BP Reduction, Kidney Function Decline, and Cardiovascular Events in Patients without CKD.

BACKGROUND AND OBJECTIVES: In the Systolic Blood Pressure Intervention Trial (SPRINT), intensive systolic BP treatment (target <120 mm Hg) was associated with fewer cardiovascular events and higher incidence of kidney function decline compared with standard treatment (target <140 mm Hg). We evaluated the association between mean arterial pressure reduction, kidney function decline, and cardiovascular events in patients without CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We categorized patients in the intensive treatment group of the SPRINT according to mean arterial pressure reduction throughout follow-up: <20, 20 to <40, and ≥40 mm Hg. We defined the primary outcome as kidney function decline (≥30% reduction in eGFR to <60 ml/min per 1.73 m2 on two consecutive determinations at 3-month intervals), and we defined the secondary outcome as cardiovascular events. In a propensity score analysis, patients in each mean arterial pressure reduction category from the intensive treatment group were matched with patients from the standard treatment group to calculate the number needed to treat regarding cardiovascular events and the number needed to harm regarding kidney function decline. RESULTS: In the intensive treatment group, 1138 (34%) patients attained mean arterial pressure reduction <20 mm Hg, 1857 (56%) attained 20 to <40 mm Hg, and 309 (9%) attained ≥40 mm Hg. Adjusted hazard ratios for kidney function decline were 2.10 (95% confidence interval, 1.22 to 3.59) for mean arterial pressure reduction between 20 and 40 mm Hg and 6.22 (95% confidence interval, 2.75 to 14.08) for mean arterial pressure reduction ≥40 mm Hg. In propensity score analysis, mean arterial pressure reduction <20 mm Hg presented a number needed to treat of 44 and a number needed to harm of 65, reduction between 20 and <40 mm Hg presented a number needed to treat of 42 and a number needed to harm of 35, and reduction ≥40 mm Hg presented a number needed to treat of 95 and a number needed to harm of 16. CONCLUSIONS: In the intensive treatment group of SPRINT, larger declines in mean arterial pressure were associated with higher incidence of kidney function decline. Intensive treatment seemed to be less favorable when a larger reduction in mean arterial pressure was needed to attain the BP target.info:eu-repo/semantics/publishedVersio

Optimized generation of spatial qudits by using a pure phase spatial light modulator

We present a method for preparing arbitrary pure states of spatial qudits, namely, D-dimensional (D > 2) quantum systems carrying information in the transverse momentum and position of single photons. For this purpose, a set of D slits with complex transmission are displayed on a spatial light modulator (SLM). In a recent work we have shown a method that requires a single phase-only SLM to control independently the complex coefficients which define the quantum state of dimension D. The amplitude information was codified by introducing phase gratings inside each slit and the phase value of the complex transmission was added to the phase gratings. After a spatial filtering process we obtained in the image plane the desired qudit state. Although this method has proven to be a good alternative to compact the previously reported architectures, it presents some features that could be improved. In this paper we present an alternative scheme to codify the required phase values that minimizes the effects of temporal phase fluctuations associated to the SLM where the codification is carried on. In this scheme the amplitudes are set by appropriate phase gratings addressed at the SLM while the relative phases are obtained by a lateral displacement of these phase gratings. We show that this method improves the quality of the prepared state and provides very high fidelities of preparation for any state. An additional advantage of this scheme is that a complete 2\pi modulation is obtained by shifting the grating by one period, and hence the encoding is not limited by the phase modulation range achieved by the SLM. Numerical simulations, that take into account the phase fluctuations, show high fidelities for thousands of qubit states covering the whole Bloch sphere surface. Similar analysis are performed for qudits with D = 3 and D = 7.Comment: 12 pages, 7 figure

A 3-form Gauge Potential in 5D in connection with a Possible Dark Sector of 4D-Electrodynamics

We here propose a 5-dimensional {\bf Abelian gauge} model based on the mixing between a $U(1)$ potential and an Abelian 3-form field by means of a topological mass term. An extended covariant derivative is introduced to minimally couple a Dirac field to the $U(1)$ potential, while this same covariant derivative non-minimally couples the 3-form field to the charged fermion. A number of properties are discussed in 5D; in particular, the appearance of a topological fermionic current. A 4-dimensional reduced version of the model is investigated and, { \bf in addition to the $U(1)$ electric- and magnetic-sort of fields,} there emerges an extra set of electric- and magnetic-like fields which contribute a negative pressure and may be identified as a possible fraction of dark energy. The role of the topological fermionic current is also contemplated upon dimensional reduction from 5D to 4D. Other issues we present in 4 space-time dimensions are the emergence {\bf of a pseudo-scalar massive particle,} an extra massive neutral gauge boson,{\bf which we interpret as a kind of paraphoton}, and the calculation of spin- and velocity-dependent interparticle potentials associated to the exchange of the intermediate bosonic fields of the model.Comment: -- 30 pages -- L. P. R. Ospedal appears as a new co-author; modifications by inclusion of the gravitational sector and the attainment of a spin- and velocity-dependent potential as an application have been worked out in this Revised Versio

Comment on Bress et al. Effect of Intensive Versus Standard Blood Pressure Treatment According to Baseline Prediabetes Status: A Post Hoc Analysis of a Randomized Trial. Diabetes Care 2017;40:1401-1408.

info:eu-repo/semantics/publishedVersio

Order and Disorder in AKLT Antiferromagnets in Three Dimensions

The models constructed by Affleck, Kennedy, Lieb, and Tasaki describe a family of quantum antiferromagnets on arbitrary lattices, where the local spin S is an integer multiple M of half the lattice coordination number. The equal time quantum correlations in their ground states may be computed as finite temperature correlations of a classical O(3) model on the same lattice, where the temperature is given by T=1/M. In dimensions d=1 and d=2 this mapping implies that all AKLT states are quantum disordered. We consider AKLT states in d=3 where the nature of the AKLT states is now a question of detail depending upon the choice of lattice and spin; for sufficiently large S some form of Neel order is almost inevitable. On the unfrustrated cubic lattice, we find that all AKLT states are ordered while for the unfrustrated diamond lattice the minimal S=2 state is disordered while all other states are ordered. On the frustrated pyrochlore lattice, we find (conservatively) that several states starting with the minimal S=3 state are disordered. The disordered AKLT models we report here are a significant addition to the catalog of magnetic Hamiltonians in d=3 with ground states known to lack order on account of strong quantum fluctuations.Comment: 7 pages, 2 figure

Propagation of spatially entangled qudits through free space

We show the propagation of entangled states of high-dimensional quantum systems. The qudits states were generated using the transverse correlation of the twin photons produced by spontaneous parametric down-conversion. Their free-space distribution was performed at the laboratory scale and the propagated states maintained a high-fidelity with their original form. The use of entangled qudits allow an increase in the quantity of information that can be transmitted and may also guarantee more privacy for communicating parties. Therefore, studies about propagating entangled states of qudits are important for the effort of building quantum communication networks.Comment: 5 Pages, 4 Figures, REVTeX

CAMILA formal software engineering supported by functional programming

This paper describes two experiences in teaching a formal approach to software engineering at undergraduate level supported by Camila a functional programming based tool Carried on in di erent institutions each of them addresses a particular topic in the area requirement analysis and generic systems design in the rst case speci cation and implementation development in the second Camila the common framework to both experiences animates a set based language extended with a mild use of category theory which can be reasoned upon for program calculation and classi cation purposes The project a liates itself to but is not restricted to the research in exploring Functional Programming as a rapid prototyping environment for formal software models Its kernel is fully connectable to external applications and equipped with a component repository and distribution facilities The paper explains how Camila is being used in the educational practice as a tool to think with providing a kind of cross fertilization between students under standing of di erent parts of the curriculum Furthermore it helps in developing a number of engineering skills namely the ability to analyze and classify infor mation problems and models and to resort to the combined use of di erent programming frameworks in approaching them.Eje: Conferencia latinoamericana de programación funcionalRed de Universidades con Carreras en Informática (RedUNCI

Control of quantum transverse correlations on a four-photon system

Control of spatial quantum correlations in bi-photons is one of the fundamental principles of Quantum Imaging. Up to now, experiments have been restricted to controlling the state of a single bi-photon, by using linear optical elements. In this work we demonstrate experimental control of quantum correlations in a four-photon state comprised of two pairs of photons. Our scheme is based on a high-efficiency parametric downconversion source coupled to a double slit by a variable linear optical setup, in order to obtain spatially encoded qubits. Both entangled and separable pairs have been obtained, by altering experimental parameters. We show how the correlations influence both the interference and diffraction on the double slit.Comment: 14 pages, 6 figure

Biophysical chances in aqua-sky exercise with different musical cadences : instructors evaluation

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