6,898 research outputs found
Heat pumping with optically driven excitons
We present a theoretical study showing that an optically driven excitonic
two-level system in a solid state environment acts as a heat pump by means of
repeated phonon emission or absorption events. We derive a master equation for
the combined phonon bath and two-level system dynamics and analyze the
direction and rate of energy transfer as a function of the externally
accessible driving parameters. We discover that if the driving laser is detuned
from the exciton transition, cooling the phonon environment becomes possible
Fluid distribution kinetics during cardiopulmonary bypass
OBJECTIVE: The purpose of this study was to examine the isovolumetric distribution kinetics of crystalloid fluid during cardiopulmonary bypass. METHODS: Ten patients undergoing coronary artery bypass grafting participated in this prospective observational study. The blood hemoglobin and the serum albumin and sodium concentrations were measured repeatedly during the distribution of priming solution (Ringer's acetate 1470 ml and mannitol 15% 200 ml) and initial cardioplegia. The rate of crystalloid fluid distribution was calculated based on 3-min Hb changes. The preoperative blood volume was extrapolated from the marked hemodilution occurring during the onset of cardiopulmonary bypass. Clinicaltrials.gov: NCT01115166. RESULTS: The distribution half-time of Ringer's acetate averaged 8 minutes, corresponding to a transcapillary escape rate of 0.38 ml/kg/min. The intravascular albumin mass increased by 5.4% according to mass balance calculations. The preoperative blood volume, as extrapolated from the drop in hemoglobin concentration by 32% (mean) at the beginning of cardiopulmonary bypass, was 0.6-1.2 L less than that estimated by anthropometric methods (
Cavity optoelectromechanical regenerative amplification
Cavity optoelectromechanical regenerative amplification is demonstrated. An
optical cavity enhances mechanical transduction, allowing sensitive measurement
even for heavy oscillators. A 27.3 MHz mechanical mode of a microtoroid was
linewidth narrowed to 6.6\pm1.4 mHz, 30 times smaller than previously achieved
with radiation pressure driving in such a system. These results may have
applications in areas such as ultrasensitive optomechanical mass spectroscopy
Cisplatin-Based Chemotherapy for Pulmonary Metastasized Germ Cell Tumors of the Testis - Be Aware of Acute Respiratory Distress Syndrome
Background: Cisplatin-based combination chemotherapy is regarded as standard of care for patients with advanced germ cell tumors. In patients with lung metastases and a high tumor load, an association between induction chemotherapy and the development of a `tumor-associated' acute respiratory distress syndrome (ARDS) has been hypothesized. Case Report: We report the clinical course of a 19-year-old patient who rapidly developed fatal ARDS during the first cycle of chemotherapy using the PEI regimen (cisplatin, etoposide and ifosfamide) for a metastasized (lung, liver, lymph nodes) germ cell tumor of the testis. Conclusion: Further clinical research in order to better define risk factors for developing ARDS in this patient population as well as novel strategies for the prevention and treatment of ARDS in those patients are necessary
The role of infrared divergence for decoherence
Continuous and discrete superselection rules induced by the interaction with
the environment are investigated for a class of exactly soluble Hamiltonian
models. The environment is given by a Boson field. Stable superselection
sectors emerge if and only if the low frequences dominate and the ground state
of the Boson field disappears due to infrared divergence. The models allow
uniform estimates of all transition matrix elements between different
superselection sectors.Comment: 11 pages, extended and simplified proo
Ecosystems with mutually exclusive interactions self-organize to a state of high diversity
Ecological systems comprise an astonishing diversity of species that
cooperate or compete with each other forming complex mutual dependencies. The
minimum requirements to maintain a large species diversity on long time scales
are in general unknown. Using lichen communities as an example, we propose a
model for the evolution of mutually excluding organisms that compete for space.
We suggest that chain-like or cyclic invasions involving three or more species
open for creation of spatially separated sub-populations that subsequently can
lead to increased diversity. In contrast to its non-spatial counterpart, our
model predicts robust co-existence of a large number of species, in accordance
with observations on lichen growth. It is demonstrated that large species
diversity can be obtained on evolutionary timescales, provided that
interactions between species have spatial constraints. In particular, a phase
transition to a sustainable state of high diversity is identified.Comment: 4 pages, 4 figure
Can perioperative hemodilution be monitored with non-invasive measurement of blood hemoglobin?
BACKGROUND
Trends in non-invasive measurements of blood hemoglobin (Hb) may be useful for identifying the need for transfusion in the perioperative period.
METHODS
Crystalloid fluid (5-20 mL/kg) was administered intravenously or by mouth to 30 volunteers and 33 surgical patients in five non-randomized clinical studies where Hb was measured on 915 occasions by non-invasive (Radical-7™) and invasive methodology. The hemodilution curves were compared by volume kinetic analysis and linear regression, with the slope and scattering of the data as key outcome measures.
RESULTS
The slope was 1.0, indicating unity between the two modes of measuring Hb when crystalloid fluid was infused in volunteers; however, only 40-45% of the variability in the non-invasive Hb could be explained by the invasive Hb. Patients undergoing major surgery, who showed the most pronounced hemodilution (median 24 g/L); non-invasive Hb explained 72% of the variability but indicated only half the magnitude of the invasive Hb changes (slope 0.48, P < 0.001 versus the volunteers). Simulations based on volume kinetic parameters from the volunteers showed 25% less plasma volume expansion after infusion when based on non-invasive as compared to invasive Hb, while no difference was found during infusion.
CONCLUSIONS
In volunteers the non-invasive Hb had good accuracy (low bias) but poor precision. In surgical patients the non-invasive Hb had good precision but systematically underestimated the hemodilution. Despite severe limitations, the non-invasive technology can be used to follow Hb trends during surgery if supported by occasional invasive measurements to assure acceptable quality of the hemodilution curve.
TRIAL REGISTRATIONS
ControlledTrials.gov NCT01195025, NCT01062776, NCT01458678, NCT03848507, and NCT01360333 on September 3, 2010, February 4, 2010, October 25, 2011, February 20, 2019, and May 25, 2011, respectively
Mechanical transmission of rotational motion between molecular-scale gears
Manipulating and coupling molecule gears is the first step towards realizing
molecular-scale mechanical machines. Here, we theoretically investigate the
behavior of such gears using molecular dynamics simulations. Within a nearly
rigid-body approximation we reduce the dynamics of the gears to the rotational
motion around the orientation vector. This allows us to study their behavior
based on a few collective variables. Specifically, for a single hexa
(4-tert-butylphenyl) benzene molecule we show that the rotational-angle
dynamics corresponds to the one of a Brownian rotor. For two such coupled
gears, we extract the effective interaction potential and find that it is
strongly dependent on the center of mass distance. Finally, we study the
collective motion of a train of gears. We demonstrate the existence of three
different regimes depending on the magnitude of the driving-torque of the first
gear: underdriving, driving and overdriving, which correspond, respectively, to
no collective rotation, collective rotation and only single gear rotation. This
behavior can be understood in terms of a simplified interaction potential
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