50,768 research outputs found

    Quantum Statistics of Interacting Dimer Spin Systems

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    The compound TlCuCl3 represents a model system of dimerized quantum spins with strong interdimer interactions. We investigate the triplet dispersion as a function of temperature by inelastic neutron scattering experiments on single crystals. By comparison with a number of theoretical approaches we demonstrate that the description of Troyer, Tsunetsugu, and Wuertz [Phys. Rev. B 50, 13515 (1994)] provides an appropriate quantum statistical model for dimer spin systems at finite temperatures, where many-body correlations become particularly important.Comment: 4 pages, 4 figures, to appear in Physical Review Letter

    High-Resolution NIR Observations of the Circumstellar Disk System in the Bok Globule CB 26

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    We report on results of near-infrared and optical observations of the mm disk embedded in the Bok globule CB 26 (Launhardt & Sargent 2001). The near-infrared images show a bipolar reflection nebula with a central extinction lane which coincides with the mm disk. Imaging polarimetry of this object yielded a polarization pattern which is typical for a young stellar object surrounded by a large circumstellar disk and an envelope, seen almost edge-on. The strong linear polarization in the bipolar lobes is caused by single scattering at dust grains and allowed to locate the illuminating source which coincides with the center of the mm disk. The spectral energy distribution of the YSO embedded in CB 26 resembles that of a ClassI source with a luminosity of 0.5 L_sun.Using the pre-main-sequence evolutionary tracks and the stellar mass inferred from the rotation curve of the disk, we derive an age of the system of <10^6 yr. H_alpha and [SII] narrow-band imaging as well as optical spectroscopy revealed an Herbig-Haro object 6.15 arcmin northwest of CB 26 YSO 1, perfectly aligned with the symmetry axis of the bipolar nebula. This Herbig-Haro object (HH 494) indicates ongoing accretion and outflow activity in CB 26 YSO 1. Its excitation characteristics indicate that the Herbig-Haro flow is propagating into a low-density environment. We suggest that CB 26 YSO 1 represents the transition stage between embedded protostellar accretion disks and more evolved protoplanetary disks around T Tauri stars in an undisturbed environment.Comment: 21 pages, 6 figures (reduced resolution), ApJ accepte

    Lived experiences of informal caregivers of people with chronic musculoskeletal pain: a systematic review and meta-ethnography

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    BACKGROUND: People with chronic pain often seek support from friends and family for everyday tasks. These individuals are termed informal caregivers. There remains uncertainty regarding the lived experiences of these people who care for individuals with chronic musculoskeletal pain. The aim of this paper is to synthase the evidence on the lived experiences of informal caregivers providing care to people with chronic musculoskeletal pain. METHODS: A systematic literature review was undertaken of published and unpublished literature databases including: EMBASE, MEDLINE, CINAHL, PubMed, the WHO International Clinical Trial Registry and ClinicalTrials.gov registry (to September 2019). Qualitative studies exploring the lived experiences of informal caregivers of people with chronic musculoskeletal pain were included. Data were synthesised using a meta-ethnography approach. Evidence was evaluated using the Critical Appraisal Skills Programme (CASP) qualitative appraisal tool. RESULTS: From 534 citations, 10 studies were eligible (360 participants: 171 informal caregivers of 189 care recipients). The evidence was moderate quality. Seven themes arose: the relationship of caregivers to healthcare professionals, role reversal with care recipients; acting the confidant to the care recipient; a constant burden in caregiving; legitimising care recipient’s condition; knowledge and skills to provide caregiving; and the perception of other family members and wider-society to the caregiver/care recipient dyad. CONCLUSIONS: The lived experiences of caregivers of people with chronic musculoskeletal pain is complex and dynamic. There is an inter-connected relationship between caregivers, care recipients and healthcare professionals. Exploring how these experiences can be modified to improve a caregiving dyad’s lived experience is now warranted

    Improvement of lung preservation - From experiment to clinical practice

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    Background. Reperfusion injury represents a severe early complication following lung transplantation. Among the pathogenetic factors, the high potassium content of Euro-Collins(R) solution is discussed. Material and Methods: In a pig model of orthotopic left-sided lung transplantation we investigated the effect of Euro-Collins solution (EC: n=6) versus low potassium dextran (LPD: Perfadex(R): n = 6). Sham-operated (n = 6) animals served as control. Transplant function, cellular energy metabolism and endothelial morphology served as parameters. In a clinical investigation, 124 patients were evaluated following single (EC: n = 31; LPD n = 37) or double (EC: n = 17; LPD n = 39) lung transplantation, whose organs where preserved with EC (n = 48) or LPD (n = 76). Duration of ischemia, duration of ventilation and stay on ICU were registered. Primary transplant function was evaluated according to AaDO(2) values. Cause of early death (30 days) was declared. Results: Experimental results: After flush with EC and 18 h ischemia, a reduction of tissue ATP content (p < 0.01 vs inital value and LPD) was noted. Endothelial damage after ischemia was severe (p < 0.05 vs control), paO(2) was significantly decreased. Clinical results: In the LPD group, duration of ischemia was longer for the grafts transplanted first (SLTx and DLTx: p = 0.0009) as well as second (2. organ DLTx: p = 0.045). Primary transplant function was improved (day 0: SLTx: p = 0.0015; DLTx: p = 0.0095, both vs EC). Duration of ventilation and stay on ICU were shorter (n.s.). Reperfusion injury-associated death was reduced from 8% (EC) to 0 (LPD). Conclusion: In experimental lung preservation, LPD lead to an improved graft function. These results were confirmed in clinical lung transplantation. Clinical lung preservation, therefore, should be carried out by use of LPD. Copyright (C) 2002 S. Karger AG, Basel
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