50 research outputs found

    Decompactifications and Massless D-Branes in Hybrid Models

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    A method of determining the mass spectrum of BPS D-branes in any phase limit of a gauged linear sigma model is introduced. A ring associated to monodromy is defined and one considers K-theory to be a module over this ring. A simple but interesting class of hybrid models with Landau-Ginzburg fibres over CPn are analyzed using special Kaehler geometry and D-brane probes. In some cases the hybrid limit is an infinite distance in moduli space and corresponds to a decompactification. In other cases the hybrid limit is at a finite distance and acquires massless D-branes. An example studied appears to correspond to a novel theory of supergravity with an SU(2) gauge symmetry where the gauge and gravitational couplings are necessarily tied to each other.Comment: PDF-LaTeX, 34 pages, 2 mps figure

    Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics

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    Objective: To implement complex, PINCER (pharmacist led information technology intervention) prescribing indicators, on a national scale with general practice data to describe the impact of the covid-19 pandemic on safe prescribing.Design: Population based, retrospective cohort study using federated analytics.Setting: Electronic general practice health record data from 56.8 million NHS patients by use of the OpenSAFELY platform, with the approval of the National Health Service (NHS) England.Participants: NHS patients (aged 18-120 years) who were alive and registered at a general practice that used TPP or EMIS computer systems and were recorded as at risk of at least one potentially hazardous PINCER indicator.Main outcome measure: Between 1 September 2019 and 1 September 2021, monthly trends and between practice variation for compliance with 13 PINCER indicators, as calculated on the first of every month, were reported. Prescriptions that do not adhere to these indicators are potentially hazardous and can cause gastrointestinal bleeds; are cautioned against in specific conditions (specifically heart failure, asthma, and chronic renal failure); or require blood test monitoring. The percentage for each indicator is formed of a numerator of patients deemed to be at risk of a potentially hazardous prescribing event and the denominator is of patients for which assessment of the indicator is clinically meaningful. Higher indicator percentages represent potentially poorer performance on medication safety.Results: The PINCER indicators were successfully implemented across general practice data for 56.8 million patient records from 6367 practices in OpenSAFELY. Hazardous prescribing remained largely unchanged during the covid-19 pandemic, with no evidence of increases in indicators of harm as captured by the PINCER indicators. The percentage of patients at risk of potentially hazardous prescribing, as defined by each PINCER indicator, at mean quarter 1 (Q1) 2020 (representing before the pandemic) ranged from 1.11% (age ≥65 years and non-steroidal anti-inflammatory drugs) to 36.20% (amiodarone and no thyroid function test), while Q1 2021 (representing after the pandemic) percentages ranged from 0.75% (age ≥65 years and non-steroidal anti-inflammatory drugs) to 39.23% (amiodarone and no thyroid function test). Transient delays occurred in blood test monitoring for some medications, particularly angiotensin-converting enzyme inhibitors (where blood monitoring worsened from a mean of 5.16% in Q1 2020 to 12.14% in Q1 2021, and began to recover in June 2021). All indicators substantially recovered by September 2021. We identified 1 813 058 patients (3.1%) at risk of at least one potentially hazardous prescribing event.Conclusion: NHS data from general practices can be analysed at national scale to generate insights into service delivery. Potentially hazardous prescribing was largely unaffected by the covid-19 pandemic in primary care health records in England

    Clinical coding of long COVID in English primary care: a federated analysis of 58 million patient records in situ using OpenSAFELY.

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    BACKGROUND: Long COVID describes new or persistent symptoms at least 4 weeks after onset of acute COVID-19. Clinical codes to describe this phenomenon were recently created. AIM: To describe the use of long-COVID codes, and variation of use by general practice, demographic variables, and over time. DESIGN AND SETTING: Population-based cohort study in English primary care. METHOD: Working on behalf of NHS England, OpenSAFELY data were used encompassing 96% of the English population between 1 February 2020 and 25 May 2021. The proportion of people with a recorded code for long COVID was measured overall and by demographic factors, electronic health record software system (EMIS or TPP), and week. RESULTS: Long COVID was recorded for 23 273 people. Coding was unevenly distributed among practices, with 26.7% of practices having never used the codes. Regional variation ranged between 20.3 per 100 000 people for East of England (95% confidence interval [CI] = 19.3 to 21.4) and 55.6 per 100 000 people in London (95% CI = 54.1 to 57.1). Coding was higher among females (52.1, 95% CI = 51.3 to 52.9) than males (28.1, 95% CI = 27.5 to 28.7), and higher among practices using EMIS (53.7, 95% CI = 52.9 to 54.4) than those using TPP (20.9, 95% CI = 20.3 to 21.4). CONCLUSION: Current recording of long COVID in primary care is very low, and variable between practices. This may reflect patients not presenting; clinicians and patients holding different diagnostic thresholds; or challenges with the design and communication of diagnostic codes. Increased awareness of diagnostic codes is recommended to facilitate research and planning of services, and also surveys with qualitative work to better evaluate clinicians' understanding of the diagnosis

    Trends and clinical characteristics of COVID-19 vaccine recipients: a federated analysis of 57.9 million patients’ primary care records in situ using OpenSAFELY.

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    BACKGROUND: On 8 December 2020 NHS England administered the first COVID-19 vaccination. AIM: To describe trends and variation in vaccine coverage in different clinical and demographic groups in the first 100 days of the vaccine rollout. DESIGN AND SETTING: With the approval of NHS England, a cohort study was conducted of 57.9 million patient records in general practice in England, in situ and within the infrastructure of the electronic health record software vendors EMIS and TPP using OpenSAFELY. METHOD: Vaccine coverage across various subgroups of Joint Committee on Vaccination and Immunisation (JCVI) priority cohorts is described. RESULTS: A total of 20 852 692 patients (36.0%) received a vaccine between 8 December 2020 and 17 March 2021. Of patients aged ≥80 years not in a care home (JCVI group 2) 94.7% received a vaccine, but with substantial variation by ethnicity (White 96.2%, Black 68.3%) and deprivation (least deprived 96.6%, most deprived 90.7%). Patients with pre-existing medical conditions were more likely to be vaccinated with two exceptions: severe mental illness (89.5%) and learning disability (91.4%). There were 275 205 vaccine recipients who were identified as care home residents (JCVI group 1; 91.2% coverage). By 17 March, 1 257 914 (6.0%) recipients had a second dose. CONCLUSION: The NHS rapidly delivered mass vaccination. In this study a data-monitoring framework was deployed using publicly auditable methods and a secure in situ processing model, using linked but pseudonymised patient-level NHS data for 57.9 million patients. Targeted activity may be needed to address lower vaccination coverage observed among certain key groups

    CrI3 magnetic nanotubes: A comparative DFT and DFT+ U study, and strain effect

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    In this paper, structural and electronic properties of CrI3 magnetic nanotubes (NTs) are studied using density functional theory. Both armchair and zigzag CrI3 nanotubes demonstrate a high correlation in strain energy between each other independently on accounting the Hubbard correction. The strain energies decrease with expansion of the tube diameter making the tubes’ synthesis with a diameter larger than 45 Å to be energetically possible. The nanotubes of both zigzag and armchair chirality are ferromagnetic semiconductors with band gaps close to that of the CrI3 monolayer. The band gaps are suppressed by reducing the tube diameters due to the structural stress leading to deformation of the Cr–I crystal field and changes in the bond lengths. The external strain can be utilized to flexibly tune the electronic properties of CrI3 nanotubes with the desired spin-up/spin-down band gap ratio. Strong distortion of the octahedral Cr–I crystal field under compression results in nontrivial behavior in the spin-up band gap of (4, 4) tube. Stretching of tubes leads to the enhancement of the exchange energy that should result in higher Curie temperature, therefore providing a good platform for potential applications in spintronic nanodevices

    External electric field effect on electronic properties and charge transfer in CoI2/NiI2 spinterface

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    Première séance. Etat matériel des sociétés socialistes, économie

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    Lazard Francette, Legrand Jacques, Avramov Roumen, Boccara Paul, Samary Catherine, Marton Imre, Engert Manfred, Biard Joël, Iliev Petkor, Decaillot Maurice. Première séance. Etat matériel des sociétés socialistes, économie. In: Recherches Internationales, n°34, 1989. Évolutions des sociétés socialistes (II). Enjeux, réalités, tendances. Actes du colloque de FIRM tenu à l’Université de Paris Dauphine les 20-22 octobre 1989. pp. 7-36

    Translation Symmetry Breakdown in Low-Dimensional Lattices of Pentagonal Rings

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    The mechanism of translation symmetry breakdown in newly proposed low-dimensional carbon pentagon-constituted nanostructures (e.g., pentagraphene) with multiple sp<sup>2</sup>/sp<sup>3</sup> sublattices was studied by GGA DFT, DFTB, and model potential approaches. It was found that finite nanoclusters suffer strong uniform unit cell bending followed by breaking of crystalline lattice linear translation invariance caused by structural mechanical stress. It was shown that 2D sp<sup>2</sup>/sp<sup>3</sup> nanostructures are correlated transition states between two symmetrically equivalent bent structures. At DFT level of theory the distortion energy of the flakes (7.5 × 10<sup>–2</sup> eV/atom) is much higher the energy of dynamical stabilization of graphene. Strong mechanical stress prevents stabilization of the nanoclusters on any type of supports by either van der Waals or covalent bonding and should lead to formation of pentatubes, nanorings, or nanofoams rather than infinite nanoribbons or nanosheets. Formation of two-layered pentagraphene structures leads to compensation of the stress and stabilization of flat finite pentaflakes
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