653 research outputs found
Egorov property in perturbed cat map
We study the time evolution of the quantum-classical correspondence (QCC) for
the well known model of quantised perturbed cat maps on the torus in the very
specific regime of semi-classically small perturbations. The quality of the QCC
is measured by the overlap of classical phase-space density and corresponding
Wigner function of the quantum system called quantum-classical fidelity (QCF).
In the analysed regime the QCF strongly deviates from the known general
behaviour in particular it decays faster then exponential. Here we study and
explain the observed behavior of the QCF and the apparent violation of the QCC
principle.Comment: 12 pages, 7 figure
Ab initio analysis of the x-ray absorption spectrum of the myoglobin-carbon monoxide complex: Structure and vibrations
We present a comparison between Fe K-edge x-ray absorption spectra of
carbonmonoxy-myoglobin and its simulation based on density-functional theory
determination of the structure and vibrations and spectral simulation with
multiple-scattering theory. An excellent comparison is obtained for the main
part of the molecular structure without any structural fitting parameters. The
geometry of the CO ligand is reliably determined using a synergic approach to
data analysis. The methodology underlying this approach is expected to be
especially useful in similar situations in which high-resolution data for
structure and vibrations are available.Comment: 13 pages, 3 figure
Design for additive manufacturing and for machining in the automotive field
High cost, unpredictable defects and out-of-tolerance rejections in final parts are preventing the complete deployment of Laser-based Powder Bed Fusion (LPBF) on an industrial scale. Repeatability, speed and right-first-time manufacturing require synergistic design approaches. In addition, post-build finishing operations of LPBF parts are the object of increasing attention to avoid the risk of bottlenecks in the machining step. An aluminum component for automotive application was redesigned through topology optimization and Design for Additive Manufacturing. Simulation of the build process allowed to choose the orientation and the support location for potential lowest deformation and residual stresses. Design for Finishing was adopted in order to facilitate the machining operations after additive construction. The optical dimensional check proved a good correspondence with the tolerances predicted by process simulation and confirmed part acceptability. A cost and time comparison versus CNC alone attested to the convenience of LPBF unless single parts had to be produced
Therapy discontinuation or substitution in patients with cardiovascular disease, switching among different products of the same off-patent active substance: a 'real-world' retrospective cohort study
OBJECTIVE:
The present study investigated the effects of switching to different products of the same off-patent active substance (brand name or generic) on therapy discontinuation or substitution with another molecule of the same class, in patients with cardiovascular disease treated with statins and antihypertensives in a 'real-world' setting.
DESIGN:
A retrospective cohort study in a 'real-world' setting.
SETTING:
Analysis of data performed by integrating administrative databases that included approximately two million individuals who are assisted by the National Health System from three Local Health Units located in three different regions of Italy.
PARTICIPANTS:
All patients aged 6518\u2005years with at least one prescription of simvastatin, ramipril or amlodipine in the period 1 January to 31 December 2010 were included and followed up for 2\u2005years.
MAIN OUTCOME MEASURES:
Prescription refills occurring during follow-up were evaluated. Frequency of discontinuation of therapy or substitution with another molecule of the same class (eg, from simvastatin to a different statin) during follow-up was identified.
RESULTS:
During follow-up, therapy discontinuation or substitution was found to be more frequent in patients switching to a different product of the same active substance compared with non-switching patients (11.5% vs 10.8% and 22.2% vs 20.8% (p=0.002), respectively, in the simvastatin group; 4.0% vs 3.5% and 24.6% vs 22.7% (p<0.001), respectively, in the amlodipine group). In the ramipril group, 8% of patients undertook a therapy substitution to another molecule; no trend towards a lower percentage of substitution was observed in the non-switching group, while 18% of patients discontinued treatment, with a significant difference in favour of patients not switching. These findings were partially confirmed by multivariate analysis.
CONCLUSIONS:
Switches among products of the same active substance are quite common in patients with cardiovascular disease. Our study suggests that switching may expose patients to a higher risk of therapy discontinuation or substitution
Quantum-classical correspondence on compact phase space
We propose to study the -norm distance between classical and quantum
phase space distributions, where for the latter we choose the Wigner function,
as a global phase space indicator of quantum-classical correspondence. For
example, this quantity should provide a key to understand the correspondence
between quantum and classical Loschmidt echoes. We concentrate on fully chaotic
systems with compact (finite) classical phase space. By means of numerical
simulations and heuristic arguments we find that the quantum-classical fidelity
stays at one up to Ehrenfest-type time scale, which is proportional to the
logarithm of effective Planck constant, and decays exponentially with a maximal
classical Lyapunov exponent, after that time.Comment: 26 pages. 9 figures (31 .epz files), submitted to Nonlinearit
Adherence in HIV-positive patients treated with single-tablet regimens and multi-pill regimens: findings from the COMPACT study
The use of Combination AntiRetroviral Therapy (cART) has decreased the morbidity and mortality of patients infected with HIV. However, adherence to cART remains crucial to prevent virological failure and disease progression. The aim of this study was to assess adherence to treatment among patients treated with Single Tablet Regimen (STR) or with multi-pill regimens based on Protease Inhibitors (PI), Non-Nucleoside Reverse-Transcriptase Inhibitors (NNRTI), or raltegravir (RAL). An observational retrospective cohort analysis based on administrative and clinical databases was conducted at the National Institute for Infectious Diseases (Rome, Italy). HIV-positive patients treated with a cART between Jan 1st, 2008–Dec 31st, 2010 were included. Patients were followed-up for one year since the first prescription during the inclusion period or up to death or switch of at least one drug of the regimen. Adherence and selective non-adherence (days without backbone or 3rd drug) were calculated using pharmacy refill compliance [1]. cART regimens were classified based on number of daily pills (STR vs multi-pill regimen) and on type of third drug. Viral Load (VL) and CD4 cell counts at the end of the follow-up were evaluated. A total of 1,604 patients were analyzed, 70.0% male, age 45.0±8.7, 14.3% newly treated. Patients on STR were 159 (9.9%), PI 878 (54.7%), NNRTI 523 (32.6%), RAL 44 (2.7%). Presence of at least one AIDS-defining conditions (according to Centers for Disease Control classification) was 30% in the STR group, 34% PI, 26% NNRTI, 34% RAL (p=n.s.). Adherence was 80.4±14.7% for STR, 71.8±21.8% PI, 77.1±20.3% NNRTI, 74.0±22.4% RAL. Selective non-adherence was 5.5% (18 days) PI, 2.8% (8 days) NNRTI, 12.5% (43 days) RAL (Figure 1). At the end of the follow-up, VL/CD4 values were available among 709 patients (44%); CD4 count >500 cell/mm3 was observed among 61% of patients on STR, 44% PI, 48% NNRTI, 42% RAL and VL < 50 copies/ml was observed among 96% of patients on STR, 78% PI, 88% NNRTI, 87% RAL. Interruptions in cART refill remain a relevant problem across all cART regimens. Patients on STR displayed a higher adherence rate compared to multi-pill regimes (PI, NNRTI, and RAL), primarily due to lack of selective non-adherence. Patients on STR experienced also higher rates of VL < 50 and CD4 > 500. The use of an STR regimen appears an effective therapeutic option to avoid selective non-adherence and, consequently, to prevent virological failure and disease progression
Efficiency of informational transfer in regular and complex networks
We analyze the process of informational exchange through complex networks by
measuring network efficiencies. Aiming to study non-clustered systems, we
propose a modification of this measure on the local level. We apply this method
to an extension of the class of small-worlds that includes {\it declustered}
networks, and show that they are locally quite efficient, although their
clustering coefficient is practically zero. Unweighted systems with small-world
and scale-free topologies are shown to be both globally and locally efficient.
Our method is also applied to characterize weighted networks. In particular we
examine the properties of underground transportation systems of Madrid and
Barcelona and reinterpret the results obtained for the Boston subway network.Comment: 10 pages and 9 figure
Quantum response of weakly chaotic systems
Chaotic systems, that have a small Lyapunov exponent, do not obey the common
random matrix theory predictions within a wide "weak quantum chaos" regime.
This leads to a novel prediction for the rate of heating for cold atoms in
optical billiards with vibrating walls. The Hamiltonian matrix of the driven
system does not look like one from a Gaussian ensemble, but rather it is very
sparse. This sparsity can be characterized by parameters and that
reflect the percentage of large elements, and their connectivity respectively.
For we use a resistor network calculation that has direct relation to the
semi-linear response characteristics of the system.Comment: 7 pages, 5 figures, expanded improved versio
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