2,873 research outputs found

    Determination of SU(2) ChPT LECs from 2+1 flavor staggered lattice simulations

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    By fitting pion masses and decay constants from 2+1 flavor staggered lattice simulations to the predictions of NLO and NNLO SU(2) chiral perturbation theory we determine the low-energy constants l_3 and l_4. The lattice ensembles were generated by the Wuppertal-Budapest collaboration and cover pion masses in the range of 135 to 435 MeV and lattice scales between 0.7 and 2.0 GeV. By choosing a suitable scaling trajectory, we were able to demonstrate that precise and stable results for the LECs can be obtained from continuum ChPT to NLO. The pion masses available in this work also allow us to study the applicability of using ChPT to extrapolate from higher masses to the physical pion mass.Comment: 8 pages, 8 figures, 1 table, talk presented at Xth Quark Confinement and the Hadron Spectrum, Munich, October 201

    SU(2) chiral perturbation theory low-energy constants from 2+1 flavor staggered lattice simulations

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    We extract the next-to-leading-order low-energy constants \bar\ell_3 and \bar\ell_4 of SU(2) chiral perturbation theory, based on precise lattice data for the pion mass and decay constant on ensembles generated by the Wuppertal-Budapest Collaboration for QCD thermodynamics. These ensembles feature 2+1 flavors of two-fold stout-smeared dynamical staggered fermions combined with Symanzik glue, with pion masses varying from 135 to 435 MeV, lattice scales between 0.7 and 2.0 GeV, while m_s is kept fixed at its physical value. Moderate taste splittings and the scale being set through the pion decay constant allow us to restrict ourselves to the taste pseudoscalar state and to use formulas from continuum chiral perturbation theory. Finally, by dropping the data points near 135 MeV from the fits, we can explore the range of pion masses that is needed in SU(2) chiral perturbation theory to reliably extrapolate to the physical point.Comment: 40 pages, 22 figures, 3 tables; v2: expanded discussion, matches published versio

    Evaluation of pharmaceutical concerns in Germany: frequency and potential reasons.

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    BACKGROUND: Generic substitution can have unintended consequences. In Germany, brand name to generic or generic to generic switching is mainly driven by rebate contracts. Frequent switching may raise concerns about bio- and therapeutic equivalence. Expected patient confusion may result in compromised medication adherence or new onset of other drug-related problems. Since 2008, pharmacists are allowed to deviate from rebate contracts by denying substitution due to pharmaceutical concerns on an individual basis. OBJECTIVES: To explore the frequency of documented pharmaceutical concerns in Germany between July 2011 and December 2013 and to identify the medicines most frequently related to pharmaceutical concerns in 2013. METHODS: We analyzed documented pharmaceutical concerns in all prescribed drugs at the expense of any statutory health insurance company requiring pharmacies' generic substitution according to rebate contracts. RESULTS: Since July 2011, the frequency of documented pharmaceutical concerns in relation to prescribed drug products with rebate contracts requiring substitution increased consistently and doubled between July 2011 and July 2013. Overall in 2013, the trend of the two previous years continued and reached approximately 1.5%. The most affected drugs/drug classes were thyroid hormones (in particular combinations with iodide; 15.9%) followed by ondansetron (12.5%), and levothyroxine (11.3%). For all drugs/drug classes under investigation, product-, patient- or disease-related aspects could be identified which are potential reasons to deny substitution and to document pharmaceutical concerns. CONCLUSIONS: Although there is no electronic recording of the specific reasons for pharmaceutical concerns in claims data, our analyses support the assumption that pharmacists make use of this instrument based on individual clinical decisions and as required by contract. Pharmaceutical concerns are, therefore, an important instrument for pharmacies to refuse generic substitution. They are considered to prevent compromised medication safety and to assure pharmacotherapy effectiveness in a generic substitution environment driven by low drug prizes above all

    Dirac type operators for spin manifolds associated to congruence subgroups of generalized modular groups

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    Fundamental solutions of Dirac type operators are introduced for a class of conformally. at spin manifolds. This class consists of manifolds obtained by factoring out the upper half-space of R-n by congruence subgroups of generalized modular groups. Basic properties of these fundamental solutions are presented together with associated Eisenstein and Poincare type series

    Leptonic decay-constant ratio fK/fπf_K/f_\pi from lattice QCD using 2+1 clover-improved fermion flavors with 2-HEX smearing

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    We present a calculation of the leptonic decay-constant ratio fK/fπf_K/f_\pi in 2+1 flavor QCD. Our data set includes five lattice spacings and pion masses reaching down below the physical one. Special emphasis is placed on a careful study of all systematic uncertainties, especially the continuum extrapolation. Our result is perfectly compatible with the first-row unitarity constraint of the Standard Model.Comment: 19 pages, 6 figures, 3 tables; v2: added supplementary analysis, version published in Phys. Rev.

    Initial nucleon structure results with chiral quarks at the physical point

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    We report initial nucleon structure results computed on lattices with 2+1 dynamical M\"obius domain wall fermions at the physical point generated by the RBC and UKQCD collaborations. At this stage, we evaluate only connected quark contributions. In particular, we discuss the nucleon vector and axial-vector form factors, nucleon axial charge and the isovector quark momentum fraction. From currently available statistics, we estimate the stochastic accuracy of the determination of gAg_A and u−d_{u-d} to be around 10%, and we expect to reduce that to 5% within the next year. To reduce the computational cost of our calculations, we extensively use acceleration techniques such as low-eigenmode deflation and all-mode-averaging (AMA). We present a method for choosing optimal AMA parameters.Comment: 7 pages, 11 figures; talk presented at the 32nd International Symposium on Lattice Field Theory, 23-28 June, 2014, Columbia University, New York, US

    Postgraduate Symposium Positive influence of nutritional alkalinity on bone health: Conference on ‘Over- and undernutrition: challenges and approaches'

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    There is growing evidence that consumption of a Western diet is a risk factor for osteoporosis through excess acid supply, while fruits and vegetables balance the excess acidity, mostly by providing K-rich bicarbonate-rich foods. Western diets consumed by adults generate approximately 50-100 mEq acid/d; therefore, healthy adults consuming such a diet are at risk of chronic low-grade metabolic acidosis, which worsens with age as a result of declining kidney function. Bone buffers the excess acid by delivering cations and it is considered that with time an overstimulation of this process will lead to the dissolution of the bone mineral content and hence to reduced bone mass. Intakes of K, Mg and fruit and vegetables have been associated with a higher alkaline status and a subsequent beneficial effect on bone health. In healthy male volunteers an acid-forming diet increases urinary Ca excretion by 74% and urinary C-terminal telopeptide of type I collagen (C-telopeptide) excretion by 19% when compared with an alkali (base-forming) diet. Cross-sectional studies have shown that there is a correlation between the nutritional acid load and bone health measured by bone ultrasound or dual-energy X-ray absorptiometry. Few studies have been undertaken in very elderly women (>75 years), whose osteoporosis risk is very pertinent. The EVAluation of Nutrients Intakes and Bone Ultra Sound Study has developed and validated (n 51) an FFQ for use in a very elderly Swiss population (mean age 80·4 (sd 2·99) years), which has shown intakes of key nutrients (energy, fat, carbohydrate, Ca, Mg, vitamin C, D and E) to be low in 401 subjects. A subsequent study to assess net endogenous acid production (NEAP) and bone ultrasound results in 256 women aged ≥75 years has shown that lower NEAP (P=0·023) and higher K intake (P=0·033) are correlated with higher bone ultrasound results. High acid load may be an important additional risk factor that may be particularly relevant in very elderly patients with an already-high fracture risk. The latter study adds to knowledge by confirming a positive link between dietary alkalinity and bone health indices in the very elderly. In a further study to complement these findings it has also been shown in a group of thirty young women that in Ca sufficiency an acid Ca-rich water has no effect on bone resorption, while an alkaline bicarbonate-rich water leads to a decrease in both serum parathyroid hormone and serum C-telopeptide. Further investigations need to be undertaken to study whether these positive effects on bone loss are maintained over long-term treatment. Mineral-water consumption could be an easy and inexpensive way of helping to prevent osteoporosis and could be of major interest for long-term prevention of bone los
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