278 research outputs found

    Dispersion of Klauder's temporally stable coherent states for the hydrogen atom

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    We study the dispersion of the "temporally stable" coherent states for the hydrogen atom introduced by Klauder. These are states which under temporal evolution by the hydrogen atom Hamiltonian retain their coherence properties. We show that in the hydrogen atom such wave packets do not move quasi-classically; i.e., they do not follow with no or little dispersion the Keplerian orbits of the classical electron. The poor quantum-classical correspondence does not improve in the semiclassical limit.Comment: 6 pages, 2 figure

    Bench-to-bedside review: The MET syndrome – the challenges of researching and adopting medical emergency teams

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    Studies of hospital performance highlight the problem of 'failure to rescue' in acutely ill patients. This is a deficiency strongly associated with serious adverse events, cardiac arrest, or death. Rapid response systems (RRSs) and their efferent arm, the medical emergency team (MET), provide early specialist critical care to patients affected by the 'MET syndrome': unequivocal physiological instability or significant hospital staff concern for patients in a non-critical care environment. This intervention aims to prevent serious adverse events, cardiac arrests, and unexpected deaths. Though clinically logical and relatively simple, its adoption poses major challenges. Furthermore, research about the effectiveness of RRS is difficult to conduct. Sceptics argue that inadequate evidence exists to support its widespread application. Indeed, supportive evidence is based on before-and-after studies, observational investigations, and inductive reasoning. However, implementing a complex intervention like RRS poses enormous logistic, political, cultural, and financial challenges. In addition, double-blinded randomised controlled trials of RRS are simply not possible. Instead, as in the case of cardiac arrest and trauma teams, change in practice may be slow and progressive, even in the absence of level I evidence. It appears likely that the accumulation of evidence from different settings and situations, though methodologically imperfect, will increase the rationale and logic of RRS. A conclusive randomised controlled trial is unlikely to occur

    Classical Evolution of Quantum Elliptic States

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    The hydrogen atom in weak external fields is a very accurate model for the multiphoton excitation of ultrastable high angular momentum Rydberg states, a process which classical mechanics describes with astonishing precision. In this paper we show that the simplest treatment of the intramanifold dynamics of a hydrogenic electron in external fields is based on the elliptic states of the hydrogen atom, i.e., the coherent states of SO(4), which is the dynamical symmetry group of the Kepler problem. Moreover, we also show that classical perturbation theory yields the {\it exact} evolution in time of these quantum states, and so we explain the surprising match between purely classical perturbative calculations and experiments. Finally, as a first application, we propose a fast method for the excitation of circular states; these are ultrastable hydrogenic eigenstates which have maximum total angular momentum and also maximum projection of the angular momentum along a fixed direction. %Comment: 8 Pages, 2 Figures. Accepted for publication in Phys. Rev.

    Systemic and renal hemodynamic effects of intra-arterial radiocontrast

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    Hydrogen in excess of solid solubility precipitates as hydride phase of plate shaped morphology in hcp α-Zr with the broad face of the hydride plate coinciding with certain crystallographic plane of α-Zr crystal called habit plane. The objective of the present investigation is to predict the habit plane of δ-hydride precipitating in α-Zr at 298 K using strain energy minimization technique. The δ-hydride phase is modeled to undergo isotropic elasto-plastic deformation. The α-Zr phase was modeled to undergo transverse isotropic elastic deformation but isotropic plastic deformation. Accommodation strain energy of δ-hydride forming in α-Zr crystal was computed using initial strain method as a function of hydride nuclei orientation. Hydride was modeled as disk with round edge. Contrary to several habit planes reported in literature for δ- hydrides precipitating in α-Zr crystal, the total accommodation energy minima at 298 K suggests only basal plane i.e. (0001) as the habit plane

    Le traduire collectif – Propositions théoriques autour d’expériences de traduction collective

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    Les lignes qui suivent se proposent de questionner théoriquement le traduire collectif, objet théorique peu, voire pas étudié par la recherche universitaire. Nous le ferons en portant notre attention sur les aspects qui marquent un degré de différence et d’éloignement par rapport à la pratique solitaire. Le traduire collectif sera d’abord interrogé dans sa dimension de laboratoire. L’analyse de cet espace nous permettra, dans un deuxième temps, d’explorer les différentes déclinaisons de la dé..

    Non-local first-order modelling of crowd dynamics: a multidimensional framework with applications

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    In this work a physical modelling framework is presented, describing the intelligent, non-local, and anisotropic behaviour of pedestrians. Its phenomenological basics and constitutive elements are detailed, and a qualitative analysis is provided. Within this common framework, two first-order mathematical models, along with related numerical solution techniques, are derived. The models are oriented to specific real world applications: a one-dimensional model of crowd-structure interaction in footbridges and a two-dimensional model of pedestrian flow in an underground station with several obstacles and exits. The noticeable heterogeneity of the applications demonstrates the significance of the physical framework and its versatility in addressing different engineering problems. The results of the simulations point out the key role played by the physiological and psychological features of human perception on the overall crowd dynamics.Comment: 26 pages, 17 figure

    HER2 Copy Number and Resistance Mechanisms in Patients with HER2-positive Advanced Gastric Cancer Receiving Initial Trastuzumab-based Therapy in JACOB Trial

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    Resistance mechanisms; Advanced gastric cancer; TrastuzumabMecanismos de resistencia; Cáncer gástrico avanzado; TrastuzumabMecanismes de resistència; Càncer gàstric avançat; TrastuzumabPurpose: In JACOB trial, pertuzumab added to trastuzumab-chemotherapy did not significantly improve survival of patients with HER2-positive metastatic gastric cancer, despite 3.3 months increase versus placebo. HER2 copy-number variation (CNV) and AMNESIA panel encompassing primary resistance alterations (KRAS/PIK3CA/MET mutations, KRAS/EGFR/MET amplifications) may improve patients’ selection for HER2 inhibition. Experimental Design: In a post hoc analysis of JACOB on 327 samples successfully sequenced by next-generation sequencing (NGS; Oncomine Focus DNA), HER2 CNV, HER2 expression by IHC, and AMNESIA were correlated with overall response rate (ORR), progression-free survival (PFS), and overall survival (OS) by univariable/multivariable models. Results: Median HER2 CNV was 4.7 (interquartile range, 2.2–16.9). HER2 CNV-high versus low using the median as cutoff was associated with longer median PFS (10.5 vs. 6.4 months; HR = 0.48; 95% confidence interval: 0.38–0.62; P < 0.001) and OS (20.3 vs. 13.0 months; HR = 0.54; 0.42–0.72; P < 0.001). Combining HER2 CNV and IHC improved discriminative ability, with better outcomes restricted to HER2-high/HER2 3+ subgroup. AMNESIA positivity was found in 51 (16%), with unadjusted HR = 1.35 (0.98–1.86) for PFS; 1.43 (1.00–2.03) for OS. In multivariable models, only HER2 CNV status remained significant for PFS (P < 0.001) and OS (P = 0.004). Higher ORR was significantly associated with IHC 3+ [61% vs. 34% in 2+; OR = 3.11 (1.89–5.17)] and HER2-high [59% vs. 43% in HER2-low; OR = 1.84 (1.16–2.94)], with highest OR in the top CNV quartile. These biomarkers were not associated with treatment effect of pertuzumab. Conclusions: HER2 CNV-high assessed by NGS may be associated with better ORR, PFS, and OS in a JACOB subgroup, especially if combined with HER2 3+. The negative prognostic role of AMNESIA requires further clinical validation

    Geochemical and Isotopic Characterisation of Actual Lacustrine Sediments from the Hydrothermal Lake Specchio di Venere, Pantelleria Island (Italy)

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    Hydrothermal lakes are a very common feature in volcanic environments, and among these lake Specchio di Venere (Pantelleria island, Italy) has attracted the interest of several researchers due to its peculiar characteristics. With the aim of improving the knowledge of its mineralogy, our work pointed out the characterisation of the bottom lake sediments. We collected and analysed 5 sediments cores around the shoreline, determining the mineralogical phases, concentration of major, minor, and trace elements, and the isotopic composition of carbon and oxygen in the carbonate phases. Our findings remarked a general compositional homogeneity in both the vertical and horizontal distribution of mineral phases, with the exception of peculiar geological niches connoted by biological and hydrothermal activities. We wish to dedicate this paper to the memory of our colleague and friend Nancy Romengo, who shared with us the passion for the magic Pantelleria islan

    An rf-linac, FEL buncher

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    Abstract We describe a means of producing a train of 40 kA pulses of 3 ps duration as the drive beam for CLIC using an rf linac driven free electron laser (FEL) buncher. Potential debunching effects are discussed. Finally we describe a low energy test experiment

    Who chooses alternative sources of information about childhood vaccinations? A cross-sectional study

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    Introduction: Vaccine hesitancy can lead to problematic outcomes in terms of public health. A factor playing a fundamental role in this dynamic is the source of information considered by parents in the decision-making progress that leads to the acceptance or refusal of childhood vaccinations. This study aims to investigate the sources of information considered by the parents of children attending primary and secondary schools in two large Italian cities and to identify predictors that led to choosing alternative sources of information. Methods: An online questionnaire was administered to the parents of students attending elementary, middle, and high schools in Rome and Turin. Two validated tools were used: the Parent Attitudes about Childhood Vaccines Survey and the Vaccine Health Literacy of adults in Italian. Sources of information about vaccinations, trust toward the healthcare system, hesitancy and attitudes about COVID-19 vaccinations, were also investigated. A multivariable logistic regression model was built to identify predictors of the preferred sources of information on the topic. Results: Totally, 2,301 answers to the survey were collected from June to October 2021. Of these, 1,127 came from parents in Rome (49%) and 1,174 from parents based in Turin (51%) with a mean age of 47.7 years (±6.4). The majority of the respondents were mothers (81%), married (73%), with two or more children (70.5%). The multivariable logistic regression model results showed that fathers were more inclined than mothers to use alternative sources of information (OR 1.48, 95% CI 1.29–2.00). Moreover, a higher level of vaccine hesitancy was a strong predictor for choosing alternative sources of information (OR 2.45, 95% CI 1.73–3.46). The HLVa-it scores show that parents with a lower Vaccine Literacy (VL) were more inclined to use alternative sources of information. Discussion: Addressing health literacy issues and changing the official forms of communication could help improving vaccine acceptance. This study shows the importance of rebuilding a trusting relationship between patients and health care providers, which is fundamental in the fight against vaccine hesitancy
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