The use of B-type natriuretic peptide in the management of patients with diabetes and acute dyspnoea

Aims/hypothesis: The aim of this study was to determine the impact of measurement of B-type natriuretic peptide (BNP) levels on the management of patients with diabetes presenting with acute dyspnoea. Methods: This study evaluated the subgroup of 103 patients with diabetes included in the B-type Natriuretic Peptide for Acute Shortness of Breath Evaluation (BASEL) study (n=452). Patients were randomly assigned to a diagnostic strategy with (n=47, BNP group) or without (n=56, control group) the use of BNP levels assessed by a rapid bedside assay. Time to discharge and total cost of treatment were recorded as the primary endpoints. Results: Although similar with regard to age and sex, patients with diabetes more often had pre-existing cardiovascular and renal disease and heart failure as the cause of acute dyspnoea compared with patients without diabetes. In addition, medical and economic outcomes were worse in patients with diabetes. The use of BNP levels significantly reduced time to discharge (median 9days [interquartile range (IQR) 2-16] in the BNP group vs 13days [IQR 8-22] in the control group; p=0.016). At 30days, the diabetic patients in the BNP group had spent significantly fewer days in hospital compared with the diabetic patients in the control group (9days [IQR 2-19] vs 16days [IQR 8-24], respectively; p=0.008). Total treatment costs at 30days were US$5,705 (IQR 2,285-9,137) in the BNP group and US$7,420 (IQR 4,194-11,966) in the control group (p=0.036). Conclusions/interpretation: The results of this study indicate that measurement of BNP levels improves the management of patients with diabetes presenting with acute dyspnoe

Orbital order out of spin disorder: How to measure the orbital gap

The interplay between spin and orbital degrees of freedom in the Mott-Hubbard insulator is studied by considering an orbitally degenerate superexchange model. We argue that orbital order and the orbital excitation gap in this model are generated through the order-from-disorder mechanism known previously from frustrated spin models. We propose that the orbital gap should show up indirectly in the dynamical spin structure factor; it can therefore be measured using the conventional inelastic neutron scattering method

Coin Tossing is Strictly Weaker Than Bit Commitment

We define cryptographic assumptions applicable to two mistrustful parties who each control two or more separate secure sites between which special relativity guarantees a time lapse in communication. We show that, under these assumptions, unconditionally secure coin tossing can be carried out by exchanges of classical information. We show also, following Mayers, Lo and Chau, that unconditionally secure bit commitment cannot be carried out by finitely many exchanges of classical or quantum information. Finally we show that, under standard cryptographic assumptions, coin tossing is strictly weaker than bit commitment. That is, no secure classical or quantum bit commitment protocol can be built from a finite number of invocations of a secure coin tossing black box together with finitely many additional information exchanges.Comment: Final version; to appear in Phys. Rev. Let

The pd→3HΛK+pd\to ^3H_\Lambda K^+ reaction cross section

The one- and two-step mechanisms of the $pd\to ^3H_\Lambda K^+$ reaction in the range of incident proton kinetic energy 1.13-3.0 GeV have been investigated. A remarkable peculiarity of the two-step mechanism which incorporates subprocesses $pp\to d\pi ^+$ and $\pi^+n\to K^+\Lambda$ is the so called velocity matching providing the presence of all intermediate particles nearly to the on-mass-shell. The differential cross section has been calculated using a realistic model for the hypertritium $^3H_\Lambda$ wave function. The maximum value of the cross section is estimated as $\sim$1nb/sr. The contribution of the one-step mechanism with the elementary process $pN\to NK\Lambda$ into the cross section has been found to be two - three orders of magnitude smaller in comparison with the two-step mechanism.Comment: 10 pages, Latex, 3 Postscript figure

A quantum protocol for cheat-sensitive weak coin flipping

We present a quantum protocol for the task of weak coin flipping. We find that, for one choice of parameters in the protocol, the maximum probability of a dishonest party winning the coin flip if the other party is honest is 1/sqrt(2). We also show that if parties restrict themselves to strategies wherein they cannot be caught cheating, their maximum probability of winning can be even smaller. As such, the protocol offers additional security in the form of cheat sensitivity.Comment: 4 pages RevTex. Differs from the journal version only in that the sentences: "The ordering of the authors on this paper was chosen by a coin flip implemented by a trusted third party. TR lost." have not been remove

Theory of anomalous magnon softening in ferromagnetic manganites

In metallic manganites with low Curie temperatures, a peculiar softening of the magnon spectrum close to the magnetic zone boundary has experimentally been observed. Here we present a theory of the renormalization of the magnetic excitation spectrum in colossal magnetoresistance compounds. The theory is based on the modulation of magnetic exchange bonds by the orbital degree of freedom of double-degenerate e_g electrons. The model considered is an orbitally degenerate double-exchange system coupled to Jahn-Teller active phonons which we treat in the limit of strong onsite repulsions. Charge and coupled orbital-lattice fluctuations are identified as the main origin of the unusual softening of the magnetic spectrum

Boron Abundances in Main Sequence B-type Stars: A Test of Rotational Depletion during Main Sequence Evolution

Boron abundances have been derived for seven main sequence B-type stars from HST STIS spectra around the B III 2066 A line. In two stars, boron appears to be undepleted with respect to the presumed initial abundance. In one star, boron is detectable but it is clearly depleted. In the other four stars, boron is undetectable implying depletions of 1 to 2 dex. Three of these four stars are nitrogen enriched, but the fourth shows no enrichment of nitrogen. Only rotationally induced mixing predicts that boron depletions are unaccompanied by nitrogen enrichments. The inferred rate of boron depletion from our observations is in good agreement with these predictions. Other boron-depleted nitrogen-normal stars are identified from the literature. Also, several boron-depleted nitrogen-rich stars are identified, and while all fall on the boron-nitrogen trend predicted by rotationally-induced mixing, a majority have nitrogen enrichments that are not uniquely explained by rotation. The spectra have also been used to determine iron-group (Cr, Mn, Fe, and Ni) abundances. The seven B-type stars have near solar iron-group abundances, as expected for young stars in the solar neighborhood. We have also analysed the halo B-type star, PG0832+676. We find [Fe/H] = -0.88 +/- 0.10, and the absence of the B III line gives the upper limit [B/H]<2.5. These and other published abundances are used to infer the star's evolutionary status as a post-AGB star.Comment: 31 pages, 14 figures. accepted to Ap

Test of Lorentz Symmetry by using a 3He/129Xe Co-Magnetometer

To test Lorentz symmetry we used a 3He/129Xe co-magnetometer. We will give a short summary of our experimental setup and the results of our latest measurements. We obtained preliminary results for the equatorial component of the background field interacting with the spin of the bound neutron: b_n < 3.72 x 10^(-32) GeV (95 C.L.).Comment: Presented at the Fifth Meeting on CPT and Lorentz Symmetry, Bloomington, Indiana, June 28 - July 2, 201