low-affinity interaction with K D in the 10−6 M range. This low affinity, rapidly equilibrating, interaction dominated in the presence of DOPS. Detailed SPR studies supported a heterogeneous binding model in agreement with ELISA data. The binding of prothrombin with phospholipid membranes is complex and the techniques used to measure binding will report K D values reflecting the mixture of complexes detected. Existing data suggest that the weaker rapid interaction between prothrombin and membranes is the most important in vivo when considering the activation of prothrombin at the cell surface
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