56 research outputs found

    On the ab initio calculation of CVV Auger spectra in closed-shell systems

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    We propose an ab initio method to evaluate the core-valence-valence (CVV) Auger spectrum of systems with filled valence bands. The method is based on the Cini-Sawatzky theory, and aims at estimating the parameters by first-principles calculations in the framework of density-functional theory (DFT). Photoemission energies and the interaction energy for the two holes in the final state are evaluated by performing DFT simulations for the system with varied population of electronic levels. Transition matrix elements are taken from atomic results. The approach takes into account the non-sphericity of the density of states of the emitting atom, spin-orbit interaction in core and valence, and non quadratic terms in the total energy expansion with respect to fractional occupation numbers. It is tested on two benchmark systems, Zn and Cu metals, leading in both cases to L23M45M45 Auger peaks within 2 eV from the experimental ones. Detailed analysis is presented on the relative weight of the various contributions considered in our method, providing the basis for future development. Especially problematic is the evaluation of the hole-hole interaction for systems with broad valence bands: our method underestimates its value in Cu, while we obtain excellent results for this quantity in Zn.Comment: 20 pages, 5 figures, 4 table

    Hepatic arterial infusion of chemotherapy for advanced hepatobiliary cancers: State of the art

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    Liver functional failure is one of the leading causes of cancer-related death. Primary liver tumors grow up mainly in the liver, and thus happens for liver metastases deriving from other organs having a lower burden of disease at the primary site. Systemic chemotherapy usually offers a modest benefit in terms of disease control rate, progression-free survival, and overall survival at the cost of a significant percentage of adverse events. Liver malignancies are mostly perfused by the hepatic artery while the normal liver parenchyma by the portal vein network. On these bases, the therapeutic strategy consisting of hepatic arterial infusion (HAI) of chemotherapy takes place. In literature, HAI chemotherapy was applied for the treatment of advanced hepatobiliary cancers with encouraging results. Different chemotherapeutic agents were used such as Oxaliplatin, Cisplatin, Gemcitabine, Floxuridine, 5-Fluorouracil, Epirubicin, individually or in combination. However, the efficacy of this treatment strategy remains controversial. Therefore, this review aims to summarize the current knowledge on this approach from different points of view, such as techniques, drugs pharmacology and pharmacokinetics, and clinical outcomes for advanced hepatobiliary cancers

    "Delirium Day": A nationwide point prevalence study of delirium in older hospitalized patients using an easy standardized diagnostic tool

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    Background: To date, delirium prevalence in adult acute hospital populations has been estimated generally from pooled findings of single-center studies and/or among specific patient populations. Furthermore, the number of participants in these studies has not exceeded a few hundred. To overcome these limitations, we have determined, in a multicenter study, the prevalence of delirium over a single day among a large population of patients admitted to acute and rehabilitation hospital wards in Italy. Methods: This is a point prevalence study (called "Delirium Day") including 1867 older patients (aged 65 years or more) across 108 acute and 12 rehabilitation wards in Italian hospitals. Delirium was assessed on the same day in all patients using the 4AT, a validated and briefly administered tool which does not require training. We also collected data regarding motoric subtypes of delirium, functional and nutritional status, dementia, comorbidity, medications, feeding tubes, peripheral venous and urinary catheters, and physical restraints. Results: The mean sample age was 82.0 \ub1 7.5 years (58 % female). Overall, 429 patients (22.9 %) had delirium. Hypoactive was the commonest subtype (132/344 patients, 38.5 %), followed by mixed, hyperactive, and nonmotoric delirium. The prevalence was highest in Neurology (28.5 %) and Geriatrics (24.7 %), lowest in Rehabilitation (14.0 %), and intermediate in Orthopedic (20.6 %) and Internal Medicine wards (21.4 %). In a multivariable logistic regression, age (odds ratio [OR] 1.03, 95 % confidence interval [CI] 1.01-1.05), Activities of Daily Living dependence (OR 1.19, 95 % CI 1.12-1.27), dementia (OR 3.25, 95 % CI 2.41-4.38), malnutrition (OR 2.01, 95 % CI 1.29-3.14), and use of antipsychotics (OR 2.03, 95 % CI 1.45-2.82), feeding tubes (OR 2.51, 95 % CI 1.11-5.66), peripheral venous catheters (OR 1.41, 95 % CI 1.06-1.87), urinary catheters (OR 1.73, 95 % CI 1.30-2.29), and physical restraints (OR 1.84, 95 % CI 1.40-2.40) were associated with delirium. Admission to Neurology wards was also associated with delirium (OR 2.00, 95 % CI 1.29-3.14), while admission to other settings was not. Conclusions: Delirium occurred in more than one out of five patients in acute and rehabilitation hospital wards. Prevalence was highest in Neurology and lowest in Rehabilitation divisions. The "Delirium Day" project might become a useful method to assess delirium across hospital settings and a benchmarking platform for future surveys

    Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia

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    Chronologie 1982

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    Ugenti M. Chronologie 1982. In: Observations et diagnostics économiques : revue de l'OFCE, n°3, 1983. pp. 149-179

    Theory of Coster-Kronig preceded Auger processes in solids

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    On Coster-Kronig line shapes of solids

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    In this work we set up a model aimed at the calculation of three-hole features like the ones due to core–valence–valence Auger decays following Coster–Kronig transitions. While several experiments made in the 1970s and in the 1990s on the Auger core–valence–valence spectra of transition metals showed the existence of these structures, a theory able to explain and predict them is still missing today. Our model is grounded on the one-step approach, but the use of a valence band fully below the Fermi level allows us to treat our calculations in a three-step approach, so keeping complications to a minimum in this exploratory work. The Hamiltonian of the system is placed in an Anderson-like picture and the spectra are computed by evaluating a three-body Green function. Within our model we arrive at a simple and closed formula covering the whole range between weak and strong correlations. We find that, in general, the satellites cover separated spectral regions with three-hole multiplets, shifted and broadened two-hole features and distorted band-like continua. 1

    On Coster-Kronig Line Shapes of Solids

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    We propose the foundations of an extended Auger line-shape analysis of solids aiming to include three-hole features such as the ones due to core-valence-valence Auger decays following Coster-Kronig transitions. In transition metals, such features show up as intense high binding energy satellites of the diagrammatic core-valence-valence lines. Our theory is grounded on the full one-step approach, but to keep the complications to a minimum, in the present exploratory paper, the valence band is assumed fully below the Fermi level. In this way, explicit model calculations can be confidently based on a three-step approach. The line-shape analysis then amounts to compute a three-body Green’s function, which, however, is much less known than one- and two-body ones. Our treatment covers the whole range between weak and strong correlations. Furthermore, we show that the relevant physics can be captured by a transparent, computationally simple closed formula. We find that, in general, the satellites cover separated spectral regions with three-hole multiplets, shifted and broadened two-hole features, and distorted bandlike continua
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