895 research outputs found
Atiyah-Patodi-Singer index on a lattice
We propose a non-perturbative formulation of the Atiyah-Patodi-Singer(APS)
index in lattice gauge theory, in which the index is given by the
invariant of the domain-wall Dirac operator. Our definition of the index is
always an integer with a finite lattice spacing. To verify this proposal, using
the eigenmode set of the free domain-wall fermion, we perturbatively show in
the continuum limit that the curvature term in the APS theorem appears as the
contribution from the massive bulk extended modes, while the boundary
invariant comes entirely from the massless edge-localized modes.Comment: 14 pages, appendices added, details of key equations added, typos
corrected, to appear in PTE
Adverse effect profile of trichlormethiazide: a retrospective observational study
<p>Abstract</p> <p>Background</p> <p>Trichlormethiazide, a thiazide diuretic, was introduced in 1960 and remains one of the most frequently used diuretics for treating hypertension in Japan. While numerous clinical trials have indicated important side effects of thiazides, e.g., adverse effects on electrolytes and uric acid, very few data exist on serum electrolyte levels in patients with trichlormethiazide treatment. We performed a retrospective cohort study to assess the adverse effects of trichlormethiazide, focusing on serum electrolyte and uric acid levels.</p> <p>Methods</p> <p>We used data from the Clinical Data Warehouse of Nihon University School of Medicine obtained between Nov 1, 2004 and July 31, 2010, to identify cohorts of new trichlormethiazide users (n = 99 for 1 mg, n = 61 for 2 mg daily dosage) and an equal number of non-users (control). We used propensity-score matching to adjust for differences between users and control for each dosage, and compared serum chemical data including serum sodium, potassium, uric acid, creatinine and urea nitrogen. The mean exposure of trichlormethiazide of 1 mg and 2 mg users was 58 days and 64 days, respectively.</p> <p>Results</p> <p>The mean age was 66 years, and 55% of trichlormethiazide users of the 1 mg dose were female. In trichlormethiazide users of the 2 mg dose, the mean age was 68 years, and 43% of users were female. There were no statistically significant differences in all covariates (age, sex, comorbid diseases, past drugs, and current antihypertensive drugs) between trichlormethiazide users and controls for both doses. In trichlormethiazide users of the 2 mg dose, the reduction of serum potassium level and the elevation of serum uric acid level were significant compared with control, whereas changes of mean serum sodium, creatinine and urea nitrogen levels were not significant. In trichlormethiazide users of the 1 mg dose, all tests showed no statistically significant change from baseline to during the exposure period in comparison with control.</p> <p>Conclusions</p> <p>Our study showed adverse effects of decreased serum potassium and increased serum uric acid with trichlormethiazide treatment, and suggested that a lower dose of trichlormethiazide may minimize these adverse effects. These findings support the current trend in hypertension therapeutics to shift towards lower doses of thiazides.</p
A multiplier-less digital timing extractor circuit with round-off error canceller
A simplified digital tuned-circuit extractor is proposed. An A/D converter and multipliers are not required. An A/D converter and multipliers are not required. The tuning frequency is determined only by a master clock. The tank circuit output noise is sufficiently suppressed by newly introduced error canceller. Although sampling frequency for the tank circuit is relatively low, the phase of the output signal is effectively detected. A computer simulation shows that phase adjusting for data sampling clock is stable. The proposed timing extractor is easily realized on digital integrated circuits
- …