1,702 research outputs found
Theoretical study of the two-proton halo candidate Ne including contributions from resonant continuum and pairing correlations
With the relativistic Coulomb wave function boundary condition, the energies,
widths and wave functions of the single proton resonant orbitals for Ne
are studied by the analytical continuation of the coupling constant (ACCC)
approach within the framework of the relativistic mean field (RMF) theory.
Pairing correlations and contributions from the single-particle resonant
orbitals in the continuum are taken into consideration by the resonant
Bardeen-Cooper-Schrieffer (BCS) approach, in which constant pairing strength is
used. It can be seen that the fully self-consistent calculations with NL3 and
NLSH effective interactions mostly agree with the latest experimental
measurements, such as binding energies, matter radii, charge radii and
densities. The energy of 2s orbital is slightly higher than that
of orbital, and the occupation probability of the
2s orbital is about 20%, which are in accordance with the
shell model calculation and three-body model estimation
In inpatients with cirrhosis opioid use is common and associated with length of stay and persistent use post-discharge
Background Previous studies have demonstrated that opioids are often prescribed and associated with complications in outpatients with cirrhosis. Less is known about opioids among hospitalized patients with cirrhosis. We aimed to describe the patterns and complications of opioid use among inpatients with cirrhosis. Methods This retrospective cohort study included adult patients with cirrhosis admitted to a single hospital system from 4/4/2014 to 9/30/2015. We excluded hospitalizations with a surgery, invasive procedure, or palliative care/hospice consult in order to understand opioid use that may be avoidable. We determined the frequency, dosage, and type of opioids given during hospitalization. Using bivariable and multivariable analyses, we assessed length of stay, intensive care unit transfer, and in-hospital mortality by opioid use. Results Of 217 inpatients with cirrhosis, 118 (54.4%) received opioids during hospitalization, including 41.7% of patients without prior outpatient opioid prescriptions. Benzodiazepines or hypnotic sleep aids were given to 28.8% of opioid recipients. In the multivariable model, younger age and outpatient opioid prescription were associated with inpatient opioids. Hospitalization was longer among opioid recipients (median 3.9 vs 3.0 days, p = 0.002) and this difference remained after adjusting for age, cirrhosis severity, and medical comorbidities. There was no difference in intensive care unit transfers and no deaths occurred. At discharge, 22 patients were newly started on opioids of whom 10 (45.5%) had opioid prescriptions at 90 days post-discharge. Conclusion In non-surgical inpatients with cirrhosis, opioid prescribing was common and associated with prolonged length of stay. A high proportion of patients newly discharged with opioid prescriptions had ongoing prescriptions at 90 days post-discharge
Recent experimental results in sub- and near-barrier heavy ion fusion reactions
Recent advances obtained in the field of near and sub-barrier heavy-ion
fusion reactions are reviewed. Emphasis is given to the results obtained in the
last decade, and focus will be mainly on the experimental work performed
concerning the influence of transfer channels on fusion cross sections and the
hindrance phenomenon far below the barrier. Indeed, early data of sub-barrier
fusion taught us that cross sections may strongly depend on the low-energy
collective modes of the colliding nuclei, and, possibly, on couplings to
transfer channels. The coupled-channels (CC) model has been quite successful in
the interpretation of the experimental evidences. Fusion barrier distributions
often yield the fingerprint of the relevant coupled channels. Recent results
obtained by using radioactive beams are reported. At deep sub-barrier energies,
the slope of the excitation function in a semi-logarithmic plot keeps
increasing in many cases and standard CC calculations over-predict the cross
sections. This was named a hindrance phenomenon, and its physical origin is
still a matter of debate. Recent theoretical developments suggest that this
effect, at least partially, may be a consequence of the Pauli exclusion
principle. The hindrance may have far-reaching consequences in astrophysics
where fusion of light systems determines stellar evolution during the carbon
and oxygen burning stages, and yields important information for exotic
reactions that take place in the inner crust of accreting neutron stars.Comment: 40 pages, 63 figures, review paper accepted for EPJ
Search for Invisible Decays of and in and
Using a data sample of decays collected with the BES
II detector at the BEPC, searches for invisible decays of and
in to and are performed.
The signals, which are reconstructed in final states, are used
to tag the and decays. No signals are found for the
invisible decays of either or , and upper limits at the 90%
confidence level are determined to be for the ratio
and for . These are the first
searches for and decays into invisible final states.Comment: 5 pages, 4 figures; Added references, Corrected typo
Opioid prescriptions are associated with hepatic encephalopathy in a national cohort of patients with compensated cirrhosis
Background: Opioids are often prescribed for pain in cirrhosis and may increase the risk of hepatic encephalopathy (HE). Aim: To assess the association between opioids and HE in patients with well-compensated cirrhosis. Methods: We used the IQVIA PharMetrics (Durham, NC) database to identify patients aged 18-64 years with cirrhosis. We excluded patients with any decompensation event from 1 year before cirrhosis diagnosis to 6 months after cirrhosis diagnosis. Over the 6 months after cirrhosis diagnosis, we determined the duration of continuous opioid use and classified use into short term (1-89 days) and chronic (90-180 days). We assessed whether patients developed HE over the subsequent year (ie 6-18 months after cirrhosis diagnosis). We used a landmark analysis and performed multivariable Cox proportional hazards regression to assess associations between opioid use and HE, adjusting for relevant confounders. Results: The cohort included 6451 patients with compensated cirrhosis, of whom 23.3% and 4.7% had short-term and chronic opioid prescriptions respectively. Over the subsequent year, HE occurred in 6.3% patients with chronic opioid prescriptions, 5.0% with short-term opioid prescriptions and 3.3% with no opioid prescriptions. In the multivariable model, an increased risk of HE was observed with short-term (adjusted hazard ratio, HR 1.44, 95% CI 1.07-1.94) and chronic opioid prescriptions (adjusted HR 1.83, 95% CI 1.07-3.12) compared to no opioid prescriptions. Conclusion: In this national cohort of privately insured patients with cirrhosis, opioid prescriptions were associated with the risk of incident HE. Opioid use should be minimised in those with cirrhosis and, when required, limited to short duration
Wide binaries as a critical test of Classical Gravity
Modified gravity scenarios where a change of regime appears at acceleration
scales have been proposed. Since for systems the
acceleration drops below at scales of around 7000 AU, a statistical
survey of wide binaries with relative velocities and separations reaching
AU and beyond should prove useful to the above debate. We apply the
proposed test to the best currently available data. Results show a constant
upper limit to the relative velocities in wide binaries which is independent of
separation for over three orders of magnitude, in analogy with galactic flat
rotation curves in the same acceleration regime. Our results are
suggestive of a breakdown of Kepler's third law beyond
scales, in accordance with generic predictions of modified gravity theories
designed not to require any dark matter at galactic scales and beyond.Comment: accepted for publication in EPJ
Letter: are opioid prescriptions associated with hepatic encephalopathy in patients with compensated cirrhosis? Authors' reply
EDITORS, We appreciate the letter from Li et al about our recently pub-lished article on the association between opioids and hepatic en-cephalopathy (HE). The letter raises interesting points deserving additional clarification
Meson Screening Mass in a Strongly Coupled Pion Superfluid
We calculate the meson screening mass in a pion superfluid in the framework
of Nambu--Jona-Lasinio model. The minimum of the attractive quark potential is
always located at the phase boundary of pion superfluid. Different from the
temperature and baryon density effect, the potential at finite isospin density
can not be efficiently suppressed and the matter is always in a strongly
coupled phase due to the Goldstone mode in the pion superfluid.Comment: 8 pages, 7 figures(Accepted by European Physical Journal C
Simultaneous Determination of Amlodipine and Valsartan
A spectrophotometric method was developed for simultaneous determination of amlodipine (Aml) and valsartan (Val) without previous separation. In this method amlodipine in methanolic solution was determined using zero order UV spectrophotometry by measuring its absorbency at 360.5 nm without any interference from valsartan
Pressure-dependence of electron-phonon coupling and the superconducting phase in hcp Fe - a linear response study
A recent experiment by Shimizu et al. has provided evidence of a
superconducting phase in hcp Fe under pressure. To study the
pressure-dependence of this superconducting phase we have calculated the phonon
frequencies and the electron-phonon coupling in hcp Fe as a function of the
lattice parameter, using the linear response (LR) scheme and the full potential
linear muffin-tin orbital (FP-LMTO) method. Calculated phonon spectra and the
Eliashberg functions indicate that conventional s-wave
electron-phonon coupling can definitely account for the appearance of the
superconducting phase in hcp Fe. However, the observed change in the transition
temperature with increasing pressure is far too rapid compared with the
calculated results. For comparison with the linear response results, we have
computed the electron-phonon coupling also by using the rigid muffin-tin (RMT)
approximation. From both the LR and the RMT results it appears that
electron-phonon interaction alone cannot explain the small range of volume over
which superconductivity is observed. It is shown that
ferromagnetic/antiferromagnetic spin fluctuations as well as scattering from
magnetic impurities (spin-ordered clusters) can account for the observed values
of the transition temperatures but cannot substantially improve the agreeemnt
between the calculated and observed presure/volume range of the superconducting
phase. A simplified treatment of p-wave pairing leads to extremely small ( K) transition temperatures. Thus our calculations seem to rule out
both - and - wave superconductivity in hcp Fe.Comment: 12 pages, submitted to PR
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