Comparison of two non-primitive methods for path integral simulations: Higher-order corrections vs. an effective propagator approach

Two methods are compared that are used in path integral simulations. Both methods aim to achieve faster convergence to the quantum limit than the so-called primitive algorithm (PA). One method, originally proposed by Takahashi and Imada, is based on a higher-order approximation (HOA) of the quantum mechanical density operator. The other method is based upon an effective propagator (EPr). This propagator is constructed such that it produces correctly one and two-particle imaginary time correlation functions in the limit of small densities even for finite Trotter numbers P. We discuss the conceptual differences between both methods and compare the convergence rate of both approaches. While the HOA method converges faster than the EPr approach, EPr gives surprisingly good estimates of thermal quantities already for P = 1. Despite a significant improvement with respect to PA, neither HOA nor EPr overcomes the need to increase P linearly with inverse temperature. We also derive the proper estimator for radial distribution functions for HOA based path integral simulations.Comment: 17 pages, latex, 6 postscript figure

Identification of inappropriate prescribing in a Brazilian nursing home using STOPP/START screening tools and the Beers' Criteria

The objective of this study was to determine the prevalence of Potentially Inappropriate Medication (PIM) use and associated factors, as well as the prevalence of Prescribing Omissions (PO). A cross-sectional study was conducted in a philanthropic Brazilian nursing home involving 46 individuals aged 60 years or older. The following information was collected from medical records and drug prescriptions: gender, age, health conditions and drugs used in the past thirty days. PIM and PO were identified according to the Beers' Criteria and the STOPP/START screening tools. Over one third (37%) of the population used at least one PIM according to the Beers' Criteria (n=17) and 60.9% according to the STOPP tool. A significant association was found between polypharmacy (use of five or more drugs) and use of PIM according to the Beers' Criteria, but not according to the STOPP. Eight residents (17.4%) were exposed to eight PO. This study allowed the diagnosis of a concerning drug utilization profile with use of a high number of PIMs. Thus, there is an evident need to implement strategies for improving geriatric prescription

Distribuição e incerteza da acidez de um latossolo vermelho-amarelo húmico sob cultivo de café Distribution and uncertainty of acidity of an oxisol under coffee cultivation

Com o desenvolvimento da agricultura, a utilização de novas alternativas na avaliação das propriedades que influenciam o rendimento das plantas tornou-se indispensável para melhor manejar o sistema agrícola. O objetivo deste trabalho foi utilizar uma ponderação por meio da modelagem fuzzy para estudar, com base em atributos químicos do solo, a propagação de incertezas da acidez de um Latossolo Vermelho-Amarelo húmico cultivado com café arábica. As amostragens de solo foram realizadas na profundidade de 0-20 cm, em uma malha totalizando 50 pontos. Os atributos avaliados foram: pH em H2O, acidez trocável (Al3+), acidez potencial (H + Al) e saturação por Al (m). Os dados foram analisados pela estatística descritiva e pela geoestatística. Utilizou-se um sistema de classificação fuzzy e os atributos descritos para inferir sobre a acidez do solo. A lógica fuzzy, pelo algoritmo utilizado, teve um bom desempenho na caracterização e no mapeamento das incertezas da acidez do solo em questão.<br>With the development of agriculture, the use of new tools for the evaluation of the properties related to plant yields have become essential to improve the management of agricultural systems. The purpose of this study was to use a fuzzy model to investigate, based on soil chemical properties, the propagation of uncertainty of the acidity of a humic Red-Yellow Latosol (Oxisol) under Arabic coffee plantation. The soil was sampled at a depth of 0 - 0.2 m, in a grid, totaling 50 sampling points. The following attributes were determined: pH in H2O, exchangeable acidity (Al3+), potential acidity (H + Al) and Al saturation (m). The data were analyzed by descriptive statistics and geostatistics. A fuzzy classification system was used based on the attributes described to infer on the soil acidity. Fuzzy logic, with the algorithm used, was efficient to characterize and map the uncertainties of acidity of the soil under study

Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery

Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57\u201375) years (54\ub79 per cent men). Some 1153 (27\ub77 per cent) received NSAIDs on postoperative days 1\u20133, of whom 1061 (92\ub70 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4\ub76 versus 4\ub78 days; hazard ratio 1\ub704, 95 per cent c.i. 0\ub796 to 1\ub712; P = 0\ub7360). There were no significant differences in anastomotic leak rate (5\ub74 versus 4\ub76 per cent; P = 0\ub7349) or acute kidney injury (14\ub73 versus 13\ub78 per cent; P = 0\ub7666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35\ub73 versus 56\ub77 per cent; P &lt; 0\ub7001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement