Atrial high-rate episodes: prevalence, stroke risk, implications for management, and clinical gaps in evidence

Self-terminating atrial arrhythmias are commonly detected on continuous rhythm monitoring, e.g. by pacemakers or defibrillators. It is unclear whether the presence of these arrhythmias has therapeutic consequences. We sought to summarize evidence on the prevalence of atrial high-rate episodes (AHREs) and their impact on risk of stroke. We performed a comprehensive, tabulated review of published literature on the prevalence of AHRE. In patients with AHRE, but without atrial fibrillation (AF), we reviewed the stroke risk and the potential risk/benefit of oral anticoagulation. Atrial high-rate episodes are found in 10-30% of AF-free patients. Presence of AHRE slightly increases stroke risk (0.8% to 1%/year) compared with patients without AHRE. Atrial high-rate episode of longer duration (e.g. those >24 h) could be associated with a higher stroke risk. Oral anticoagulation has the potential to reduce stroke risk in patients with AHRE but is associated with a rate of major bleeding of 2%/year. Oral anticoagulation is not effective in patients with heart failure or survivors of a stroke without AF. It remains unclear whether anticoagulation is effective and safe in patients with AHRE. Atrial high-rate episodes are common and confer a slight increase in stroke risk. There is true equipoise on the best way to reduce stroke risk in patients with AHRE. Two ongoing trials (NOAH-AFNET 6 and ARTESiA) will provide much-needed information on the effectiveness and safety of oral anticoagulation using non-vitamin K antagonist oral anticoagulants in patients with AHRE.info:eu-repo/semantics/publishedVersio

Van der Waals Density Functional for General Geometries

A scheme within density functional theory is proposed that provides a practical way to generalize to unrestricted geometries the method applied with some success to layered geometries [H. Rydberg, et al., Phys. Rev. Lett. 91, 126402 (2003)]. It includes van der Waals forces in a seamless fashion. By expansion to second order in a carefully chosen quantity contained in the long range part of the correlation functional, the nonlocal correlations are expressed in terms of a density-density interaction formula. It contains a relatively simple parametrized kernel, with parameters determined by the local density and its gradient. The proposed functional is applied to rare gas and benzene dimers, where it is shown to give a realistic description.Comment: 4 pages, 4 figure

Electron self-energy in A3C60 (A=K, Rb): Effects of t1u plasmon in GW approximation

The electron self-energy of the t1u states in A3C60 (A=K, Rb) is calculated using the so-called GW approximation. The calculation is performed within a model which considers the t1u charge carrier plasmon at 0.5 eV and takes into account scattering of the electrons within the t1u band. A moderate reduction (35 %) of the t1u band width is obtained.Comment: 4 pages, revtex, 1 figure more information at http://www.mpi-stuttgart.mpg.de/dokumente/andersen/fullerene

Nickel Mixing in the Outer Layers of SN 1987A

Supernova 1987A remains the most well-observed and well-studied supernova to date. Observations produced excellent broad-band photometric and spectroscopic coverage over a wide wavelength range at all epochs. Here, we focus on the very early spectroscopic observations. Only recently have numerical models been of sufficient detail to accurately explain the observed spectra. In SN 1987A, good agreement has been found between observed and synthetic spectra for day one, but by day four, the predicted Balmer lines become much weaker than the observed lines. We present the results of work based on a radiation-hydrodynamic model by Blinnikov and collaborators. Synthetic non-LTE spectra generated from this model by the general radiation transfer code PHOENIX strongly support the theory that significant mixing of nickel into the outer envelope is required to maintain strong Balmer lines. Preliminary results suggest a lower limit to the average nickel mass of 1.0 \times 10^{-5} solar masses is required above 5000 \kmps by day four. PHOENIX models thus have the potential to be a sensitive probe for nickel mixing in the outer layers of a supernova.Comment: 16 pages, 7 figures, ApJ, v556 2001 (in press

Charge carrier interaction with a purely electronic collective mode: Plasmarons and the infrared response of elemental bismuth

We present a detailed optical study of single crystal bismuth using infrared reflectivity and ellipsometry. Colossal changes in the plasmon frequency are observed as a function of temperature due to charge transfer between hole and electron Fermi pockets. In the optical conductivity, an anomalous temperature dependent mid-infrared absorption feature is observed. An extended Drude model analysis reveals that it can be connected to a sharp upturn in the scattering rate, the frequency of which exactly tracks the temperature dependent plasmon frequency. We interpret this absorption and increased scattering as the first direct optical evidence for a charge carrier interaction with a collective mode of purely electronic origin; here electron-plasmon scattering. The observation of a \emph{plasmaron} as such is made possible only by the unique coincidence of various energy scales and exceptional properties of semi-metal bismuth.Comment: 4 pages, 4 figure

Managers' and employees' experiences of how managers' wellbeing impacts their leadership behaviours in Swedish small businesses

BACKGROUND: There is a growing interest in managers' wellbeing due to the observed associations between their wellbeing and leadership behaviours, and between leadership behaviours and employees' wellbeing. However, it is still unclear how managers' wellbeing influences their practiced leadership across different workplace contexts, which specific behaviours are affected, and how this varies across time. OBJECTIVE: The purpose of this study was therefore to explore managers' and employees' experiences and perceptions regarding the consequences of managers' wellbeing for their leadership behaviours in small businesses. METHODS: Semi-structured interviews were conducted with 39 participants (20 managers and 19 employees) working at 12 Swedish small firms, and analysed using content analysis. RESULTS: The findings showthat managers were more constructive when they felt well, and more passively destructive when unwell. Variations in managers' wellbeing influenced their mood, energy level, and performance, as well as the company's working climate. However, these destructive leadership variations did not have a substantial impact, because several protective factors were present. CONCLUSION: This study shows that the wellbeing of managers in small businesses has perceptible consequences for their leadership behaviours. The study also shows that sustained leadership behaviours may coexist with temporary variations of these behaviours on a constructive-destructive continuum depending on the leader's wellbeing. Overall, the findings contribute to a more nuanced and dynamic understanding of how the interaction between managers' wellbeing and their behaviours unfolds in the particular context of small companies