11,164 research outputs found

    A Simple Mechanism for Unconventional Superconductivity in a Repulsive Fermion Model

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    Motivated by a scarcity of simple and analytically tractable models of superconductivity from strong repulsive interactions, we introduce a simple tight-binding lattice model of fermions with repulsive interactions that exhibits unconventional superconductivity (beyond BCS theory). The model resembles an idealized conductor-dielectric-conductor trilayer. The Cooper pair consists of electrons on opposite sides of the dielectric, which mediates the attraction. In the strong coupling limit, we use degenerate perturbation theory to show that the model reduces to a superconducting hard-core Bose-Hubbard model. Above the superconducting critical temperature, an analog of pseudo-gap physics results where the fermions remain Cooper paired with a large single-particle energy gap.Comment: 12+12 pages; 3 figures; v5 is a major revision with new additions: a conductor-dielectric-conductor trilayer interpretation, an elaborated introduction, figures 1 and 2, and sections 4.3.1 and 5.

    Comparison of transjugular intrahepatic portosystemic shunt with covered stent and balloon-occluded retrograde transvenous obliteration in managing isolated gastric varices

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    OBJECTIVE: Although a transjugular intrahepatic portosystemic shunt (TIPS) is commonly placed to manage isolated gastric varices, balloon-occluded retrograde transvenous obliteration (BRTO) has also been used. We compare the long-term outcomes from these procedures based on our institutional experience. MATERIALS AND METHODS: We conducted a retrospective review of patients with isolated gastric varices who underwent either TIPS with a covered stent or BRTO between January 2000 and July 2013. We identified 52 consecutive patients, 27 who had received TIPS with a covered stent and 25 who had received BRTO. We compared procedural complications, re-bleeding rates, and clinical outcomes between the two groups. RESULTS: There were no significant differences in procedural complications between patients who underwent TIPS (7%) and those who underwent BRTO (12%) (p = 0.57). There were also no statistically significant differences in re-bleeding rates from gastric varices between the two groups (TIPS, 7% [2/27]; BRTO, 8% [2/25]; p = 0.94) or in developing new ascites following either procedure (TIPS, 4%; BRTO, 4%; p = 0.96); significantly more patients who underwent TIPS developed hepatic encephalopathy (22%) than did those who underwent BRTO (0%, p = 0.01). There was no statistically significant difference in mean survival between the two groups (TIPS, 30 months; BRTO, 24 months; p = 0.16); median survival for the patients who received TIPS was 16.6 months, and for those who underwent BRTO, it was 26.6 months. CONCLUSION: BRTO is an effective method of treating isolated gastric varices with similar outcomes and complication rates to those of TIPS with a covered stent but with a lower rate of hepatic encephalopathy
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