37 research outputs found
Scattering of elastic waves by periodic arrays of spherical bodies
We develop a formalism for the calculation of the frequency band structure of
a phononic crystal consisting of non-overlapping elastic spheres, characterized
by Lam\'e coefficients which may be complex and frequency dependent, arranged
periodically in a host medium with different mass density and Lam\'e
coefficients. We view the crystal as a sequence of planes of spheres, parallel
to and having the two dimensional periodicity of a given crystallographic
plane, and obtain the complex band structure of the infinite crystal associated
with this plane. The method allows one to calculate, also, the transmission,
reflection, and absorption coefficients for an elastic wave (longitudinal or
transverse) incident, at any angle, on a slab of the crystal of finite
thickness. We demonstrate the efficiency of the method by applying it to a
specific example.Comment: 19 pages, 5 figures, Phys. Rev. B (in press
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.
BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700
Synthesis of block copolymers by mechanistic transformation from reversible complexation mediated living radical polymerization to the photoinduced radical oxidation/addition/deactivation process
A versatile strategy for the fabrication of block copolymers by the combination of two discrete living polymerization techniques-reversible complexation mediated living radical polymerization (RCMP) and photoinduced radical oxidation addition deactivation (PROAD) processes-is reported. First, RCMP is conducted to yield poly(methyl methacrylate) with iodide end groups (PMMA-I). In the following step, PMMA-I is used as macroinitiator for living PROAD cationic polymerization of isobutyl vinyl ether. Successful formation of the block copolymers is confirmed by 1H NMR, FT-IR, GPC, and DSC investigations.National Research Foundation (NRF)Submitted/Accepted versionThe authors acknowledge the financial support from The Scientific and Technological Research Council of Turkey (Project 120C121) and the Istanbul Technical University Research Fund and National Research Foundation (NRF) Investigatorship in Singapore (NRF-NRFI05-2019-0001)