295 research outputs found
Utility of D-Dimer in the Diagnosis of Patients with Chronic Thromboembolic Pulmonary Hypertension
Voluntary Public Goods Provision, Coalition Formation, and Uncertainty
The literature on voluntary provision of public goods includes recent theoretical work on the formation of voluntary coalitions to provide public goods. Theory is ambiguous on the equilibrium coalition size and contribution rates. We examine the emergence of coalitions, their size, and how uncertainty in public goods provision affects contribution levels and coalition size. We find that contributions decrease when public good returns are uncertain but increase when individuals can form a coalition to provide the good. Contrary a core theoretical result, we find that coalition size increases when the public good benefits are higher. Uncertainty has no effect on coalition size.
Stationary solutions of the one-dimensional nonlinear Schroedinger equation: I. Case of repulsive nonlinearity
All stationary solutions to the one-dimensional nonlinear Schroedinger
equation under box and periodic boundary conditions are presented in analytic
form. We consider the case of repulsive nonlinearity; in a companion paper we
treat the attractive case. Our solutions take the form of stationary trains of
dark or grey density-notch solitons. Real stationary states are in one-to-one
correspondence with those of the linear Schr\"odinger equation. Complex
stationary states are uniquely nonlinear, nodeless, and symmetry-breaking. Our
solutions apply to many physical contexts, including the Bose-Einstein
condensate and optical pulses in fibers.Comment: 11 pages, 7 figures -- revised versio
The coming perfect storm: Diminishing sustainability of coastal humanânatural systems in the Anthropocene
We review impacts of climate change, energy scarcity, and economic frameworks on sustainability of natural and human systems in coastal zones, areas of high biodiversity, productivity, population density, and economic activity. More than 50% of the global population lives within 200Â km of a coast, mostly in tropical developing countries. These systems developed during stable Holocene conditions. Changes in global forcings are threatening sustainability of coastal ecosystems and populations. During the Holocene, the earth warmed and became wetter and more productive. Climate changes are impacting coastal systems via sea level rise, stronger tropical cyclones, changes in basin inputs, and extreme weather events. These impacts are passing tipping points as the fossil fuel-powered industrial-technological-agricultural revolution has overwhelmed the sourceâsink functions of the biosphere and degraded natural systems. The current status of industrialized society is primarily the result of fossil fuel (FF) use. FFs provided more than 80% of global primary energy and are projected to decline to 50% by mid-century. This has profound implications for societal energy requirements, including the transition to a renewable economy. The development of the industrial economy allowed coastal social systems to become spatially separated from their dominant energy and food sources. This will become more difficult to maintain with the fading of cheap energy. It seems inevitable that past growth in energy use, resource consumption, and economic growth cannot be sustained, and coastal areas are in the forefront of these challenges. Rapid planning and cooperation are necessary to minimize impacts of the changes associated with the coming transition. There is an urgent need for a new economic framework to guide society through the transition as mainstream neoclassical economics is not based on natural sciences and does not adequately consider either the importance of energy or the work of nature
Parameter identification problems in the modelling of cell motility
We present a novel parameter identification algorithm for the estimation of parameters in models of cell motility using imaging data of migrating cells. Two alternative formulations of the objective functional that measures the difference between the computed and observed data are proposed and the parameter identification problem is formulated as a minimisation problem of nonlinear least squares type. A LevenbergâMarquardt based optimisation method is applied to the solution of the minimisation problem and the details of the implementation are discussed. A number of numerical experiments are presented which illustrate the robustness of the algorithm to parameter identification in the presence of large deformations and noisy data and parameter identification in three dimensional models of cell motility. An application to experimental data is also presented in which we seek to identify parameters in a model for the monopolar growth of fission yeast cells using experimental imaging data. Our numerical tests allow us to compare the method with the two different formulations of the objective functional and we conclude that the results with both objective functionals seem to agree
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The Zero Emissions Commitment Model Intercomparison Project (ZECMIP) contribution to C4MIP: Quantifying committed climate changes following zero carbon emissions
The amount of additional future temperature change following a complete cessation of CO2 emissions is a measure of the unrealized warming to which we are committed due to CO2 already emitted to the atmosphere. This âzero emissions commitmentâ (ZEC) is also an important quantity when estimating the remaining carbon budget â a limit on the total amount of CO2 emissions consistent with limiting global mean temperature at a particular level. In the recent IPCC Special Report on Global Warming of 1.5ââC, the carbon budget framework used to calculate the remaining carbon budget for 1.5ââC included the assumption that the ZEC due to CO2 emissions is negligible and close to zero. Previous research has shown significant uncertainty even in the sign of the ZEC. To close this knowledge gap, we propose the Zero Emissions Commitment Model Intercomparison Project (ZECMIP), which will quantify the amount of unrealized temperature change that occurs after CO2 emissions cease and investigate the geophysical drivers behind this climate response. Quantitative information on ZEC is a key gap in our knowledge, and one that will not be addressed by currently planned CMIP6 simulations, yet it is crucial for verifying whether carbon budgets need to be adjusted to account for any unrealized temperature change resulting from past CO2 emissions. We request only one top-priority simulation from comprehensive general circulation Earth system models (ESMs) and Earth system models of intermediate complexity (EMICs) â a branch from the 1â% CO2 run with CO2 emissions set to zero at the point of 1000âPgC of total CO2 emissions in the simulation â with the possibility for additional simulations, if resources allow. ZECMIP is part of CMIP6, under joint sponsorship by C4MIP and CDRMIP, with associated experiment names to enable data submissions to the Earth System Grid Federation. All data will be published and made freely available
A tool to balance benefit and harm when deciding about adjuvant therapy
Adjuvant therapy aims to prevent outgrowth of residual disease but can induce serious side effects. Weighing conflicting treatment effects and communicating this information with patients is not elementary. This study presents a scheme balancing benefit and harm of adjuvant therapy vs no adjuvant therapy. It is illustrated by the available evidence on adjuvant pelvic external beam radiotherapy (RT) for intermediate-risk stage I endometrial carcinoma patients. The scheme comprises five outcome possibilities of adjuvant therapy: patients who benefit from adjuvant therapy (some at the cost of complications) vs those who neither benefit nor contract complications, those who do not benefit but contract severe complications, or those who die. Using absolute risk differences, a fictive cohort of 1000 patients receiving adjuvant RT is categorised. Three large randomised clinical trials were included. Recurrences will be prevented by adjuvant RT in 60 patients, a majority of 908 patients will neither benefit nor suffer severe radiation-induced harm but 28 patients will suffer severe complications due to adjuvant RT and an expected four patients will die. This scheme readily summarises the different possible treatment outcomes and can be of practical value for clinicians and patients in decision making about adjuvant therapies
Recommendations for the clinical management of patients receiving macitentan for pulmonary arterial hypertension (PAH): A Delphi consensus document
In patients treated with macitentan (OpsumitÂź, Actelion Pharmaceuticals Ltd., Basel, Switzerland) for pulmonary arterial hypertension (PAH), prevention and/or effective management of treatment-related adverse events may improve adherence. However, management of these adverse events can be challenging and the base of evidence and clinical experience for macitentan is limited. In the absence of evidence, consensus recommendations from physicians experienced in using macitentan to treat PAH may benefit patients and physicians who are using macitentan. Consensus recommendations were developed by a panel of physicians experienced with macitentan and PAH using a modified Delphi process. Over three iterations, panelists developed and refined a series of statements on the use of macitentan in PAH and rated their agreement with each statement on a Likert scale. The panel of 18 physicians participated and developed a total of 118 statements on special populations, add-on therapy, drug-drug interactions, warnings and precautions, hospitalization and functional class, and adverse event management. The resulting consensus recommendations are intended to provide practical guidance on real-world issues in using macitentan to treat patients with PAH
Search for Low Scale Gravity Effects in e+e- Collisions at LEP
Recent theories propose that quantum gravity effects may be observable at LEP
energies via gravitons that couple to Standard Model particles and propagate
into extra spatial dimensions. The associated production of a graviton and a
photon is searched for as well as the effects of virtual graviton exchange in
the processes: e+e- -> gamma gamma, ZZ, WW, mu mu, tau tau, qq and ee No
evidence for this new interaction is found in the data sample collected by the
L3 detector at LEP at centre-of-mass energies up to 183 GeV. Limits close to 1
TeV on the scale of this new scenario of quantum gravity are set
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