Absence of Dipole Transitions in Vortices of Type II Superconductors

The response of a single vortex to a time dependent field is examined microscopically and an equation of motion for vortex motion at non-zero frequencies is derived. Of interest are frequencies near $\Delta^{2}/E_{F}$, where $\Delta$ is the bulk energy gap and $E_{F}$ is the fermi energy. The low temperature, clean, extreme type II limit and maintaining of equilibrium with the lattice are assumed. A simplification occurs for large planar mass anisotropy. Thus the results may be pertinent to materials such as $NbSe_2$ and high temperature superconductors. The expected dipole transition between core states is hidden because of the self consistent nature of the vortex potential. Instead the vortex itself moves and has a resonance at the frequency of the transition.Comment: 12 pages, no figure

Thomae type formulae for singular Z_N curves

We give an elementary and rigorous proof of the Thomae type formula for singular $Z_N$ curves. To derive the Thomae formula we use the traditional variational method which goes back to Riemann, Thomae and Fuchs.Comment: 22 page

Multi-scale analysis of compressible viscous and rotating fluids

We study a singular limit for the compressible Navier-Stokes system when the Mach and Rossby numbers are proportional to certain powers of a small parameter \ep. If the Rossby number dominates the Mach number, the limit problem is represented by the 2-D incompressible Navier-Stokes system describing the horizontal motion of vertical averages of the velocity field. If they are of the same order then the limit problem turns out to be a linear, 2-D equation with a unique radially symmetric solution. The effect of the centrifugal force is taken into account

G(2) quivers

We present, in explicit matrix representation and a modernity befitting the community, the classification of the finite discrete subgroups of G2 and compute the McKay quivers arising therefrom. Of physical interest are the classes of Script N = 1 gauge theories descending from M-theory and of mathematical interest are possible steps toward a systematic study of crepant resolutions to smooth G2 manifolds as well as generalised McKay Correspondences. This writing is a companion monograph to hep-th/9811183 and hep-th/9905212, wherein the analogues for Calabi-Yau three- and four-folds were considered

Non-adherence to antimicrobial guidelines in patients with bloodstream infection visiting the emergency department

_Objective:_ Non-adherence to antimicrobial guidelines in patients with bloodstream infection can result in undertreatment, overtreatment, or equivalent treatment, and could lead to suboptimal care. Our aim was to examine the association between non-adherence and appropriate coverage as well as to assess the impact of non-adherence on 30-day mortality. _Methods:_ We conducted a retrospective cohort study between 2012 and 2017 at a tertiary university hospital. Adult patients attending the emergency department with a bloodstream infection were included. Adherence was defined as guideline-recommended antibiotic therapy. Non-adherence was either undertreatment (too narrow-spectrum), overtreatment (too broad-spectrum), or equivalent treatment. Outcomes were appropriate coverage (i.e. antibiotic therapy that matches in vitro susceptibility of the isolated bacteria) and 30-day mortality. _Results:_ We included 909 patients of whom 395 (43.5%) were treated adherently, 355 (39.1%) were undertreated, 87 (9.6%) were overtreated, and 72 (7.9%) received an equivalent treatment. Overtreated patients were more severely ill, whilst undertreated patients had more favorable patient characteristics. Overtreatment did not result in higher appropriate coverage, whereas undertreatment was associated with lower coverage (OR[95%CI]: 0.18 [0.12; 0.26]). Overtreatment and undertreatment were not associated with 30-day mortality. _Conclusions:_ Guideline adherence likely depends on disease severity, because overtreatment was more often observed in patients with high disease severity and undertreatment in less severely ill patients. Undertreatment was associated lower appropriate coverage but not with higher mortality. However, this can be the result of residual confounding. Overtreatment did not result in higher appropriate antibiotic coverage nor a survival benefit. Therefore, overtreatment seems not justifiable

Programmed electrical stimulation-guided encircling cryoablation concomitant to surgical ventricular reconstruction for primary prevention of ventricular arrhythmias

Diabetes mellitus: pathophysiological changes and therap

Quadriceps volumes are reduced in people with patellofemoral joint osteoarthritis

Objectives: This study aimed to (1) compare the volumes of vastus medialis (VM), vastus lateralis (VL), vastus intermedius and rectus femoris and the ratio of VM/VL volumes between asymptomatic controls and patellofemoral joint osteoarthritis (PFJ OA) participants; and (2) assess the relationships between cross-sectional area (CSA) and volumes of the VM and VL in individuals with and without PFJ OA. Methods: Twenty-two participants with PFJ OA and 11 controls aged ≥40 years were recruited from the community and practitioner referrals. Muscle volumes of individual quadriceps components were measured from thigh magnetic resonance (MR) images. The CSA of the VM and lateralis were measured at 10 equally distributed levels (femoral condyles to lesser femoral trochanter). Results: PFJ OA individuals had smaller normalized VM (mean difference 0.90 cm ·kg , α = 0.011), VL (1.50 cm ·kg , α = 0.012) and rectus femoris (0.71 cm ·kg , α = 0.009) volumes than controls. No differences in the VM/VL ratio were observed. The CSA at the third level (controls) and fourth level (PFJ OA) above the femoral condyles best predicted VM volume, whereas the VL volume was best predicted by the CSA at the seventh level (controls) and sixth level (PFJ OA) above the femoral condyles. Conclusion: Reduced quadriceps muscle volume was a feature of PFJ OA. Muscle volume could be predicted from CSA measurements at specific levels in PFJ OA patients and controls

Predicting 30-day mortality using point-of-care testing; an external validation and derivation study

Background Early risk stratification for guiding treatment priority in the emergency department (ED) is becoming increasingly important. Existing prediction models typically use demographics, vital signs and laboratory parameters. Laboratory-based models require blood testing, which may cause substantial delay. However, these delays can be prevented by the use of point-of-care testing (POCT), where results are readily available. We aimed to externally validate a laboratory-based model for mortality and subsequently assessed whether a POCT model yields comparable performance. Methods All adult patients visiting the ED of a university hospital between January 1st, 2012 and December 31st, 2016 were retrospectively reviewed for inclusion. Primary outcome was defined as 30-day mortality after ED presentation. We externally validated one existing prediction model including age, glucose, urea, sodium, haemoglobin, platelet count and white blood cell count. We assessed the predictive performance by discrimination, expressed as Area under the Curve (AUC). We compared the existing model to an equivalent model using predictors that are available with POCT (i.e. glucose, urea, sodium and haemoglobin). Additionally, we internally validated these models with bootstrapping. Results We included 34,437 patients of whom 1,942 (5.6%) died within 30 days. The AUC of the laboratory-based model was 0.794. We refitted this model to our ED population and found an AUC of 0.812, which decreased only slightly to 0.790 with only POCT parameters. Conclusions Our POCT-model performs similar to existing laboratory-based models in identifying patients at high risk for mortality, with results available within minutes. Although the model needs further validation and evaluation, it shows the potential of POCT for early risk stratification in the ED

Predicting mortality in patients with suspected sepsis at the Emergency Department; A retrospective cohort study comparing qSOFA, SIRS and National Early Warning Score

Objective In hospitalized patients, the risk of sepsis-related mortality can be assessed using the quick Sepsis-related Organ Failure Assessment (qSOFA). Currently, different tools that predict deterioration such as the National Early Warning Score (NEWS) have been introduced in clinical practice in Emergency Departments (ED) worldwide. It remains ambiguous which screening tool for mortality at the ED is best. The objective of this study was to evaluate the predictive performance for mortality of two sepsis-based scores (i.e. qSOFA and Systemic Inflammatory Response Syndrome (SIRS)-criteria) compared to the more general NEWS score, in patients with suspected infection directly at presentation to the ED. Methods We performed a retrospective cohort study. Patients who presented to the ED between June 2012 and May 2016 with suspected sepsis in a large tertiary care center were included. Suspected sepsis was defined as initiation of intravenous antibiotics and/or collection of any culture in the ED. Outcome was defined as 10-day and 30-day mortality after ED presentation. Predictive performance was expressed as discrimination (AUC) and calibration using Hosmer-Lemeshow goodness-of-fit test. Subsequently, sensitivity, and specificity were calculated. Results In total 8,204 patients were included of whom 286 (3.5%) died within ten days and 490 (6.0%) within 30 days after presentation. NEWS had the best performance, followed by qSOFA and SIRS (10-day AUC: 0.837, 0.744, 0.646, 30-day AUC: 0.779, 0.697, 0.631). qSOFA (�2) lacked a high sensitivity versus SIRS (�2) and NEWS (�7) (28.5%, 77.2%, 68.0%), whilst entailing highest specificity versus NEWS and SIRS (93.7%, 66.5%, 37.6%). Conclusions NEWS is more accurate in predicting 10- and 30-day mortality than qSOFA and SIRS in patients presenting to the ED with suspected sepsis

On the relative positions of the 2Δ2\Delta peaks in Raman and tunneling spectra of d-wave superconductors

We study $B_{1g}$ Raman intensity $R(\Omega)$ and the density of states $N(\omega)$ in isotropic 2D d-wave superconductors. For an ideal gas, $R(\Omega)$ and $N(\omega)$ have sharp peaks at $\Omega =2\Delta$ and $\omega =\Delta$, respectively, where $\Delta$ is the maximum value of the gap. We study how the peak positions are affected by the fermionic damping due to impurity scattering. We show that while the damping generally shifts the peak positions to larger frequencies, the peak in $R(\Omega)$ still occurs at almost twice the peak position in $N(\omega)$ and therefore cannot account for the experimentally observed downturn shift of the peak frequency in $R(\Omega)$ in underdoped cuprates compared to twice that in $N(\omega)$. We also discuss how the fermionic damping affects the dynamical spin susceptibility.Comment: 5 pages, 2 figure