1,260 research outputs found

    Boosting the Figure Of Merit of LSPR-based refractive index sensing by phase-sensitive measurements

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    Localized surface plasmon resonances possess very interesting properties for a wide variety of sensing applications. In many of the existing applications only the intensity of the reflected or transmitted signals is taken into account, while the phase information is ignored. At the center frequency of a (localized) surface plasmon resonance, the electron cloud makes the transition between in- and out-of-phase oscillation with respect to the incident wave. Here we show that this information can experimentally be extracted by performing phase-sensitive measurements, which result in linewidths that are almost one order of magnitude smaller than those for intensity based measurements. As this phase transition is an intrinsic property of a plasmon resonance, this opens up many possibilities for boosting the figure of merit (FOM) of refractive index sensing by taking into account the phase of the plasmon resonance. We experimentally investigated this for two model systems: randomly distributed gold nanodisks and gold nanorings on top of a continuous gold layer and a dielectric spacer and observed FOM values up to 8.3 and 16.5 for the respective nanoparticles

    Pharmacy-based interdisciplinary intervention for patients with chronic heart failure: results of the PHARM-CHF randomized controlled trial.

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    AIMS:Medication non-adherence is frequent and is associated with high morbidity and mortality in patients with chronic heart failure (CHF). We investigated whether an interdisciplinary intervention improves adherence in elderly CHF patients. METHODS AND RESULTS:The study population (mean age 74 years, 62% male, mean left ventricular ejection fraction 47%, 52% in New York Heart Association class III) consisted of 110 patients randomized into the pharmacy care and 127 into the usual care group. The median follow-up was 2.0 years (interquartile range 1.2-2.7). The pharmacy care group received a medication review followed by regular dose dispensing and counselling. Control patients received usual care. The primary endpoint was medication adherence as proportion of days covered (PDC) within 365 days for three classes of heart failure medications (beta-blockers, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and mineralocorticoid receptor antagonists). The main secondary outcome was the proportion of adherent patients (PDC ≥ 80%). The primary safety endpoint was days lost due to unplanned cardiovascular hospitalizations (blindly adjudicated) or death. Pharmacy care compared with usual care resulted in an absolute increase in mean adherence to three heart failure medications for 365 days [adjusted difference 5.7%, 95% confidence interval (CI) 1.6-9.8, P = 0.007]. The proportion of patients classified as adherent increased (odds ratio 2.9, 95% CI 1.4-5.9, P = 0.005). Pharmacy care improved quality of life after 2 years (adjusted difference in Minnesota Living with Heart Failure Questionnaire scores -7.8 points (-14.5 to -1.1; P = 0.02), compared to usual care. Pharmacy care did not affect the safety endpoints of hospitalizations or deaths. CONCLUSION:Pharmacy care safely improved adherence to heart failure medications and quality of life

    Two-dimensional loosely and tightly bound solitons in optical lattices and inverted traps

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    We study the dynamics of nonlinear localized excitations (solitons) in two-dimensional (2D) Bose-Einstein condensates (BECs) with repulsive interactions, loaded into an optical lattice (OL), which is combined with an external parabolic potential. First, we demonstrate analytically that a broad (loosely bound, LB) soliton state, based on a 2D Bloch function near the edge of the Brillouin zone (BZ), has a negative effective mass (while the mass of a localized state is positive near the BZ center). The negative-mass soliton cannot be held by the usual trap, but it is safely confined by an inverted parabolic potential (anti-trap). Direct simulations demonstrate that the LB solitons (including the ones with intrinsic vorticity) are stable and can freely move on top of the OL. The frequency of elliptic motion of the LB-soliton's center in the anti-trapping potential is very close to the analytical prediction which treats the solition as a quasi-particle. In addition, the LB soliton of the vortex type features real rotation around its center. We also find an abrupt transition, which occurs with the increase of the number of atoms, from the negative-mass LB states to tightly bound (TB) solitons. An estimate demonstrates that, for the zero-vorticity states, the transition occurs when the number of atoms attains a critical number N=10^3, while for the vortex the transition takes place at N=5x10^3 atoms. The positive-mass LB states constructed near the BZ center (including vortices) can move freely too. The effects predicted for BECs also apply to optical spatial solitons in bulk photonic crystals.Comment: 17 pages, 12 figure

    Novel model-based dosing guidelines for gentamicin and tobramycin in preterm and term neonates

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    Objectives In the heterogeneous group of preterm and term neonates, gentamicin and tobramycin are mainly dosed according to empirical guidelines, after which therapeutic drug monitoring and subsequent dose adaptation are applied. In view of the variety of neonatal guidelines available, the purpose of this study was to evaluate target concentration attainment of these guidelines, and to propose a new model-based dosing guideline for these drugs in neonates. Methods Demographic characteristics of 1854 neonates (birth weight 390-5200 g, post-natal age 0-27 days) were extracted from earlier studies and sampled to obtain a test dataset of 5000 virtual patients. Monte Carlo simulations on the basis of validated models were undertaken to evaluate the attainment of target peak (5-12 mg/L) and trough (<0.5 mg/L) concentrations, and cumulative AUC, with the existing and proposed guidelines. Results Across the entire neonatal age and weight range, the Dutch National Formulary for Children, the British National Formulary for Children, Neofax and the Red Book resulted in adequate peak but elevated trough concentrations (63%-90% above target). The proposed dosing guideline (4.5 mg/kg gentamicin or 5.5 mg/kg tobramycin) with a dosing interval based on birth weight and post-natal age leads to adequate peak concentrations with only 33%-38% of the trough concentrations above target, and a constant AUC across weight and post-natal age. Conclusions The proposed neonatal dosing guideline for gentamicin and tobramycin results in improved attainment of target concentrations and should be prospectively evaluated in clinical studies to evaluate the efficacy and safety of this treatmen

    Refractive-index sensing with ultra-thin plasmonic nanotubes

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    We study the refractive-index sensing properties of plasmonic nanotubes with a dielectric core and ultra-thin metal shell. The few-nm thin metal shell is described by both the usual Drude model and the nonlocal hydrodynamic model to investigate the effects of nonlocality. We derive an analytical expression for the extinction cross section and show how sensing of the refractive index of the surrounding medium and the figure-of-merit are affected by the shape and size of the nanotubes. Comparison with other localized surface plasmon resonance sensors reveals that the nanotube exhibits superior sensitivity and comparable figure-of-merit

    Dynamics of positive- and negative-mass solitons in optical lattices and inverted traps

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    We study the dynamics of one-dimensional solitons in the attractive and repulsive Bose-Einstein condensates (BECs) loaded into an optical lattice (OL), which is combined with an external parabolic potential. First, we demonstrate analytically that, in the repulsive BEC, where the soliton is of the gap type, its effective mass is \emph{negative}. This gives rise to a prediction for the experiment: such a soliton cannot be not held by the usual parabolic trap, but it can be captured (performing harmonic oscillations) by an anti-trapping inverted parabolic potential. We also study the motion of the soliton a in long system, concluding that, in the cases of both the positive and negative mass, it moves freely, provided that its amplitude is below a certain critical value; above it, the soliton's velocity decreases due to the interaction with the OL. At a late stage, the damped motion becomes chaotic. We also investigate the evolution of a two-soliton pulse in the attractive model. The pulse generates a persistent breather, if its amplitude is not too large; otherwise, fusion into a single fundamental soliton takes place. Collisions between two solitons captured in the parabolic trap or anti-trap are considered too. Depending on their amplitudes and phase difference, the solitons either perform stable oscillations, colliding indefinitely many times, or merge into a single soliton. Effects reported in this work for BECs can also be formulated for optical solitons in nonlinear photonic crystals. In particular, the capture of the negative-mass soliton in the anti-trap implies that a bright optical soliton in a self-defocusing medium with a periodic structure of the refractive index may be stable in an anti-waveguide.Comment: 22pages, 9 figures, submitted to Journal of Physics

    Effects of boundary conditions on magnetization switching in kinetic Ising models of nanoscale ferromagnets

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    Magnetization switching in highly anisotropic single-domain ferromagnets has been previously shown to be qualitatively described by the droplet theory of metastable decay and simulations of two-dimensional kinetic Ising systems with periodic boundary conditions. In this article we consider the effects of boundary conditions on the switching phenomena. A rich range of behaviors is predicted by droplet theory: the specific mechanism by which switching occurs depends on the structure of the boundary, the particle size, the temperature, and the strength of the applied field. The theory predicts the existence of a peak in the switching field as a function of system size in both systems with periodic boundary conditions and in systems with boundaries. The size of the peak is strongly dependent on the boundary effects. It is generally reduced by open boundary conditions, and in some cases it disappears if the boundaries are too favorable towards nucleation. However, we also demonstrate conditions under which the peak remains discernible. This peak arises as a purely dynamic effect and is not related to the possible existence of multiple domains. We illustrate the predictions of droplet theory by Monte Carlo simulations of two-dimensional Ising systems with various system shapes and boundary conditions.Comment: RevTex, 48 pages, 13 figure

    Circulating Cell-Free DNA in Dogs with Mammary Tumors: Short and Long Fragments and Integrity Index

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    Circulating cell-free DNA (cfDNA) has been considered an interesting diagnostic/prognostic plasma biomarker in tumor-bearing subjects. In cancer patients, cfDNA can hypothetically derive from tumor necrosis/apoptosis, lysed circulating cells, and some yet unrevealed mechanisms of active release. This study aimed to preliminarily analyze cfDNA in dogs with canine mammary tumors (CMTs). Forty-four neoplastic, 17 non-neoplastic disease-bearing, and 15 healthy dogs were recruited. Necrosis and apoptosis were also assessed as potential source of cfDNA on 78 CMTs diagnosed from the 44 dogs. The cfDNA fragments and integrity index significantly differentiated neoplastic versus non-neoplastic dogs (P<0.05), and allowed the distinction between benign and malignant lesions (P<0.05). Even if without statistical significance, the amount of cfDNA was also affected by tumor necrosis and correlated with tumor size and apoptotic markers expression. A significant (P<0.01) increase of Bcl-2 in malignant tumors was observed, and in metastatic CMTs the evasion of apoptosis was also suggested. This study, therefore, provides evidence that cfDNA could be a diagnostic marker in dogs carrying mammary nodules suggesting that its potential application in early diagnostic procedures should be further investigated
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