619 research outputs found

    Long-term surveillance of SUDEP in drug-resistant epilepsy patients treated with VNS therapy.

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    Limited data are available regarding the evolution over time of the rate of sudden unexpected death in epilepsy patients (SUDEP) in drug-resistant epilepsy. The objective is to analyze a database of 40 443 patients with epilepsy implanted with vagus nerve stimulation (VNS) therapy in the United States (from 1988 to 2012) and assess whether SUDEP rates decrease during the postimplantation follow-up period. Patient vital status was ascertained using the Centers for Disease Control and Prevention's National Death Index (NDI). An expert panel adjudicated classification of cause of deaths as SUDEP based on NDI data and available narrative descriptions of deaths. We tested the hypothesis that SUDEP rates decrease with time using the Mann-Kendall nonparametric trend test and by comparing SUDEP rates of the first 2 years of follow-up (years 1-2) to longer follow-up (years 3-10). Our cohort included 277 661 person-years of follow-up and 3689 deaths, including 632 SUDEP. Primary analysis demonstrated a significant decrease in age-adjusted SUDEP rate during follow-up (S = -27 P = .008), with rates of 2.47/1000 for years 1-2 and 1.68/1000 for years 3-10 (rate ratio 0.68; 95% confidence interval [CI] 0.53-0.87; P = .002). Sensitivity analyses confirm these findings. Our data suggest that SUDEP risk significantly decreases during long-term follow-up of patients with refractory epilepsy receiving VNS Therapy. This finding might reflect several factors, including the natural long-term dynamic of SUDEP rate, attrition, and the impact of VNS Therapy. The role of each of these factors cannot be confirmed due to the limitations of the study

    Next-to-leading order QCD corrections to A_TT for prompt photon production

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    We present a next-to-leading order QCD calculation of the cross section for isolated large-p_T prompt photon production in collisions of transversely polarized protons. We devise a simple method of dealing with the phase space integrals in dimensional regularization in the presence of the cos(2 phi) azimuthal-angular dependence occurring for transverse polarization. Our results allow to calculate the double-spin asymmetry A_TT for this process at next-to-leading order accuracy, which may be used at BNL-RHIC to measure the transversity parton distributions of the proton.Comment: 19 pages, LaTeX, 2 figures as eps file

    Next-to-leading order QCD corrections to spin-dependent hadron-pair photoproduction

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    We compute the next-to-leading order QCD corrections to the ``direct'' part of the spin-dependent cross section for hadron-pair photoproduction. The calculation is performed using largely analytical methods. We present a brief phenomenological study of our results focussing on the KK-factors and scale dependence of the next-to-leading order cross sections. This process is relevant for the extraction of the gluon polarization in present and future spin-dependent lepton-nucleon scattering experiments.Comment: 9 pages, 2 eps figure

    Entanglement between Demand and Supply in Markets with Bandwagon Goods

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    Whenever customers' choices (e.g. to buy or not a given good) depend on others choices (cases coined 'positive externalities' or 'bandwagon effect' in the economic literature), the demand may be multiply valued: for a same posted price, there is either a small number of buyers, or a large one -- in which case one says that the customers coordinate. This leads to a dilemma for the seller: should he sell at a high price, targeting a small number of buyers, or at low price targeting a large number of buyers? In this paper we show that the interaction between demand and supply is even more complex than expected, leading to what we call the curse of coordination: the pricing strategy for the seller which aimed at maximizing his profit corresponds to posting a price which, not only assumes that the customers will coordinate, but also lies very near the critical price value at which such high demand no more exists. This is obtained by the detailed mathematical analysis of a particular model formally related to the Random Field Ising Model and to a model introduced in social sciences by T C Schelling in the 70's.Comment: Updated version, accepted for publication, Journal of Statistical Physics, online Dec 201

    Farmland Prices: Is This Time Different?

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    The historical behavior of farmland prices, rental rates, and rates of return are examined by treating farmland as an asset with an infinitely long life. It is found that high (low) farmland prices relative to rents have historically preceded extended periods of low (high) net rates of return, rather than greater (smaller) growth in rents. Our analysis shows that this attribute is shared with stocks and housing, and the financial literature provides ample evidence that other assets feature it as well. The long-run relationship linking farmland prices, rents, and rates of return is analyzed. Based on this relationship, we conclude that recent trends are unlikely to be sustainable. The study explores the expected paths that farmland prices and rates of return might follow if they were to eventually conform to the average values observed in the historical sample, and concludes with a discussion of the policy implications. Recommendations for policy makers include close monitoring of farmland lending practices and institutions to allow early identification of potential problems, and identifying in advance appropriate interventions in case recent farmland market trends were to suddenly change

    Reddening law and interstellar dust properties along Magellanic sight-lines

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    This study establishes that SMC, LMC and Milky Way extinction curves obey the same extinction law which depends on the 2200A bump size and one parameter, and generalizes the Cardelli, Clayton and Mathis (1989) relationship. This suggests that extinction in all three galaxies is of the same nature. The role of linear reddening laws over all the visible/UV wavelength range, particularly important in the SMC but also present in the LMC and in the Milky Way, is also highlighted and discussed.Comment: accepted for publication in Astrophysics and Space Science. 16 pages, 12 figures. Some figures are colour plot

    Diffractive Photoproduction of Jets with a Direct Pomeron Coupling at HERA

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    We investigate in detail the effect of a direct pomeron coupling to quarks on the production of jets in epep scattering with almost real photons. Jet production via a direct pomeron coupling is compared with the resolved--pomeron mechanism. We consider both direct and resolved photoproduction. Rapidity and transverse momentum distributions are calculated and compared with preliminary H1 and ZEUS data.Comment: 21 pages, Latex file, 7 figures (uuencoded) enclosed, Preprint DESY 94-140, KEK-TH-407 and KEK Preprint 94-7

    Correlations and Fluctuations in High-Energy Nuclear Collisions

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    Nucleon correlations in the target and projectile nuclei are shown to reduce significantly the fluctuations in multiple nucleon-nucleon collisions, total multiplicity and transverse energy in relativistic heavy-ion collisions, in particular for heavy projectile and target. The interplay between cross-section fluctuations, from color transparency and opacity, and nuclear correlations is calculated and found to be able to account for large fluctuations in transverse energy spectra. Numerical implementation of correlations and cross-section fluctuations in Monte-Carlo codes is discussed.Comment: 30 pages, in Revtex, plus 4 figures. Figures and preprint can be obtained by mailing address to: [email protected]

    Isolating a light Higgs boson from the di-photon background at the LHC

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    We compute the QCD corrections to the gluon fusion subprocess gg to gamma gamma, which forms an important component of the background to the search for a light Higgs boson at the LHC. We study the dependence of the improved pp to gamma gamma X background calculation on the factorization and renormalization scales, on various choices for photon isolation cuts, and on the rapidities of the photons. We also investigate ways to enhance the statistical significance of the Higgs signal in the di-photon channel.Comment: Additional reference included, 17 pages, 16 figure files, revte

    Aspects of Two-Photon Physics at Linear e+e- Colliders

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    We discuss various reactions at future e+e- and gamma-gamma colliders involving real (beamstrahlung or backscattered laser) or quasi--real (bremsstrahlung) photons in the initial state and hadrons in the final state. The production of two central jets with large pT is described in some detail; we give distributions for the rapidity and pT of the jets as well as the di--jet invariant mass, and discuss the relative importance of various initial state configurations and the uncertainties in our predictions. We also present results for `mono--jet' production where one jet goes down a beam pipe, for the production of charm, bottom and top quarks, and for single production of W and Z bosons. Where appropriate, the two--photon processes are compared with annihilation reactions leading to similar final states. We also argue that the behaviour of the total inelastic gamma-gamma cross section at high energies will probably have little impact on the severity of background problems caused by soft and semi--hard (`minijet') two--photon reactions. We find very large differences in cross sections for all two--photon processes between existing designs for future e+e- colliders, due to the different beamstrahlung spectra; in particular, both designs with >1 events per bunch crossing exist.Comment: 51 pages, 13 figures(not included
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