Urinary iodine concentration during pregnancy in an area of unstable dietary iodine intake in Switzerland

We prospectively investigated urinary iodine concentration (UIC) in pregnant women and in female, non-pregnant controls in the canton of Berne, Switzerland, in 1992. Mean UIC of pregnant women [205±151 μg iodine/g creatinine (μg I/g Cr); no.=153] steadily decreased from the first (236±180 μg I/g Cr; no.=31) to the third trimester (183±111 μg I/g Cr, p<0.0001; no.=66) and differed significantly from that of the control group (91±37 μg I/g Cr, p<0.0001; no.=119). UIC increased 2.6-fold from levels indicating mild iodine deficiency in controls to the first trimester, demonstrating that high UIC during early gestation does not necessarily reflect a sufficient iodine supply to the overall population. Pregnancy is accompanied by important alterations in the regulation of thyroid function and iodine metabolism. Increased renal iodine clearance during pregnancy may explain increased UIC during early gestation, whereas increased thyroidal iodine clearance as well as the iodine shift from the maternal circulation to the growing fetal-placental unit, which both tend to lower the circulating serum levels of inorganic iodide, probably are the causes of the continuous decrease of UIC over the course of pregnancy. Mean UIC in our control group, as well as in one parallel and several consecutive investigations in the same region in the 1990s, was found to be below the actually recommended threshold, indicating a new tendency towards mild to moderate iodine deficiency. As salt is the main source of dietary iodine in Switzerland, its iodine concentration was therefore increased nationwide in 1998 for the fourth time, following increases in 1922, 1965 and 198

Geometric Phases and Multiple Degeneracies in Harmonic Resonators

In a recent experiment Lauber et al. have deformed cyclically a microwave resonator and have measured the adiabatic normal-mode wavefunctions for each shape along the path of deformation. The nontrivial observed cyclic phases around a 3-fold degeneracy were accounted for by Manolopoulos and Child within an approximate theory. However, open-path geometrical phases disagree with experiment. By solving exactly the problem, we find unsuspected extra degeneracies around the multiple one that account for the measured phase changes throughout the path. It turns out that proliferation of additional degeneracies around a multiple one is a common feature of quantum mechanics.Comment: 4 pages, 4 figures. Accepted in Phys. Rev. Let

Off-Diagonal Geometric Phases

We investigate the adiabatic evolution of a set of non-degenerate eigenstates of a parameterized Hamiltonian. Their relative phase change can be related to geometric measurable quantities that extend the familiar concept of Berry phase to the evolution of more than one state. We present several physical systems where these concepts can be applied, including an experiment on microwave cavities for which off-diagonal phases can be determined from published data.Comment: 5 pages 2 figures - RevTeX. Revised version including geometrical interpretatio

Topological Phases near a Triple Degeneracy

We study the pattern of three state topological phases that appear in systems with real Hamiltonians and wave functions. We give a simple geometric construction for representing these phases. We then apply our results to understand previous work on three state phases. We point out that the ``mirror symmetry'' of wave functions noticed in microwave experiments can be simply understood in our framework.Comment: 4 pages, 1 figure, to appear in Phys. Rev. Let

Effectiveness and cost-effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia - a multi-centre randomised controlled trial

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

Dynamics of quantum systems

A relation between the eigenvalues of an effective Hamilton operator and the poles of the $S$ matrix is derived which holds for isolated as well as for overlapping resonance states. The system may be a many-particle quantum system with two-body forces between the constituents or it may be a quantum billiard without any two-body forces. Avoided crossings of discrete states as well as of resonance states are traced back to the existence of branch points in the complex plane. Under certain conditions, these branch points appear as double poles of the $S$ matrix. They influence the dynamics of open as well as of closed quantum systems. The dynamics of the two-level system is studied in detail analytically as well as numerically.Comment: 21 pages 7 figure

The Therapeutic Relationship and Adherence to Antipsychotic Medication in Schizophrenia

Objective Previous research has shown that a better therapeutic relationship (TR) predicts more positive attitudes towards antipsychotic medication, but did not address whether it is also linked with actual adherence. This study investigated whether the TR is associated with adherence to antipsychotics in patients with schizophrenia. Methods 134 clinicians and 507 of their patients with schizophrenia or a related psychotic disorder participated in a European multi-centre study. A logistic regression model examined how the TR as rated by patients and by clinicians is associated with medication adherence, adjusting for clinician clustering and symptom severity. Results Patient and clinician ratings of the TR were weakly inter-correlated (rs = 0.13, p = 0.004), but each was independently linked with better adherence. After adjusting for patient rated TR and symptom severity, each unit increase in clinician rated TR was associated with an increase of the odds ratio of good compliance by 65.9% (95% CI: 34.6% to 104.5%). After adjusting for clinician rated TR and symptom severity, for each unit increase in patient rated TR the odds ratio of good compliance was increased by 20.8% (95% CI: 4.4% to 39.8%). Conclusions A better TR is associated with better adherence to medication among patients with schizophrenia. Patients' and clinicians' perspectives of the TR are both important, but may reflect distinct aspects

Observation of off-diagonal geometric phase in polarized neutron interferometer experiments

Off-diagonal geometric phases acquired in the evolution of a spin-1/2 system have been investigated by means of a polarized neutron interferometer. Final counts with and without polarization analysis enable us to observe simultaneously the off-diagonal and diagonal geometric phases in two detectors. We have quantitatively measured the off-diagonal geometric phase for noncyclic evolutions, confirming the theoretical predictions. We discuss the significance of our experiment in terms of geometric phases (both diagonal and off-diagonal) and in terms of the quantum erasing phenomenon.Comment: pdf, 22 pages + 8 figures (included in the pdf). In print on Phys. Rev.

Effective Hamiltonian and unitarity of the S matrix

The properties of open quantum systems are described well by an effective Hamiltonian ${\cal H}$ that consists of two parts: the Hamiltonian $H$ of the closed system with discrete eigenstates and the coupling matrix $W$ between discrete states and continuum. The eigenvalues of ${\cal H}$ determine the poles of the $S$ matrix. The coupling matrix elements $\tilde W_k^{cc'}$ between the eigenstates $k$ of ${\cal H}$ and the continuum may be very different from the coupling matrix elements $W_k^{cc'}$ between the eigenstates of $H$ and the continuum. Due to the unitarity of the $S$ matrix, the \TW_k^{cc'} depend on energy in a non-trivial manner, that conflicts with the assumptions of some approaches to reactions in the overlapping regime. Explicit expressions for the wave functions of the resonance states and for their phases in the neighbourhood of, respectively, avoided level crossings in the complex plane and double poles of the $S$ matrix are given.Comment: 17 pages, 7 figure