Hospital volume and outcomes for acute pulmonary embolism: Multinational population based cohort study

[Objectives] To evaluate the association between experience in the management of acute pulmonary embolism, reflected by hospital case volume, and mortality.[Design] Multinational population based cohort study using data from the Registro Informatizado de la Enfermedad TromboEmbólica (RIETE) registry between 1 January 2001 and 31 August 2018.[Setting] 353 hospitals in 16 countries.[Participants] 39 257 consecutive patients with confirmed diagnosis of acute symptomatic pulmonary embolism.[Main] outcome measure Pulmonary embolism related mortality within 30 days after diagnosis of the condition.[Results] Patients with acute symptomatic pulmonary embolism admitted to high volume hospitals (>40 pulmonary embolisms per year) had a higher burden of comorbidities. A significant inverse association was seen between annual hospital volume and pulmonary embolism related mortality. Admission to hospitals in the highest quarter (that is, >40 pulmonary embolisms per year) was associated with a 44% reduction in the adjusted odds of pulmonary embolism related mortality at 30 days compared with admission to hospitals in the lowest quarter (<15 pulmonary embolisms per year; adjusted risk 1.3% v 2.3%; adjusted odds ratio 0.56 (95% confidence interval 0.33 to 0.95); P=0.03). Results were consistent in all sensitivity analyses. All cause mortality at 30 days was not significantly reduced between the two quarters (adjusted odds ratio 0.78 (0.50 to 1.22); P=0.28). Survivors showed little change in the odds of recurrent venous thromboembolism (odds ratio 0.76 (0.49 to 1.19)) or major bleeding (1.07 (0.77 to 1.47)) between the low and high volume hospitals.[Conclusions] In patients with acute symptomatic pulmonary embolism, admission to high volume hospitals was associated with significant reductions in adjusted pulmonary embolism related mortality at 30 days. These findings could have implications for management strategies.Peer reviewe

The Classification of Highly Supersymmetric Supergravity Solutions

The spinorial geometry method is an effective method for constructing systematic classifications of supersymmetric supergravity solutions. Recent work on analysing highly supersymmetric solutions in type IIB supergravity using this method is reviewed [arXiv:hep-th/0606049, arXiv:0710.1829]. It is shown that all supersymmetric solutions of IIB supergravity with more than 28 Killing spinors are locally maximally supersymmetric.Comment: 23 pages, latex. To appear in the proceedings of the Special Metrics and Supersymmetry conference at Universidad del Pais Vasco, May 2008. References correcte

Matrix Assisted Formation of Ferrihydrite Nanoparticles in a Siloxane/Poly(Oxyethylene) Nanohybrid

Matrix-assisted formation of ferrihydrite, an iron oxide hydroxide analogue of the protein ferritin-core, in a sol-gel derived organic-inorganic hybrid is reported. The hybrid network (named di-ureasil) is composed of poly(oxyethylene) chains of different average polymer molecular weights grafted to siloxane domains by means of urea cross-linkages and accommodates ferrihydrite nanoparticles. Magnetic measurements, Fourier transform infrared and nuclear magnetic resonance spectroscopy reveal that the controlled modification of the polymer molecular weight allows the fine-tuning of the ability of the hybrid matrix to assist and promote iron coordination at the organic-inorganic interface and subsequent nucleation and growth of the ferrihydrite nanoparticles whose core size (2-4 nm) is tuned by the amount of iron incorporated. The polymer chain length, its arrangement and crystallinity, are key factors on the anchoring and formation of the ferrihydrite particles.Comment: 7 pages, 6 figures. To be published in J. Mater. Che

Domain-adaptive deep network compression

Deep Neural Networks trained on large datasets can be easily transferred to new domains with far fewer labeled examples by a process called fine-tuning. This has the advantage that representations learned in the large source domain can be exploited on smaller target domains. However, networks designed to be optimal for the source task are often prohibitively large for the target task. In this work we address the compression of networks after domain transfer. We focus on compression algorithms based on low-rank matrix decomposition. Existing methods base compression solely on learned network weights and ignore the statistics of network activations. We show that domain transfer leads to large shifts in network activations and that it is desirable to take this into account when compressing. We demonstrate that considering activation statistics when compressing weights leads to a rank-constrained regression problem with a closed-form solution. Because our method takes into account the target domain, it can more optimally remove the redundancy in the weights. Experiments show that our Domain Adaptive Low Rank (DALR) method significantly outperforms existing low-rank compression techniques. With our approach, the fc6 layer of VGG19 can be compressed more than 4x more than using truncated SVD alone -- with only a minor or no loss in accuracy. When applied to domain-transferred networks it allows for compression down to only 5-20% of the original number of parameters with only a minor drop in performance.Comment: Accepted at ICCV 201

Quantum phases of a qutrit

We consider various approaches to treat the phases of a qutrit. Although it is possible to represent qutrits in a convenient geometrical manner by resorting to a generalization of the Poincare sphere, we argue that the appropriate way of dealing with this problem is through phase operators associated with the algebra su(3). The rather unusual properties of these phases are caused by the small dimension of the system and are explored in detail. We also examine the positive operator-valued measures that can describe the qutrit phase properties.Comment: 6 page

Bound states of bosons and fermions in a mixed vector-scalar coupling with unequal shapes for the potentials

The Klein-Gordon and the Dirac equations with vector and scalar potentials are investigated under a more general condition, $V_{v}+V_{s}= \mathrm{constant}$. These intrinsically relativistic and isospectral problems are solved in a case of squared hyperbolic potential functions and bound states for either particles or antiparticles are found. The eigenvalues and eigenfuntions are discussed in some detail and the effective Compton wavelength is revealed to be an important physical quantity. It is revealed that a boson is better localized than a fermion when they have the same mass and are subjected to the same potentials.Comment: 3 figure

Active Galactic Nuclei with Candidate Intermediate-Mass Black Holes

We present an initial sample of 19 intermediate-mass black hole candidates in active galactic nuclei culled from the First Data Release of the Sloan Digital Sky Survey. Using the linewidth-luminosity-mass scaling relation established for broad-line active nuclei, we estimate black hole masses in the range of 8 x 10^4 - 10^6 solar masses, a regime in which only two objects are currently known. The absolute magnitudes are faint for active galactic nuclei, ranging from M_g of -15 to -18 mag, while the bolometric luminosities are all close to the Eddington limit. The entire sample formally satisfies the linewidth criterion for so-called narrow-line Seyfert 1 galaxies; however, they display a wider range of FeII and [OIII] (5007) line strengths than is typically observed in this class of objects. Although the available imaging data are of insufficient quality to ascertain the detailed morphologies of the host galaxies, it is likely that the majority of the hosts are relatively late-type systems. The host galaxies have estimated g-band luminosities ~ 1 mag fainter than M* for the general galaxy population at z of 0.1. Beyond simply extending the known mass range of central black holes in galactic nuclei, these objects provide unique observational constraints on the progenitors of supermassive black holes. They are also expected to contribute significantly to the integrated signal for future gravitational wave experiments.Comment: ApJ Accepted, 13 pages, 9 figures, uses emulateapj.cl

Determination of biosorption mechanism in biomass of agave, using spectroscopic and microscopic techniques for the purification of contaminated water

[Abstract] Lead (Pb2+) and copper (Cu2+) are polluting metals due to their toxicity; however, the extraction of these metals is essential for economic development, so it is important to look for efficient and low-cost alternatives that can remove heavy metals from the various bodies of water. One of the alternatives used in this work is biosorption, for which an agroindustrial waste (epidermis from Agave atrovirens) was used to evaluate the affinity of removal of lead and copper in aqueous solutions; in addition, spectroscopy and microscopy techniques were used to elucidate and corroborate the removal and affinity capacity of the agave epidermis for both metals studied. The optimal pH value for the removal of both metals was 3. The adsorption isotherms yielded a qmax of 25.7 and 8.6 mg/g for lead and copper, respectively. Adjusting to the Langmuir-Freundlich model, the adsorption kinetics were pseudo-second order, and it was found that the equilibrium time was at 140 min. The spectroscopy and microscopy analyses corroborated the affinity between metals and functional groups of the agave, as well as with the elemental analysis, which reported 17.38% of lead and 4.25% of copper.[Resumen] El plomo (Pb2+) y el cobre (Cu2+) son metales contaminantes debido a su toxicidad; sin embargo, la extracción de estos metales es indispensable para el desarrollo económico, por lo que es importante buscar alternativas eficientes y de bajo costo que puedan remover metales pesados de los diversos cuerpos de agua. Una de las alternativas utilizadas en este trabajo es la biosorción, para la cual se utilizó un residuo agroindustrial (epidermis de Agave atrovirens), para evaluar la afinidad de remoción del plomo y cobre en soluciones acuosas; adicionalmente, se emplearon técnicas de espesctroscopía y microscopía que permitieron elucidar y corroborar la capacidad de remoción y afinidad que tuvo la epidermis de A. atrovirens para ambos metales estudiados. El valor óptimo de pH para la remoción de ambos metales fue 3. Las isotermas de adsorción arrojaron una qmax de 25.7 y 8.6 mg/g para el plomo y cobre, respectivamente. Ajustando al modelo de Langmuir-Freundlich, las cinéticas de adsorción resultaron de pseudo-segundo orden, se encontró que el tiempo de equilibrio es a los 140 min. El análisis espectroscópico y microscópico, corroboró la afinidad entre metales y grupos funcionales del agave, así como con el análisis elemental, el cual reportó 17.38% de plomo y 4.25% de cobre

Enhancing adult hippocampal neurogenesis with lysophosphatidic acid: a proposal for erasing cocaine contextual memory

Stimulating adult hippocampal neurogenesis (AHN) has been uncovered as a promising approach in the manipulation of retrograde memories. This work aims to study whether increasing AHN with lysophosphatidic acid (LPA, an endogenous lysophospholipid with proneurogenic actions) promotes the forgetting of previously established cocaine-contextual associations. C57BL/6J mice previously trained in a cocaine-induced conditioned place preference (CPP) paradigm were submitted to 23 days of withdrawal, during which they received repeated intracerebroventricular infusions of LPA, ki16425 (a selective LPA1/3 receptors antagonist), or vehicle solution. Then, CPP maintenance was assessed, and the causal role of AHN in this process was evaluated using a mediation analysis. In a complementary experiment, wild-type and LPA1-null mice were acutely infused with LPA or ki16425 to determine the involvement of the LPA1 receptor in the in vivo proneurogenic actions of LPA. The chronic LPA treatment significantly weakened the long-term retention of a previously acquired cocaine-CPP memory, an effect clearly mediated by a LPA-induced increase in the number of adult-born dentate granule cells. In contrast, the ki16425-treated mice displayed aberrant responses of initially decreased CPP retention that progressively increased CPP across the extinction sessions, in absence of effects on AHN. The histological studies suggested that the proneurogenic actions of LPA were related to the enhancement of cell proliferation and critically depended on the LPA1 receptor function. Our results suggest that the LPA/LPA1-pathway acts as a potent in vivo modulator of AHN, and highlight the usefulness of a post-learning increase of adult-born hippocampal neurons as a strategy to promote the forgetting of cocaine-context associations.Plan Propio de Investigación y Transferencia. Campus de Excelencia Internacional Andalucía Tech. Spanish Ministry of Economy and Competitiveness (Agencia Estatal de Investigación), co‐funded by the European Research Development Fund (AEI/FEDER, UE) (PSI2013‐44901‐P and PSI2017‐82604‐R to L.J.S. and PSI2015‐73156‐JIN to E.C.O.); by the National System of Health‐Instituto de Salud Carlos III, which is co‐funded by AEI/FEDER, UE (Red de Trastornos Adictivos; RD16/0017/0001 to F.R.d.F.); and by the Andalusian R&D&I Programme, Regional Ministry of Economy and Knowledge (PAIDI CTS643 to G.E.T.). D.L.G.M. hold a FPU grant from the Spanish Ministry of Education, Culture and Sports (FPU13/04819 ). F.R.d.F. and G.E.T. are supported by Nicolas Monardes Programme, from the Andalusian Regional Ministry of Health. E.C.O. holds a ‘Jóvenes Investigadores’ grant (code: PSI2015‐73156‐JIN) from the Spanish Ministry of Economy and Competitiveness (Agencia Estatal de Investigación), which is co‐funded by the AEI/FEDER, UE