Stability of a Nonequilibrium Interface in a Driven Phase Segregating System

We investigate the dynamics of a nonequilibrium interface between coexisting phases in a system described by a Cahn-Hilliard equation with an additional driving term. By means of a matched asymptotic expansion we derive equations for the interface motion. A linear stability analysis of these equations results in a condition for the stability of a flat interface. We find that the stability properties of a flat interface depend on the structure of the driving term in the original equation.Comment: 14 pages Latex, 1 postscript-figur

Economic evaluations of interventions to optimize medication use in older adults with polypharmacy and multimorbidity: A systematic review

Purpose: To conduct a systematic review of the economic impact of interventions intended at optimizing medication use in older adults with multimorbidity and polypharmacy. Methods: We searched Ovid-Medline, Embase, CINAHL, Ageline, Cochrane, and Web of Science, for articles published between 2004 and 2020 that studied older adults with multi-morbidity and polypharmacy. The intervention studied had to be aimed at optimizing medication use and present results on costs. Results: Out of 3,871 studies identified by the search strategy, eleven studies were included. The interventions involved different provider types, with a majority described as a multidisciplinary team involving a pharmacist and a general practitioner, in the decision-making process. Interventions were generally associated with a reduction in medication expenditure. The benefits of the intervention in terms of clinical outcomes remain limited. Five studies were cost-benefit analyses, which had a net benefit that was either null or positive. Cost-utility and cost-effectiveness analyses resulted in incremental cost-effectiveness ratios that were generally within the willingness-to-pay thresholds of the countries in which the studies were conducted. However, the quality of the studies was generally low. Omission of key cost elements of economic evaluations, including intervention cost and payer perspective, limited interpretability. Conclusion: Interventions to optimize medication use may provide benefits that outweigh their implementation costs, but the evidence remains limited. There is a need to identify and address barriers to the scaling-up of such interventions, starting with the current incentive structures for pharmacists, physicians, and patients

Spectral Properties of the k-Body Embedded Gaussian Ensembles of Random Matrices for Bosons

We consider $m$ spinless Bosons distributed over $l$ degenerate single-particle states and interacting through a $k$-body random interaction with Gaussian probability distribution (the Bosonic embedded $k$-body ensembles). We address the cases of orthogonal and unitary symmetry in the limit of infinite matrix dimension, attained either as $l \to \infty$ or as $m \to \infty$. We derive an eigenvalue expansion for the second moment of the many-body matrix elements of these ensembles. Using properties of this expansion, the supersymmetry technique, and the binary correlation method, we show that in the limit $l \to \infty$ the ensembles have nearly the same spectral properties as the corresponding Fermionic embedded ensembles. Novel features specific for Bosons arise in the dense limit defined as $m \to \infty$ with both $k$ and $l$ fixed. Here we show that the ensemble is not ergodic, and that the spectral fluctuations are not of Wigner-Dyson type. We present numerical results for the dense limit using both ensemble unfolding and spectral unfolding. These differ strongly, demonstrating the lack of ergodicity of the ensemble. Spectral unfolding shows a strong tendency towards picket-fence type spectra. Certain eigenfunctions of individual realizations of the ensemble display Fock-space localization.Comment: Minor corrections; figure 5 slightly modified (30 pages, 6 figs

N=2 local and N=4 nonlocal reductions of supersymmetric KP hierarchy in N=2 superspace

A N=4 supersymmetric matrix KP hierarchy is proposed and a wide class of its reductions which are characterized by a finite number of fields are described. This class includes the one-dimensional reduction of the two-dimensional N=(2|2) superconformal Toda lattice hierarchy possessing the N=4 supersymmetry -- the N=4 Toda chain hierarchy -- which may be relevant in the construction of supersymmetric matrix models. The Lax pair representations of the bosonic and fermionic flows, corresponding local and nonlocal Hamiltonians, finite and infinite discrete symmetries, the first two Hamiltonian structures and the recursion operator connecting all evolution equations and the Hamiltonian structures of the N=4 Toda chain hierarchy are constructed in explicit form. Its secondary reduction to the N=2 supersymmetric alpha=-2 KdV hierarchy is discussed.Comment: 26 pages, LaTeX, a few misprints correcte

Structure of wavefunctions in (1+2)-body random matrix ensembles

Abstrtact: Random matrix ensembles defined by a mean-field one-body plus a chaos generating random two-body interaction (called embedded ensembles of (1+2)-body interactions) predict for wavefunctions, in the chaotic domain, an essentially one parameter Gaussian forms for the energy dependence of the number of principal components NPC and the localization length {\boldmath l}_H (defined by information entropy), which are two important measures of chaos in finite interacting many particle systems. Numerical embedded ensemble calculations and nuclear shell model results, for NPC and {\boldmath l}_H, are compared with the theory. These analysis clearly point out that for realistic finite interacting many particle systems, in the chaotic domain, wavefunction structure is given by (1+2)-body embedded random matrix ensembles.Comment: 20 pages, 3 figures (1a-c, 2a-b, 3a-c), prepared for the invited talk given in the international conference on `Perspectives in Theoretical Physics', held at Physical Research Laboratory, Ahmedabad during January 8-12, 200

Top-down control is not lost in the attentional blink: evidence from intact endogenous cuing.

The attentional blink (AB) refers to the finding that performance on the second of two targets (T1 and T2) is impaired when the targets are presented at a target onset asynchrony (TOA) of less than 500 ms. One account of the AB assumes that the processing load of T1 leads to a loss of top-down control over stimulus selection. The present study tested this account by examining whether an endogenous spatial cue that indicates the location of a following T2 can facilitate T2 report even when the cue and T2 occur within the time window of the AB. Results from three experiments showed that endogenous cuing had a significant effect on T2 report, both during and outside of the AB; this cuing effect was modulated by both the cue-target onset asynchrony and by cue validity, while it was invariant to the AB. These results suggest that top-down control over target selection is not lost during the AB. © 2007 Springer-Verlag

Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung

BACKGROUND: Spontaneous monochorionic triamniotic pregnancy is rare and is at increased risk for pregnancy complications. The presence of an anomalous fetus further complicates the management. CASE PRESENTATION: We present a case of monochorionic triamniotic triplet pregnancy diagnosed at 15 weeks of gestation with one fetus having developed a multicystic lung lesion, suggestive of congenital cystic adenomatoid malformation (CCAM). At 24 weeks, the largest cyst measured 10 mm in diameter. We managed the pregnancy conservatively and delivered three live male fetuses with birth weights 1560 g, 1580 g and 1590 g at 35 weeks of gestation. Two newborns were admitted to the neonatal intensive care unit with respiratory distress, the third one died due to sepsis 7 days postpartum. One of the newborns was discharged healthy at 24 days postpartum. The newborn with CCAM developed a pneumothorax on the right side, recovered after treatment, and was discharged after one month. Computerized tomography (CT) of the infant at 3 months demonstrated two cystic lesions in the middle lobe of the right lung measuring 25 mm and 15 mm. A repeat CT of the infant at 6 months showed a 30 mm solitary cystic mass. CONCLUSION: Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for CCAM, present rarely and can be managed conservatively. These findings may help in decision making and counselling of parents

Role of the Subunits Interactions in the Conformational Transitions in Adult Human Hemoglobin: an Explicit Solvent Molecular Dynamics Study

Hemoglobin exhibits allosteric structural changes upon ligand binding due to the dynamic interactions between the ligand binding sites, the amino acids residues and some other solutes present under physiological conditions. In the present study, the dynamical and quaternary structural changes occurring in two unligated (deoxy-) T structures, and two fully ligated (oxy-) R, R2 structures of adult human hemoglobin were investigated with molecular dynamics. It is shown that, in the sub-microsecond time scale, there is no marked difference in the global dynamics of the amino acids residues in both the oxy- and the deoxy- forms of the individual structures. In addition, the R, R2 are relatively stable and do not present quaternary conformational changes within the time scale of our simulations while the T structure is dynamically more flexible and exhibited the T\rightarrow R quaternary conformational transition, which is propagated by the relative rotation of the residues at the {\alpha}1{\beta}2 and {\alpha}2{\beta}1 interface.Comment: Reprinted (adapted) with permission from J. Phys. Chem. B DOI:10.1021/jp3022908. Copyright (2012) American Chemical Societ