Spin-flip effects on the current-in-plane magnetotransport in magnetic multilayers with arbitrary magnetization alignments

An extended Boltzmann equation approach, with nondiagonal components of the electron distribution, function taken into account, is proposed to study spin-flip effects on the magnetoresistance (MR) in magnetic inhomogeneous systems with arbitrary magnetization alignments. The presence of spin-flip scattering is found to reduce the MR and to decrease deviation of the MR from linear dependence on sin 2(θ/2) where θ is the angle between the magnetizations of successive magnetic films.published_or_final_versio

Phase diagram of an extended Kondo lattice model for manganites: The Schwinger-boson mean-field approach

We investigate the phase diagram of an extended Kondo lattice model for doped manganese oxides in the presence of strong but finite Hund's coupling and on-site Coulomb interaction. By means of the Schwinger-boson mean-field approach, it is found that, besides magnetic ordering, there will be nonuniform charge distributions, such as charge ordering and phase separation, if the interaction between electrons prevails over the hybridization. Which of the charge ordering and phase separation appears is determined by a competition between effective repulsive and attractive interactions due to virtual processes of electron hopping. Calculated results show that strong electron correlations caused by the on-site Coulomb interaction as well as the finite Hund's coupling play an important role in the magnetic ordering and charge distribution at low temperatures. ©2000 The American Physical Society.published_or_final_versio

Spin and orbital excitations in undoped manganites

We develop a theory for spin and orbital excitations in undoped manganites to account for the spin and orbital orderings observed experimentally. It is found that the anisotropy of the magnetic structure is closely related to the orbital ordering, and the Jahn-Teller effect stabilizes the orbital ordering. The phase diagram and the low-energy excitation spectra for both spin and orbital orderings are obtained. The calculated critical temperatures can be quantitatively comparable to the experimental data. © 2000 American Institute of Physics.published_or_final_versio

Macroscopic theory of giant magnetoresistance in magnetic granular metals

A macroscopic theory of giant magnetoresistance in granular magnetic materials is developed to improve on that of Rubinstein [Phys. Rev. B 50, 3830 (1994)]. By using a self-consistent method and introducing a useful parametrization, we show the magnetotransport in granular systems to be between those for currents in the plane of layers and currents perpendicular to the plane of the layers in multilayers. The theoretical result in the local limit is found to be in agreement with the observed singular dependence of the giant magnetoresistance on annealing temperature.published_or_final_versio

Giant magnetoresistance in magnetic granular systems

Based on a semiclassical model, the transport properties in systems of cylindrical or spherical magnetic granules are investigated analytically. It is shown that the conductivities as well as the magnetoresistance of these systems depend strongly on the size of the granules. In particular, there is always an optimum granular size for the magnetoresistance. ©1996 American Institute of Physics.published_or_final_versio

Racial and socioeconomic disparities in hip fracture care

BACKGROUND: Despite declines in both the incidence of and mortality following hip fracture, there are racial and socioeconomic disparities in treatment access and outcomes. We evaluated the presence and implications of disparities in delivery of care, hypothesizing that race and community socioeconomic characteristics would influence quality of care for patients with a hip fracture. METHODS: We collected data from the New York State Department of Health Statewide Planning and Research Cooperative System (SPARCS), which prospectively captures information on all discharges from nonfederal acute-care hospitals in New York State. Records for 197,290 New York State residents who underwent surgery for a hip fracture between 1998 and 2010 in New York State were identified from SPARCS using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes. Multivariable regression models were used to evaluate the association of patient characteristics, social deprivation, and hospital/surgeon volume with time from admission to surgery, in-hospital complications, readmission, and 1-year mortality. RESULTS: After adjusting for patient and surgery characteristics, hospital/surgeon volume, social deprivation, and other variables, black patients were at greater risk for delayed surgery (odds ratio [OR] = 1.49; 95% confidence interval [CI] = 1.42, 1.57), a reoperation (hazard ratio [HR] = 1.21; CI = 1.11, 1.32), readmission (OR = 1.17; CI = 1.11, 1.22), and 1-year mortality (HR = 1.13; CI = 1.07, 1.21) than white patients. Subgroup analyses showed a greater risk for delayed surgery for black and Asian patients compared with white patients, regardless of social deprivation. Additionally, there was a greater risk for readmission for black patients compared with white patients, regardless of social deprivation. Compared with Medicare patients, Medicaid patients were at increased risk for delayed surgery (OR = 1.17; CI = 1.10, 1.24) whereas privately insured patients were at decreased risk for delayed surgery (OR = 0.77; CI = 0.74, 0.81), readmission (OR = 0.77; CI = 0.74, 0.81), complications (OR = 0.80; CI = 0.77, 0.84), and 1-year mortality (HR = 0.80; CI = 0.75, 0.85). CONCLUSIONS: There are race and insurance-based disparities in delivery of care for patients with hip fracture, some of which persist after adjusting for social deprivation. In addition to investigation into reasons contributing to disparities, targeted interventions should be developed to mitigate effects of disparities on patients at greatest risk. LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence

The clinical significance of serum and bronchoalveolar lavage inflammatory cytokines in patients at risk for Acute Respiratory Distress Syndrome

BACKGROUND: The predictive role of many cytokines has not been well defined in Acute Respiratory Distress Syndrome (ARDS). METHODS: We measured prospectively IL-4, IL-6, IL-6 receptor, IL-8, and IL-10, in the serum and bronchoalveolar lavage fluid (BALF) in 59 patients who were admitted to ICU in order to identify predictive factors for the course and outcome of ARDS. The patients were divided into three groups: those fulfilling the criteria for ARDS (n = 20, group A), those at risk for ARDS and developed ARDS within 48 hours (n = 12, group B), and those at risk for ARDS but never developed ARDS (n = 27, group C). RESULTS: An excellent negative predictive value for ARDS development was found for IL-6 in BALF and serum (100% and 95%, respectively). IL-8 in BALF and IL-8 and IL-10 serum levels were higher in non-survivors in all studied groups, and were associated with a high negative predictive value. A significant correlation was found between IL-8 and APACHE score (r = 0.60, p < 0.0001). Similarly, IL-6 and IL-6r were highly correlated with PaO2/FiO2 (r = -0.27, p < 0.05 and r = -0.55, p < 0.0001, respectively). CONCLUSIONS: BALF and serum levels of the studied cytokines on admission may provide valuable information for ARDS development in patients at risk, and outcome in patients either in ARDS or in at risk for ARDS

Gastric Lavage in Acute Organophosphorus Pesticide poisoning (GLAOP) – a randomised controlled trial of multiple vs. single gastric lavage in unselected acute organophosphorus pesticide poisoning

BACKGROUND: Organophosphorus (OP) pesticide poisoning is the most common form of pesticide poisoning in many Asian countries. Guidelines in western countries for management of poisoning indicate that gastric lavage should be performed only if two criteria are met: within one hour of poison ingestion and substantial ingested amount. But the evidence on which these guidelines are based is from medicine overdoses in developed countries and may be irrelevant to OP poisoning in Asia. Chinese clinical experience suggests that OP remains in the stomach for several hours or even days after ingestion. Thus, there may be reasons for doing single or multiple gastric lavages for OP poisoning. There have been no randomised controlled trials (RCTs) to assess this practice of multiple lavages. Since it is currently standard therapy in China, we cannot perform a RCT of no lavage vs. a single lavage vs. multiple lavages. We will compare a single gastric lavage with three gastric lavages as the first stage to assess the role of gastric lavage in OP poisoning. METHODS/DESIGN: We have designed an RCT assessing the effectiveness of multiple gastric lavages in adult OP self-poisoning patients admitted to three Chinese hospitals within 12 hrs of ingestion. Patients will be randomised to standard treatment plus either a single gastric lavage on admission or three gastric lavages at four hour intervals. The primary outcome is in-hospital mortality. Analysis will be on an intention-to-treat basis. On the basis of the historical incidence of OP at the study sites, we expect to enroll 908 patients over three years. This projected sample size provides sufficient power to evaluate the death rate; and a variety of other exposure and outcome variables, including particular OPs and ingestion time. Changes of OP level will be analyzed in order to provide some toxic kinetic data. DISCUSSION: the GLAOP study is a novel, prospective cohort study that will explore to the toxic kinetics of OP and effects of gastric lavage on it. Given the poor information about the impact of gastric lavage on clinical outcomes for OP patients, this study can provide important information to inform clinical practice