1,076 research outputs found

    Wigner-Seitz cells in neutron star crust with finite range interactions

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    The structure of Wigner-Seitz cells in the inner crust of neutron stars is investigated using a microcospic Hartree-Fock-BCS approach with finite range D1S and M3Y-P4 interactions. Large effects on the densities are found compared to previous predictions using Skyrme interactions. Pairing effects are found to be small, and they are attenuated by the use of finite range interactions in the mean field.Comment: 11 pages, 5 figure

    Reduction of Erosion Risk in Adult Patients with Implanted Ports

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    To reduce the percent of port erosion per year to at or below the number reported in the literature.https://digitalcommons.centracare.com/nursing_posters/1004/thumbnail.jp

    Assessment of the Effectiveness of Ich Tam Khang as a Supportive Therapy for Chronic Heart Failure

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    Background: Heart failure is a chronic disease needing lifelong management. Despite the advances that have been made in the treatment of the disease, both the longevity and quality of life for those with chronic heart failure remain impaired. A more effective therapeutic approach with less negative side effects is still needed. In this study, we evaluate Ich Tam Khang (ITK), the poly-ingredient herbal and nutritional preparation with multiple physiological actions, as a supportive therapy for patients with chronic heart failure.Aims of Study: To evaluate the effectiveness and safety of Ich Tam Khang as an adjunctive treatment of chronic heart failure.Methods: A total of 60 patients with chronic congestive heart failure were enrolled in this open label, cross-sectional and prospective study. All patients were treated with a conventional regimen (digoxin, diuretics, angiotensin-converting-enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs), beta blockers) for at least 4 weeks before being divided into two equal groups. In the treated patients with ITK, patients received conventional therapy plus 4 tablets ITK per day added in two divided doses. In the control patients, all patients kept the same conventional regimen without ITK. All patients were followed up for 3 months for clinical and para-clinical outcomes.Result: The symptoms of heart failure (dyspnea, palpitation, peripheral edema, neck vein distention, heptojugular reflex) decreased. Heart rate and blood pressure stabilized during treatment in the treated patients with ITK. Additionally, total cholesterol and HDL-cholesterol normalized in the patients treated with ITK. Most of echocardiography parameters in the ITK treated patients were superior to the control patients. ITK is safe and it has no side effects.Conclusion: ITK as a combination of herbal and nutritional preparation is effective in reducing heart failure symptoms, improving patient's quality of life for the patients with decompensated heart failure and reducing total cholesterol and LDL-C

    Risk Factors for Non-communicable Diseases in Vietnam: A Focus on Pesticides

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    Agent Orange, which was sprayed in southern Vietnam by the American government, was the main source of dioxin exposure in Vietnam. From the early 1990s, agriculture of Vietnam has attained advances under intensive cultivation. Both production and yields per crop has raised significantly at the farm level, but, on the other hand, the quantity of pesticides used in agriculture has been increased in the absence of regulations and good practices. Illegal business of pesticides with false labels, as well as marketing of expired or poor quality products in stores without license are so popular in Vietnam. Misuse and improper use in agriculture in Vietnam has led to a variety of problems, such as environment pollution (including food producing animals) and adverse health impact on animals and humans. Open dumpsites worsen the general scenario. Similar to the environmental exposure, human exposure to DDT in Vietnam was ranked among the highest worldwide, with recognized effects. Exposed communities have to face birth defects, health disorders and non-communicable diseases (NCDs), from metabolic syndrome, asthma, infertility and other reproductive disorders through to diabetes, obesity, cardiovascular and neurodegenerative diseases, and cancer. A common feature of many chronic disorders and NCDs is metabolic disruption: environmental chemical factors disturb cellular homeostasis, thus affecting the ability of the body to restore a functional internal environment. Among these, endocrine disrupting pesticides can interfere with the action of hormones including metabolic hormones, and are likely to represent the main concern for developmentally-induced NCDs. Since pesticides are often persistent and bio-accumulate in the food chain through the living environment of food-producing organisms, this paper discusses relevant aspects of risk assessment, risk communication and risk management

    Burden of injuries in Vietnam: emerging trends from a decade of economic achievement

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    BACKGROUND: Vietnam has been one of the fastest-growing world economies in the past decade. The burden of injuries can be affected by economic growth given the increased exposure to causes of injury as well as decreased morbidity and mortality of those that experience injury. It is of interest to evaluate the trends in injury burden that occurred alongside Vietnam's economic growth in the past decade. METHODS: Results from Global Burden of Disease 2017 were obtained and reviewed. Estimates of incidence, cause-specific mortality, years lived with disability, years of life lost, disability-adjusted life years were analysed and reported for 30 causes of injury in Vietnam from 2007 to 2017. RESULTS: Between 2007 and 2017, the age-standardised incidence rate of all injuries increased by 14.6% (11.5%-18.2%), while the age-standardised mortality rate decreased by 11.6% (3.0%-20.2%). Interpersonal violence experienced the largest increase in age-standardised incidence (28.3% (17.6%-40.1%)), while exposure to forces of nature had the largest decrease in age-standardised mortality (47.1% (37.9%-54.6%)). The five leading causes of injury in both 2007 and 2017 were road injuries, falls, exposure to mechanical forces, interpersonal violence and other unintentional injuries, all of which increased in incidence from 2007 to 2017. Injury burden varied markedly by age and sex. CONCLUSIONS: The rapid expansions of economic growth in Vietnam as well as improvements in the Sociodemographic Index have occurred alongside dynamic patterns in injury burden. These results should be used to develop and implement prevention and treatment programme

    Electromagnetic form factor of pion from N_f=2+1 dynamical flavor QCD

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    We present a calculation of the electromagnetic form factor of the pion in Nf=2+1N_f=2+1 flavor lattice QCD. Calculations are made on the PACS-CS gauge field configurations generated using Iwasaki gauge action and Wilson-clover quark action on a 323×6432^3\times64 lattice volume with the lattice spacing estimated as a=0.0907(13)a=0.0907(13) fm at the physical point. Measurements of the form factor are made using the technique of partially twisted boundary condition to reach small momentum transfer as well as periodic boundary condition with integer momenta. Additional improvements including random wall source techniques and a judicious choice of momenta carried by the incoming and outgoing quarks are employed for error reduction. Analyzing the form factor data for the pion mass at Mπ411M_\pi \approx 411 MeV and 296 MeV, we find that the NNLO SU(2) chiral perturbation theory fit yields =0.441±0.046fm2=0.441 \pm 0.046 {\rm fm}^2 for the pion charge radius at the physical pion mass. Albeit the error is quite large, this is consistent with the experimental value of 0.452±0.011fm20.452\pm 0.011 {\rm fm}^2. Below Mπ300M_\pi\approx 300 MeV, we find that statistical fluctuations in the pion two- and three-point functions become too large to extract statistically meaningful averages on a 32332^3 spatial volume. We carry out a sample calculation on a 64464^4 lattice with the quark masses close to the physical point, which suggests that form factor calculations at the physical point become feasible by enlarging lattice sizes to MπL4M_\pi L\approx 4.Comment: 28 pages, 14 figure

    Factors contributing to the recruitment and retention of rural pharmacist workforce: a systematic review

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    Background: Recruiting and retaining medical, nursing, and allied health professionals in rural and remote areas isa worldwide challenge, compromising continuity of care and population health outcomes in these locations.Specifically, pharmacists play an essential and accessible frontline healthcare role, and are often the first point ofcontact for health concerns. Despite several incentives, there remains a maldistribution and undersupply ofpharmacists in rural and remote areas across many parts of the world. Although current systematic reviews havefocussed on factors affecting pharmacists’ retention generally, literature specifically focused on rural pharmacistworkforce in a global context remains limited. The aim of this systematic review is to identify factors associatedwith recruitment and retention of the pharmacist workforce in rural and remote settings. Better understanding ofthese contributors will inform more effective interventional strategies to resolve pharmacist workforce shortages.Methods: A systematic search of primary studies was conducted in online databases, including Medline, Embase,CINAHL, Scopus, Web of Science and PsycINFO, and by hand-searching of reference lists. Eligible studies wereidentified based on predefined inclusion/exclusion criteria and methodological quality criteria, utilising the CriticalAppraisal Skills Programme (CASP) and Good Reporting of A Mixed Methods Study (GRAMMS) checklists.Results: The final review included 13 studies, with quantitative, qualitative, or mixed methods research design.Study-specific factors associated with recruitment and retention of pharmacists in rural practice were identified andgrouped into five main themes: geographic and family-related, economic and resources, scope of practice or skillsdevelopment, the practice environment, and community and practice support factors.Conclusions: The results provide critical insights into the complexities of rural recruitment and retention ofpharmacists and confirms the need for flexible yet multifaceted responses to overcoming rural pharmacistworkforce challenges. Overall, the results provide an opportunity for rural communities and health services to betteridentify key strengths and challenges unique to the rural and remote pharmacist workforce that may beaugmented to guide more focussed recruitment and retention endeavours

    Torsion and the Gravity Dual of Parity Symmetry Breaking in AdS4/CFT3 Holography

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    We study four dimensional gravity with a negative cosmological constant deformed by the Nieh-Yan torsional topological invariant with a spacetime-dependent coefficient. We find an exact solution of the Euclidean system, which we call the torsion vortex, having two asymptotic AdS4 regimes supported by a pseudoscalar with a kink profile. We propose that the torsion vortex is the holographic dual of a three dimensional system that exhibits distinct parity breaking vacua. The torsion vortex represents a (holographic) transition between these distinct vacua. We expect that from the boundary point of view, the torsion vortex represents a `domain wall' between the two distinct vacua. From a bulk point of view, we point out an intriguing identification of the parameters of the torsion vortex with those of an Abrikosov vortex in a Type I superconductor. Following the analogy, we find that external Kalb-Ramond flux then appears to support bubbles of flat spacetime within an asymptotically AdS geometry.Comment: 26 pages, 4 figures; v2: minor improvements, references adde
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