186 research outputs found
Holter monitoring for syncope: diagnostic yield in different patient groups and impact on device implantation
Background: Holter monitoring is routinely used in patients referred for the evaluation of syncope, but its diagnostic value in different patient groups is unclear, as is its impact on device implantation (pacemaker or cardioverter-defibrillator). Aim: To determine the diagnostic yield of Holter monitoring in the routine evaluation of syncope, and its impact on subsequent device implantation. Design: Retrospective record review. Methods: We reviewed all Holter studies in patients referred with syncope between 2000 and 2005. Strict criteria were applied to determine whether a study was diagnostic. The diagnostic value of Holter monitoring (overall and in five subgroups: age, gender, structural heart disease, ejection fraction, medication) and its impact on the implantation of devices, were determined. Results: Of 4877 Holter studies, 826 were performed in patients with syncope (age 72 ± 15 years): 71 (8.6%) were considered to explain the syncope. Structural heart disease, ejection fraction and age were significant predictors of a diagnostic study (all p < 0.01), whereas gender and cardiac medication were not. A device was implanted in 33 patients (4.4%) whose initial Holter did not explain their syncope, after mean 7 months, whereas 45 patients (5.4%) received a pacemaker based on the Holter results (p = 0.32). Discussion: The overall diagnostic yield of Holter monitoring in the evaluation of syncope was 8.6%, with dramatic differences between subgroups. Our data suggest that the impact of Holter monitoring on device implantation is generally overestimate
Higher order Schrodinger and Hartree-Fock equations
The domain of validity of the higher-order Schrodinger equations is analyzed
for harmonic-oscillator and Coulomb potentials as typical examples. Then the
Cauchy theory for higher-order Hartree-Fock equations with bounded and Coulomb
potentials is developed. Finally, the existence of associated ground states for
the odd-order equations is proved. This renders these quantum equations
relevant for physics.Comment: 19 pages, to appear in J. Math. Phy
EVALUATION OF THE QUALITY OF AN INTELLIGENT AND SUSTAINABLE TOURIST URBAN SYSTEM IN TLEMCEN
This article proposes the evaluation of a tourist urban system "Plateau LallaSetti, Tlemcen" in a global framework for the elaboration of a territorial diagnosis with a view to taking charge of urban complexity. The integrated "Quality Safety Environment" approach, which is very suitable for dealing with the complexity of urban systems, aims to introduce the site to urban sustainability by putting the principles of sustainable development by involving all stakeholders in decision-making through participatory governance by introducing the notion of urban intelligence.This approach guarantees a consensus upstream of the decision-making process, reducing the likelihood of conflict situations linked to contradictory positions of its actors compared the main orientations governing the urban project.
Thanks to this integrated QSE evaluation method, which consists of determining the performance threshold of each index relating to the indicators stemming from criteria of the existing system by the quantification of the latter based on an approach of assessment of the environmental impacts integrating the thought "cycle of life " through shared evaluation in consultation (ex ante, in itinere), it will be possible to integrate as much as necessary the temporal dimension of these impacts and to ensure the resilience of the system in corrective or preventive measures undertaken before and after during the design of the urban system to precise temporalities of its life cycle
Time-Fractional Optimal Control of Initial Value Problems on Time Scales
We investigate Optimal Control Problems (OCP) for fractional systems
involving fractional-time derivatives on time scales. The fractional-time
derivatives and integrals are considered, on time scales, in the
Riemann--Liouville sense. By using the Banach fixed point theorem, sufficient
conditions for existence and uniqueness of solution to initial value problems
described by fractional order differential equations on time scales are known.
Here we consider a fractional OCP with a performance index given as a
delta-integral function of both state and control variables, with time evolving
on an arbitrarily given time scale. Interpreting the Euler--Lagrange first
order optimality condition with an adjoint problem, defined by means of right
Riemann--Liouville fractional delta derivatives, we obtain an optimality system
for the considered fractional OCP. For that, we first prove new fractional
integration by parts formulas on time scales.Comment: This is a preprint of a paper accepted for publication as a book
chapter with Springer International Publishing AG. Submitted 23/Jan/2019;
revised 27-March-2019; accepted 12-April-2019. arXiv admin note: substantial
text overlap with arXiv:1508.0075
The Q^2-Dependence of Nuclear Transparency for Exclusive Production
Exclusive coherent and incoherent electroproduction of the meson
from H and N targets has been studied at the HERMES experiment as a
function of coherence length (), corresponding to the lifetime of hadronic
fluctuations of the virtual photon, and squared four-momentum of the virtual
photon (). The ratio of N to H cross sections per nucleon,
known as nuclear transparency, was found to increase (decrease) with increasing
coherence length for coherent (incoherent) electroproduction. For
fixed coherence length, a rise of nuclear transparency with is observed
for both coherent and incoherent production, which is in agreement
with theoretical calculations of color transparency.Comment: 5 pages, 4 figure
Single-spin asymmetries in semi-inclusive deep-inelastic scattering on a transversely polarized hydrogen target
Single-spin asymmetries for semi-inclusive electroproduction of charged pions
in deep-inelastic scattering of positrons are measured for the first time with
transverse target polarization. The asymmetry depends on the azimuthal angles
of both the pion () and the target spin axis () about the virtual
photon direction and relative to the lepton scattering plane. The extracted
Fourier component \cmpi is a signal of the previously unmeasured quark
transversity distribution, in conjunction with the so-called Collins
fragmentation function, also unknown. The Fourier component \smpi of the
asymmetry arises from a correlation between the transverse polarization of the
target nucleon and the intrinsic transverse momentum of quarks, as represented
by the previously unmeasured Sivers distribution function. Evidence for both
signals is observed, but the Sivers asymmetry may be affected by exclusive
vector meson productio
Flavor decomposition of the sea quark helicity distributions in the nucleon from semi-inclusive deep-inelastic scattering
Double-spin asymmetries of semi-inclusive cross sections for the production
of identified pions and kaons have been measured in deep-inelastic scattering
of polarized positrons on a polarized deuterium target. Five helicity
distributions including those for three sea quark flavors were extracted from
these data together with re-analyzed previous data for identified pions from a
hydrogen target. These distributions are consistent with zero for all three sea
flavors. A recently predicted flavor asymmetry in the polarization of the light
quark sea appears to be disfavored by the data.Comment: 5 pages, 3 figure
Nuclear Polarization of Molecular Hydrogen Recombined on a Non-metallic Surface
The nuclear polarization of molecules formed by recombination
of nuclear polarized H atoms on the surface of a storage cell initially coated
with a silicon-based polymer has been measured by using the longitudinal
double-spin asymmetry in deep-inelastic positron-proton scattering. The
molecules are found to have a substantial nuclear polarization, which is
evidence that initially polarized atoms retain their nuclear polarization when
absorbed on this type of surfac
Double hadron leptoproduction in the nuclear medium
First measurement of double-hadron production in deep-inelastic scattering
has been measured with the HERMES spectrometer at HERA using a 27.6 GeV
positron beam with deuterium, nitrogen, krypton and xenon targets. The
influence of the nuclear medium on the ratio of double-hadron to single-hadron
yields has been investigated. Nuclear effects are clearly observed but with
substantially smaller magnitude and reduced -dependence compared to
previously measured single-hadron multiplicity ratios. The data are in fair
agreement with models based on partonic or pre-hadronic energy loss, while they
seem to rule out a pure absorptive treatment of the final state interactions.
Thus, the double-hadron ratio provides an additional tool for studying
modifications of hadronization in nuclear matter
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