115 research outputs found
Self-gravitating clouds of generalized Chaplygin and modified anti-Chaplygin Gases
The Chaplygin gas has been proposed as a possible dark energy, dark matter
candidate. As a working fluid in a Friedmann-Robertson-Walker universe, it
exhibits early behavior reminiscent of dark matter, but at later times is more
akin to a cosmological constant. In any such universe, however, one can expect
local perturbations to form. Here we obtain the general equations for a
self-gravitating relativistic Chaplygin gas. We solve these equations and
obtain the mass-radius relationship for such structures, showing that only in
the phantom regime is the mass-radius relationship large enough to be a serious
candidate for highly compact massive objects at the galaxy core. In addition,
we study the cosmology of a modified anti-Chaplygin gas. A self-gravitating
cloud of this matter is an exact solution to Einstein's equations.Comment: 16 page
The Geography of Diabetes in London, Canada: The Need for Local Level Policy for Prevention and Management
Recent reports aimed at improving diabetes care in socially disadvantaged populations suggest that interventions must be tailored to meet the unique needs of the local community—specifically, the community’s geography. We have examined the spatial distribution of diabetes in the context of socioeconomic determinants of health in London (Ontario, Canada) to characterize neighbourhoods in an effort to target these neighbourhoods for local level community-based program planning and intervention. Multivariate spatial-statistical techniques and geographic information systems were used to examine diabetes rates and socioeconomic variables aggregated at the census tract level. Creation of a deprivation index facilitated investigation across multiple determinants of health. Findings from our research identified ‘at risk’ neighbourhoods in London with socioeconomic disadvantage and high diabetes. Future endeavours must continue to identify local level trends in order to support policy development, resource planning and care for improved health outcomes and improved equity in access to care across geographic regions
The effectiveness and efficiency of diabetes screening in Ontario, Canada: a population-based cohort study
<p>Abstract</p> <p>Background</p> <p>Little is known about the efficiency and effectiveness of the current level of diabetes screening activity in Ontario where there is universal access to health services. Our study aims were to: (i) determine how often Ontarians are screened for diabetes; (ii) estimate screening efficiency based on the number needed to screen (NNS) to diagnosis one diabetes case; (iii) examine the population effectiveness of screening as estimated by the number of undiagnosed diabetes cases.</p> <p>Methods</p> <p>Ontario respondents of the Canadian Community Health Survey who agreed to have their responses linked to health care data (n = 37,400) provided the cohort. The five-year probabilities of glucose testing and diabetes diagnoses were estimated using a Cox Proportional Hazards Model. We defined NNS as the ratio of diabetes tests to number of diabetes diagnoses over the study period. We estimated the number of undiagnosed diabetes by dividing the number not tested at the end of study period by the NNS.</p> <p>Results</p> <p>80% of women and 66% of men had a blood glucose test within 5 years. The efficiency of screening was estimated by a NNS of 14 among men and 22 among women. 127,100 cases of undiagnosed diabetes were estimated, representing 1.4% of the Ontario adult population. Increasing age, hypertension, immigrant and non-white ethnicity, and number of general practitioner visits were associated with an increased likelihood of having a glucose test (LR χ2 p < 0.001). Low income men were less likely to be tested.</p> <p>Conclusions</p> <p>Diabetes screening was high in this population-based cohort of Ontarians. Screening efficiency varied considerably in the population. Undiagnosed diabetes continues to be prevalent and remains concentrated in the highest risk groups for diabetes, especially among men.</p
Progress in Neutron Scattering Studies of Spin Excitations in High-Tc Cuprates
Neutron scattering experiments continue to improve our knowledge of spin
fluctuations in layered cuprates, excitations that are symptomatic of the
electronic correlations underlying high-temperature superconductivity.
Time-of-flight spectrometers, together with new and varied single crystal
samples, have provided a more complete characterization of the magnetic energy
spectrum and its variation with carrier concentration. While the spin
excitations appear anomalous in comparison with simple model systems, there is
clear consistency among a variety of cuprate families. Focusing initially on
hole-doped systems, we review the nature of the magnetic spectrum, and
variations in magnetic spectral weight with doping. We consider connections
with the phenomena of charge and spin stripe order, and the potential
generality of such correlations as suggested by studies of magnetic-field and
impurity induced order. We contrast the behavior of the hole-doped systems with
the trends found in the electron-doped superconductors. Returning to hole-doped
cuprates, studies of translation-symmetry-preserving magnetic order are
discussed, along with efforts to explore new systems. We conclude with a
discussion of future challenges.Comment: revised version, to be published in JPSJ, 20 pages, 21 figure
Rapid Identification of Myocardial Infarction Risk Associated With Diabetes Medications Using Electronic Medical Records
Structural, Magnetic and Electronic Properties of the Iron-Chalcogenide AFeSe (A=K, Cs, Rb, Tl and etc.) Superconductors
The latest discovery of a new iron-chalcogenide superconductor
AFeSe(A=K, Cs, Rb, Tl and etc.) has attracted much attention
due to a number of its unique characteristics, such as the possible insulating
state of the parent compound, the existence of Fe-vacancy and its ordering, a
new form of magnetic structure and its interplay with superconductivity, and
the peculiar electronic structures that are distinct from other Fe-based
superconductors. In this paper, we present a brief review on the structural,
magnetic and electronic properties of this new superconductor, with an emphasis
on the electronic structure and superconducting gap. Issues and future
perspectives are discussed at the end of the paper.Comment: 45 pages, 19 figure
Magnetism and its microscopic origin in iron-based high-temperature superconductors
High-temperature superconductivity in the iron-based materials emerges from,
or sometimes coexists with, their metallic or insulating parent compound
states. This is surprising since these undoped states display dramatically
different antiferromagnetic (AF) spin arrangements and Nel
temperatures. Although there is general consensus that magnetic interactions
are important for superconductivity, much is still unknown concerning the
microscopic origin of the magnetic states. In this review, progress in this
area is summarized, focusing on recent experimental and theoretical results and
discussing their microscopic implications. It is concluded that the parent
compounds are in a state that is more complex than implied by a simple Fermi
surface nesting scenario, and a dual description including both itinerant and
localized degrees of freedom is needed to properly describe these fascinating
materials.Comment: 14 pages, 4 figures, Review article, accepted for publication in
Nature Physic
DreamTel; Diabetes risk evaluation and management tele-monitoring study protocol
<p>Abstract</p> <p>Background</p> <p>The rising prevalence of type 2 diabetes underlines the importance of secondary strategies for the prevention of target organ damage. While access to diabetes education centers and diabetes intensification management has been shown to improve blood glucose control, these services are not available to all that require them, particularly in rural and northern areas. The provision of these services through the Home Care team is an advance that can overcome these barriers. Transfer of blood glucose data electronically from the home to the health care provider may improve diabetes management.</p> <p>Methods and design</p> <p>The study population will consist of patients with type 2 diabetes with uncontrolled A1c levels living on reserve in the Battlefords region of Saskatchewan, Canada. This pilot study will take place over three phases. In the first phase over three months the impact of the introduction of the Bluetooth enabled glucose monitor will be assessed. In the second phase over three months, the development of guidelines based treatment algorithms for diabetes intensification will be completed. In the third phase lasting 18 months, study subjects will have diabetes intensification according to the algorithms developed.</p> <p>Discussion</p> <p>The first phase will determine if the use of the Bluetooth enabled blood glucose devices which can transmit results electronically will lead to changes in A1c levels. It will also determine the feasibility of recruiting subjects to use this technology. The rest of the Diabetes Risk Evaluation and Management Tele-monitoring (DreamTel) study will determine if the delivery of a diabetes intensification management program by the Home Care team supported by the Bluetooth enabled glucose meters leads to improvements in diabetes management.</p> <p>Trial Registration</p> <p>Protocol NCT00325624</p
Prevalence, incidence and concomitant co-morbidities of type 2 diabetes mellitus in South Western Germany - a retrospective cohort and case control study in claims data of a large statutory health insurance
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