29 research outputs found

    Many-Impurity Effects in Fourier Transform Scanning Tunneling Spectroscopy

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    Fourier transform scanning tunneling spectroscopy (FTSTS) is a useful technique for extracting details of the momentum-resolved electronic band structure from inhomogeneities in the local density of states due to disorder-related quasiparticle scattering. To a large extent, current understanding of FTSTS is based on models of Friedel oscillations near isolated impurities. Here, a framework for understanding many-impurity effects is developed based on a systematic treatment of the variance Delta rho^2(q,omega) of the Fourier transformed local density of states rho(q,\omega). One important consequence of this work is a demonstration that the poor signal-to-noise ratio inherent in rho(q,omega) due to randomness in impurity positions can be eliminated by configuration averaging Delta rho^2(q,omega). Furthermore, we develop a diagrammatic perturbation theory for Delta rho^2(q,omega) and show that an important bulk quantity, the mean-free-path, can be extracted from FTSTS experiments.Comment: 7 pages, 5 figures. A version of the paper with high resolution, colour figures is available at http://www.trentu.ca/physics/batkinson/FTSTS.ps.gz minor revisions in response to refree report + figure 5 is modifie

    Defining levels of care in cardiogenic shock

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    BackgroundExpert opinion and professional society statements have called for multi-tier care systems for the management of cardiogenic shock (CS). However, little is known about how to pragmatically define centers with different levels of care (LOC) for CS.MethodsEleven of 23 hospitals within our healthcare system sharing a common electronic health record were classified as different LOC according to their highest mechanical circulatory support (MCS) capabilities: Level 1 (L-1)—durable left ventricular assist device, Level 1A (L-1A)—extracorporeal membrane oxygenation, Level 2 (L-2)—intra-aortic balloon pump and percutaneous ventricular assist device; and Level 3 (L-3)—no MCS. All adult patients treated for CS (International Classification of Diseases, ICD-10 code R57.0) between 2016 and 2022 were included. Etiologies of CS were identified using associated diagnostic codes. Management strategies and outcomes across LOC were compared.ResultsHigher LOC centers had higher volumes: L-1 (n = 1): 2,831 patients, L-1A (n = 4): 3,452, L-2 (n = 1): 340, and L-3 (n = 5): 780. Emergency room admissions were more common in lower LOC (96% at L-3 vs. 46% L-1; p < 0.001), while hospital transfers were predominant at higher LOC (40% at L-1 vs. 2.7% at L-3; p < 0.001). Men comprised 61% of the cohort. Patients were younger in the higher LOC [69 (60–78) years at L-1 vs. 77 (67–85) years at L-3; p < 0.001]. Patients with acute myocardial infarction (AMI)-CS and acute heart failure (AHF)-CS were concentrated in higher LOC centers while other etiologies of CS were more common in L-2 and L-3 (p < 0.001). Cardiac arrest on admission was more prevalent in lower LOC centers (L-1: 2.8% vs. L-3: 12.1%; p < 0.001). Patients with AMI-CS received more percutaneous coronary intervention in lower LOC (51% L-2 vs. 29% L-1; p < 0.01) but more coronary arterial bypass graft surgery at higher LOC (L-1: 42% vs. L-1A: 23%; p < 0.001). MCS use was consistent across levels for AMI-CS but was more frequent in higher LOC for AHF-CS patients (L-1: 28% vs. L-2: 10%; p < 0.001). Despite increasing in-hospital mortality with decreasing LOC, no significant difference was seen after multivariable adjustment.ConclusionThis is the first report describing a pragmatic classification of LOC for CS which, based on MCS capabilities, can discriminate between centers with distinct demographics, practice patterns, and outcomes. This classification may serve as the basis for future research and the creation of CS systems of care

    Recent Progress in the Use of Glucagon and Glucagon Receptor Antagonists in the Treatment of Diabetes Mellitus

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    Glucagon is an important pancreatic hormone, released into blood circulation by alpha cells of the islet of Langerhans. Glucagon induces gluconeogenesis and glycogenolysis in hepatocytes, leading to an increase in hepatic glucose production and subsequently hyperglycemia in susceptible individuals. Hyperglucagonemia is a constant feature in patients with T2DM. A number of bioactive agents that can block glucagon receptor have been identified. These glucagon receptor antagonists can reduce the hyperglycemia associated with exogenous glucagon administration in normal as well as diabetic subjects. Glucagon receptor antagonists include isoserine and beta-alanine derivatives, bicyclic 19-residue peptide BI-32169, Des-His1-[Glu9] glucagon amide and related compounds, 5-hydroxyalkyl-4-phenylpyridines, N-[3-cano-6- (1,1 dimethylpropyl)-4,5,6,7-tetrahydro-1-benzothien-2-yl]-2-ethylbutamide, Skyrin and NNC 250926. The absorption, dosage, catabolism, excretion and medicinal chemistry of these agents are the subject of this review. It emphasizes the role of glucagon in glucose homeostasis and how it could be applied as a novel tool for the management of diabetes mellitus by blocking its receptors with either monoclonal antibodies, peptide and non-peptide antagonists or gene knockout techniques

    CANDELS multi-wavelength catalogs: source identification and photometry in the CANDELS COSMOS survey field

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    We present a multi-wavelength photometric catalog in the COSMOS field as part of the observations by the Cosmic Assembly Near-infrared Deep Extragalactic Legacy Survey. The catalog is based on Hubble Space Telescope Wide Field Camera 3 (HST/WFC3) and Advanced Camera for Surveys observations of the COSMOS field (centered at R.A.: 10h00m28s, Decl.:+02h12m21s). The final catalog has 38671 sources with photometric data in 42 bands from UV to the infrared (~0.3-8 μm). This includes broadband photometry from HST, CFHT, Subaru, the Visible and Infrared Survey Telescope for Astronomy, and Spitzer Space Telescope in the visible, near-infrared, and infrared bands along with intermediate- and narrowband photometry from Subaru and medium-band data from Mayall NEWFIRM. Source detection was conducted in the WFC3 F160W band (at 1.6 μm) and photometry is generated using the Template FITting algorithm. We further present a catalog of the physical properties of sources as identified in the HST F160W band and measured from the multi-band photometry by fitting the observed spectral energy distributions of sources against templates

    Stability of oligodeoxynucleoside phosphorodithioates and phosphorothioates in aqueous ammonia.

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    Oligonucleotide analogues like oligodeoxynucleoside phospho-rothioates and phosphorodithioates (Fig. 1) are of interest for antisense applications (1). Efficient methods exist for the preparation of both analogues, but the products often contain less sulfur than intended, as shown by the presence of variable amounts of phosphate linkages in oligonucleoside phosphoro-thioates, and phosphorothioate linkages in oligonucleoside phos-phorodithioates. Incomplete oxidation by the sulfurization reagents used in phosphoramidite or thiophosphoramidite methods could explain the appearance of these impurities, but cannot explain why products prepared by triester methods are also often contaminated. We have recently described a dithiophosphortriester method that gives oligodeoxynucleoside phosphorodithioates free of phosphorothioate impurities (2). However, when the oligonu-cleoside phosphorodithioates were kept in prolonged contact wit

    Corrosion of copper in distilled water without O2 and the detection of produced hydrogen

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    This paper reports on hydrogen pressures measured during ~19,000. h immersion of copper in oxygen-free liquid distilled water. Copper corrosion products have been examined ex-situ by SEM and characterized by XPS and SIMS. XPS strongly indicates a corrosion product containing both oxygen and hydrogen. SIMS shows that oxygen is mainly present in the outer 0.3. \u3bcm surface region and that hydrogen penetrates to depths well below the corrosion product. Thermal desorption spectroscopy shows that the reaction product formed near room-temperature is less stable than that formed in air at 350. \ub0C.Peer reviewed: YesNRC publication: Ye
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