789 research outputs found
Revisiting consistency conditions for quantum states of systems on closed timelike curves: an epistemic perspective
There has been considerable recent interest in the consequences of closed
timelike curves (CTCs) for the dynamics of quantum mechanical systems. A vast
majority of research into this area makes use of the dynamical equations
developed by Deutsch, which were developed from a consistency condition that
assumes that mixed quantum states uniquely describe the physical state of a
system. We criticise this choice of consistency condition from an epistemic
perspective, i.e., a perspective in which the quantum state represents a state
of knowledge about a system. We demonstrate that directly applying Deutsch's
condition when mixed states are treated as representing an observer's knowledge
of a system can conceal time travel paradoxes from the observer, rather than
resolving them. To shed further light on the appropriate dynamics for quantum
systems traversing CTCs, we make use of a toy epistemic theory with a strictly
classical ontology due to Spekkens and show that, in contrast to the results of
Deutsch, many of the traditional paradoxical effects of time travel are
present.Comment: 10 pages, 6 figures, comments welcome; v2 added references and
clarified some points; v3 published versio
A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
Rationale
Quality of Life (QoL) is impaired in cancer, and the elderly are particularly vulnerable to malnutrition. A diagnosis of cancer in elderly patients further exacerbates risks of negative health outcomes. Here we investigated associations between QoL and nutritional status in a sample population of mostly socially deprived elderly cancer patients.
Method
432 cancer patients were recruited for this cross-sectional study at point of admission to a tertiary referral hospital for cancer treatment. Patient-generated subjective global assessment (PG-SGA) assessed nutritional status. Functional assessment of cancer therapy- general (FACT-G) quantified QoL. Relationship between PG-SGA and QoL was assessed by Spearman correlation. PG-SGA outcomes were compared against FACT-G scores employing Mann–Whitney test. Bivariate Linear Regression Model was employed to investigate influences of sociodemographic, clinical and nutritional status upon QoL.
Results
37.5% of participants were malnourished or at risk. 39% were illiterate and 54.6% had family income lower than minimum wage. Malnourished patients showed lower FACT-G scores (76.8 vs. 84.7; p = 0.000). Poor nutritional diagnosis was inversely correlated with all QoL domains. Bivariate regression analysis showed that lower PG-SGA scores (βo = − 1.00; p = 0.000) contributed to FACT-G score deterioration, the male gender showed better QoL scores, and other clinical and sociodemographic variables did not show relationship.
Conclusion
Poorer nutritional status was significantly associated with worsened physical, social, emotional and functional well-being QoL domains in elderly cancer patients. Poorer nutritional status is an independent risk factor for worsened QoL. Future policies aimed at particularly vulnerable populations may improve QoL and health outcomes
Nutritional Evaluation Of Children With Chronic Cholestatic Disease
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)To evaluate the nutritional status of children with persistent cholestasis and to compare the anthropometric indices between children with and without liver cirrhosis and children with and without jaundice. Methods Children with persistent cholestasis, i.e. increased direct bilirrubin or changes in the canalicular enzyme gamma-glutamyl transferase (GGT), were included. The anthropometric measures were weight (W), height or length (H), arm circumference (AC), triceps skinfold thickness (TST), arm muscle circumference (AMC), and body mass index (BMI). Results Ninety-one children with cholestasis, with current median age of 12 months, were evaluated. W/age (A) and H/A indices below -2 Z-scores were observed in 33% and 30.8% of patients, respectively. Concerning the W/H index and BMI, only 12% and 16% of patients, respectively, were below -2 Z-scores. Regarding AC, 43.8% of 89 evaluated patients had some depletion. Observing the TST, 64% of patients had depletion, and 71.1% of the 45 evaluated patients had some degree of depletion regarding the ACM index. Conclusion Evaluation using weight in patients with chronic liver diseases may overestimate the nutritional status due to visceromegaly, subclinical edema, or ascites. Indices that correlate weight and height, such as W/H and BMI, may also not show depletion because of the chronic condition in which there are depletion of both weight and height. TST, AC, and ACM are parameters that better estimate nutritional status and should be part of the management of patients with liver diseases and cholestasis. © 2015 Sociedade Brasileira de Pediatria.922197205CNPq, Conselho Nacional de Desenvolvimento Científico e TecnológicoConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq
Indirect exchange in GaMnAs bilayers via spin-polarized inhomogeneous hole gas: Monte Carlo simulation
The magnetic order resulting from an indirect exchange between magnetic
moments provided by spin-polarized hole gas in the metallic phase of a GaMnAs
double layer structure is studied via Monte Carlo simulation. The coupling
mechanism involves a perturbative calculation in second order of the
interaction between the magnetic moments and carriers (holes). We take into
account a possible polarization of the hole gas due to the existence of an
average magnetization in the magnetic layers, establishing, in this way, a
self-consistency between the magnetic order and the electronic structure. That
interaction leads to an internal ferromagnetic order inside each layer, and a
parallel arrangement between their magnetizations, even in the case of thin
layers. This fact is analyzed in terms of the inter- and intra-layer
interactions.Comment: 17 pages and 14 figure
Spinal cord compression in cattle after the use of an oily vaccine
An outbreak of compressive myelopathy in cattle associated with the improper use of an oil vaccine is described. Neurological signs were observed in 25 out of 3,000 cattle after 60 days of being vaccinated against foot and mouth disease. The clinical picture was characterized by progressive paralysis of the hind limbs, difficulty in standing up, and sternal recumbency during the course of 2-5 months. A filling defect between the L1 and L3 vertebrae was seen through myelography performed in one of the affected animals. A yellow-gray, granular and irregular mass was observed in four necropsied animals involving the spinal nerve roots and epidural space of the lumbar (L1-L4) spinal cord; the mass was associated with a whitish oily fluid. This fluid was also found in association with necrosis of the longissimus dorsi muscle. Microscopic changes in the epidural space, nerve roots, and spinal musculature were similar and consisted of granulomas or pyogranulomas around circular unstained spaces (vacuoles). These spaces were located between areas of severe diffuse hyaline necrosis of muscle fibers and resembled the drops of oil present in the vaccine
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