252 research outputs found
The Hartree ensemble approximation revisited: The "symmetric phase"
The Hartree ensemble approximation is studied in the ``symmetric phase'' of
1+1 dimensional lambda phi^4 theory. In comparison with the ``broken phase''
studied previously, it is shown that the dynamical evolution of observables
such as the particle distribution, energy exchange and auto-correlation
functions, is substantially slower. Approximate thermalization is found only
for relatively large energy densities and couplings.Comment: 17 pages RevTeX, 16 figures, 3 tables, uses amsmath and feynmp.
Extended some sections, reordered Sec.IV, added 3 refs, numerical typo
corrected, published versio
Five-year follow-up after biliopancreatic diversion with duodenal switch
BACKGROUND: Only limited data are available for assessing the medium and long-term outcomes after bariatric surgery. We report our own long-term results after biliopancreatic diversion with duodenal switch (BPD-DS). METHODS: The data from 51 patients with a theoretical >/=5-year follow-up were reviewed after BPD-DS performed from February 2002 to October 2004. The patients were assessed every 3 months during their first postoperative year, every 6 months during the second year, and annually thereafter. RESULTS: The preoperative body mass index (BMI) was 47 +/- 6.1 kg/m(2). The first 23 patients had undergone open BPD-DS. The same procedure was used (150-mL sleeve, 150-cm alimentary limb, and 100-cm common channel) for the 28 laparoscopic BPD-DS procedures, although 15 patients underwent conversion to laparotomy at the beginning of our experience. No patients died postoperatively. Of the 51 patients, 7 were not available for follow-up: 2 patients had died 9 months after BPD-DS (1 of myocardial infarction and 1 after ventral hernia repair), 1 underwent reversal, 1 refused follow-up after a complicated postoperative course, and contact was lost with 3 patients (7.8% lost to follow-up). The 5-year BMI was 31 +/- 4.5 kg/m(2), with a mean excess weight loss of 71.9% +/- 20.6%. Of the 44 patients, 7 (15.9%) had an excess weight loss of <50%; 4 of these unsatisfactory results occurred after revision BPD-DS. After primary BPD-DS, excess weight loss of 75.8% +/- 18.0% was observed. Biologic data were obtained for 85% of the patients at 5 years. The main vitamin and micronutrients parameters remained stable over time. However, a trend was seen toward an increase in the parathormone levels and difficulties in maintaining a normal vitamin D level despite updated vitamin supplementation. CONCLUSION: The results of our study have shown that BPD-DS achieves sustainable significant weight loss with >5 years of follow-up, with unsatisfactory results in <20% of cases. Although not statistically significant, revision surgery more often resulted in lesser weight loss, although this difference had almost vanished when the initial BMI was taken as a reference compared with the BMI before BPD-DS
Renormalized waves and thermalization of the Klein-Gordon equation: What sound does a nonlinear string make?
We study the thermalization of the classical Klein-Gordon equation under a
u^4 interaction. We numerically show that even in the presence of strong
nonlinearities, the local thermodynamic equilibrium state exhibits a weakly
nonlinear behavior in a renormalized wave basis. The renormalized basis is
defined locally in time by a linear transformation and the requirement of
vanishing wave-wave correlations. We show that the renormalized waves oscillate
around one frequency, and that the frequency dispersion relation undergoes a
nonlinear shift proportional to the mean square field. In addition, the
renormalized waves exhibit a Planck like spectrum. Namely, there is
equipartition of energy in the low frequency modes described by a Boltzmann
distribution, followed by a linear exponential decay in the high frequency
modes.Comment: 13 pages, 13 figure
Kinks in the Hartree approximation
The topological defects of the lambda phi^4 theory, kink and antikink, are
studied in the Hartree approximation. This allows us to discuss quantum effects
on the defects in both stationary and dynamical systems. The kink mass is
calculated for a number of parameters, and compared to classical, one loop and
Monte Carlo results known from the literature. We discuss the thermalization of
the system after a kink antikink collision. A classical result, the existence
of a critical speed, is rederived and shown for the first time in the quantum
theory. We also use kink antikink collisions as a very simple toy model for
heavy ion collisions and discuss the differences and similarities, for example
in the pressure. Finally, using the Hartree Ensemble Approximation allows us to
study kink antikink nucleation starting from a thermal (Bose Einstein)
distribution. In general our results indicate that on a qualitative level there
are few differences with the classical results, but on a quantitative level
there are some import ones.Comment: 20 pages REVTeX 4, 17 Figures. Uses amsmath.sty and subfigure.sty.
Final version, fixed typo in published versio
A practical approach to estimate resting energy expenditure in frail elderly people
Objectives: Some prediction equations of resting energy expenditure (REE) are available and can be used in clinical wards to determine energy requirements of patients. The aim of the present study was to assess the accuracy of those equations in sick elderly patients, using the Bland & Altman methods with our database of 187 REE measurements.Design: The 3 equations tested were Harris & Benedict equation of 1919, WHO/FAO/UNU equation of 1985 and Fredrix et al. equation of 1990. In addition, three models developed from the present data were tested.Results: The present study shows that the Fredrix et al equation gave an accurate prediction of REE without significant bias along the whole range of REE. It also shows that under-weight sick elderly patients (BMI †21 kg/m2) had a greater weight-adjusted REE than their normal weight counterparts.Conclusion: A simple formula using a factor multiplying body weight, i.e. 22 kcal/kg/d in under-weight and 19 kcal/kg/d in normal weight sick elderly was accurate to predicting REE and bias was not influenced by the level of REE. This model included half of the group in the range of ±10% of the difference between predicted REE and measured REE, but the confidence interval of the bias was ±400 kcal/d. Conversely, the Harris & Benedict and WHO formulae did accurately predict REE
Prevalence of sarcopenia in the French senior population
Introduction A muscle mass normalized for height2 (MMI) or for body weight (SMI) below 2SD under the mean for a young population defines sarcopenia. This study aimed at setting the cutoffs and the prevalence of sarcopenia in the French elderly population. Another objective was to compare the results obtained with SMI and MMI.Methods: Muscle mass was assessed by bioelectrical impedance analysis in 782 healthy adults (<40 years) to determine skeletal mass index (SMI, muscle mass*100/weight) and muscle mass index (MMI, muscle mass/height2). Prevalence was estimated in 888 middle aged (40â59 years) and 218 seniors (60â78 years). All were healthy people.Results: For women mean-2SD were 6.2 kg/m2 (MMI) and 26.6% (SMI); for men limits were 8.6 kg/m2 (MMI) and 34.4% (SMI). In middle aged persons a small number of them were identified as sarcopenic. In healthy seniors, 2.8% of women and 3.6% of men were sarcopenic (MMI). The prevalence was 23.6% in women and 12.5% in men with SMI. MMI and SMI identified different sarcopenic populations, leaner subjects for MMI while fatter subjects for SMI.Conclusion: Cutoff values for the French population were defined. Prevalence of sarcopenia was different from that in the US population
Zinc deficiency: a frequent and underestimated complication after bariatric surgery
BACKGROUND:
Although zinc deficiency is common after bariatric surgery, its incidence is underestimated. The objective was to monitor zinc and nutritional status before and 6, 12 and 24 months (M6, M12 and M24) after gastric bypass (Roux-en-Y gastric bypass), sleeve gastrectomy and biliopancreatic diversion with duodenal switch (DS) in patients receiving systematised nutritional care.
METHODS:
Data for 324 morbidly obese patients (mean body mass index 46.2â±â7.3 kg/m(2)) were reviewed retrospectively. The follow-up period was 6 months for 272 patients, 12 months for 175, and 24 months for 70. Anthropometric, dietary and serum albumin, prealbumin, zinc, iron and transferrin saturation measures were determined at each timepoint.
RESULTS:
Nine percent of patients had zinc deficiency pre-operatively. Zinc deficiency was present in 42.5% of the population at M12 and then remained stable. Zinc deficiency was significantly more frequent after DS, with a prevalence of 91.7% at M12. Between M0 and M6, variation in plasma prealbumin, surgery type and zinc supplementation explained 27.2% of the variance in plasma zinc concentration. Surgery type explained 22.1% of this variance between M0 and M24. Mean supplemental zinc intake was low (22 mg/day). The percentage of patients taking zinc supplementation at M6, M12 and M24 was 8.9%, 20.6% and 29%, respectively.
CONCLUSIONS:
Reduced protein intake, impaired zinc absorption and worsening compensatory mechanisms contribute to zinc deficiency. The mechanisms involved differ according to the type of surgery and time since surgery. Zinc supplementation is necessary early after bariatric surgery, but this requirement is often underestimated or is inadequate
Call-by-value non-determinism in a linear logic type discipline
We consider the call-by-value lambda-calculus extended with a may-convergent
non-deterministic choice and a must-convergent parallel composition. Inspired
by recent works on the relational semantics of linear logic and non-idempotent
intersection types, we endow this calculus with a type system based on the
so-called Girard's second translation of intuitionistic logic into linear
logic. We prove that a term is typable if and only if it is converging, and
that its typing tree carries enough information to give a bound on the length
of its lazy call-by-value reduction. Moreover, when the typing tree is minimal,
such a bound becomes the exact length of the reduction
Tachyonic preheating using 2PI-1/N dynamics and the classical approximation
We study the process of tachyonic preheating using approximative quantum
equations of motion derived from the 2PI effective action. The O(N) scalar
(Higgs) field is assumed to experience a fast quench which is represented by an
instantaneous flip of the sign of the mass parameter. The equations of motion
are solved numerically on the lattice, and the Hartree and 1/N-NLO
approximations are compared to the classical approximation. Classical dynamics
is expected to be valid, since the occupation numbers can rise to large values
during tachyonic preheating. We find that the classical approximation performs
excellently at short and intermediate times, even for couplings in the larger
region currently allowed for the SM Higgs. This is reassuring, since all
previous numerical studies of tachyonic preheating and baryogenesis during
tachyonic preheating have used classical dynamics. We also compare different
initializations for the classical simulations.Comment: 32 pages, 21 figures. Published version: Some details added, section
added, references added, conclusions unchange
Synthesis beyond the redox-active tetrathiafulvalene (TTF) molecule: From a topological control in TTF based macrocycles, towards functional chemical systems
Date du colloque : 05/2009</p
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