1,923 research outputs found
Chemical Association via Exact Thermodynamic Formulations
It can be fruitful to view two-component physical systems of attractive
monomers, A and B, ``chemically'' in terms of a reaction A + B C, where C =
AB is an associated pair or complex. We show how to construct free energies in
the three-component or chemical picture which, under mass-action equilibration,
exactly reproduce any given two-component or ``physical'' thermodynamics.
Order-by-order matching conditions and closed-form chemical representations
reveal the freedom available to modify the A-C, B-C, and C-C interactions and
to adjust the association constant. The theory (in the simpler one-component,
i.e., A = B, case) is illustrated by treating a van der Waals fluid.Comment: 15 double-spaced pages (RevTeX), including 1 eps figur
Transitions From Skilled Nursing Facility to Home: The Relationship of Early Outpatient Care to Hospital Readmission
BACKGROUND:
Many adults are discharged to skilled nursing facilities (SNFs) prior to returning home from the hospital. Patient characteristics and factors that can help to prevent postdischarge adverse outcomes are poorly understood.
OBJECTIVE:
To identify whether early post-SNF discharge care reduces likelihood of 30-day hospital readmissions.
DESIGN:
Secondary data analysis using the Electronic Medical Record, Medicare, Medicaid and the Minimum Data Set.
PARTICIPANTS/SETTING:
Older (age > 65 years), community-dwelling adults admitted to a safety net hospital in the Midwest for 3 or more nights and discharged home after an SNF stay (n = 1543).
MEASUREMENTS:
The primary outcome was hospital readmission within 30 days of SNF discharge. The primary independent variables were either a home health visit or an outpatient provider visit within a week of SNF discharge.
RESULTS:
Out of 8754 community-dwelling, hospitalized older adults, 3025 (34.6%) were discharged to an SNF, of whom 1543 (51.0%) returned home. Among the SNF to home group, a home health visit within a week of SNF discharge was associated with reduced hazard of 30-day hospital readmission [adjusted hazard ratio (aHR) 0.61, P < .001] but outpatient provider visits were not associated with reduced risk of hospital readmission (aHR = 0.67, P = .821).
CONCLUSION:
For patients discharged from an SNF to home, the finding that a home health visit within a week of discharge is associated with reduced hazard of 30-day hospital readmissions suggests a potential avenue for intervention
Derivation of Hebb's rule
On the basis of the general form for the energy needed to adapt the
connection strengths of a network in which learning takes place, a local
learning rule is found for the changes of the weights. This biologically
realizable learning rule turns out to comply with Hebb's neuro-physiological
postulate, but is not of the form of any of the learning rules proposed in the
literature.
It is shown that, if a finite set of the same patterns is presented over and
over again to the network, the weights of the synapses converge to finite
values.
Furthermore, it is proved that the final values found in this biologically
realizable limit are the same as those found via a mathematical approach to the
problem of finding the weights of a partially connected neural network that can
store a collection of patterns. The mathematical solution is obtained via a
modified version of the so-called method of the pseudo-inverse, and has the
inverse of a reduced correlation matrix, rather than the usual correlation
matrix, as its basic ingredient. Thus, a biological network might realize the
final results of the mathematician by the energetically economic rule for the
adaption of the synapses found in this article.Comment: 29 pages, LaTeX, 3 figure
Fractionation effects in phase equilibria of polydisperse hard sphere colloids
The equilibrium phase behaviour of hard spheres with size polydispersity is
studied theoretically. We solve numerically the exact phase equilibrium
equations that result from accurate free energy expressions for the fluid and
solid phases, while accounting fully for size fractionation between coexisting
phases. Fluids up to the largest polydispersities that we can study (around
14%) can phase separate by splitting off a solid with a much narrower size
distribution. This shows that experimentally observed terminal polydispersities
above which phase separation no longer occurs must be due to non-equilibrium
effects. We find no evidence of re-entrant melting; instead, sufficiently
compressed solids phase separate into two or more solid phases. Under
appropriate conditions, coexistence of multiple solids with a fluid phase is
also predicted. The solids have smaller polydispersities than the parent phase
as expected, while the reverse is true for the fluid phase, which contains
predominantly smaller particles but also residual amounts of the larger ones.
The properties of the coexisting phases are studied in detail; mean diameter,
polydispersity and volume fraction of the phases all reveal marked
fractionation. We also propose a method for constructing quantities that
optimally distinguish between the coexisting phases, using Principal Component
Analysis in the space of density distributions. We conclude by comparing our
predictions to perturbative theories for near-monodisperse systems and to Monte
Carlo simulations at imposed chemical potential distribution, and find
excellent agreement.Comment: 21 pages, 23 figures, 2 table
Atypical Chryseobacterium meningosepticum and meningitis and sepsis in newborns and the immunocompromised, Taiwan.
From 1996 to 1999, 17 culture-documented systemic infections due to novel, atypical strains of Chryseobacterium meningosepticum occurred in two newborns and 15 immunocompromised patients in a medical center in Taiwan. All clinical isolates, which were initially misidentified as Aeromonas salmonicida by an automated bacterial identification system, were resistant to a number of antimicrobial agents. The isolates were characterized as atypical strains of C. meningosepticum by complete biochemical investigation, 16S rRNA gene sequence analysis, cellular fatty acid analysis, and random amplified polymorphic DNA fingerprinting (RAPD). This is the first report of a cluster of atypically variant strains of C. meningosepticum, which may be an emerging pathogen in newborns and the immunocompromised
Phase separation in mixtures of colloids and long ideal polymer coils
Colloidal suspensions with free polymer coils which are larger than the
colloidal particles are considered. The polymer-colloid interaction is modeled
by an extension of the Asakura-Oosawa model. Phase separation occurs into
dilute and dense fluid phases of colloidal particles when polymer is added. The
critical density of this transition tends to zero as the size of the polymer
coils diverges.Comment: 5 pages, 3 figure
Parity forbidden excitations of Sr2CuO2Cl2 revealed by optical third-harmonic spectroscopy
We present the first study of nonlinear optical third harmonic generation in
the strongly correlated charge-transfer insulator Sr2CuO2Cl2. For fundamental
excitation in the near-infrared, the THG spectrum reveals a strongly resonant
response for photon energies near 0.7 eV. Polarization analysis reveals this
novel resonance to be only partially accounted for by three-photon excitation
to the optical charge-transfer exciton, and indicates that an even-parity
excitation at 2 eV, with a_1g symmetry, participates in the third harmonic
susceptibility.Comment: Requires RevTeX v4.0beta
Phase transitions in a ferrofluid at magnetic field induced microphase separation
In the presence of a magnetic field applied perpendicular to a thin sample
layer, a suspension of magnetic colloidal particles (ferrofluid) can form
spatially modulated phases with a characteristic length determined by the
competition between dipolar forces and short-range forces opposing density
variations. We introduce models for thin-film ferrofluids in which
magnetization and particle density are viewed as independent variables and in
which the non-magnetic properties of the colloidal particles are described
either by a lattice-gas entropy or by the Carnahan-Starling free energy. Our
description is particularly well suited to the low-particle density regions
studied in many experiments. Within mean-field theory, we find isotropic,
hexagonal and stripe phases, separated in general by first-order phase
boundaries.Comment: 12 pages, RevTex, to appear in PR
Structure of ternary additive hard-sphere fluid mixtures
Monte Carlo simulations on the structural properties of ternary fluid
mixtures of additive hard spheres are reported. The results are compared with
those obtained from a recent analytical approximation [S. B. Yuste, A. Santos,
and M. Lopez de Haro, J. Chem. Phys. 108, 3683 (1998)] to the radial
distribution functions of hard-sphere mixtures and with the results derived
from the solution of the Ornstein-Zernike integral equation with both the
Martynov-Sarkisov and the Percus-Yevick closures. Very good agreement between
the results of the first two approaches and simulation is observed, with a
noticeable improvement over the Percus-Yevick predictions especially near
contact.Comment: 11 pages, including 8 figures; A minor change; accepted for
publication in PR
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