5,079 research outputs found
Critical points in a relativistic bosonic gas induced by the quantum structure of spacetime
It is well known that phase transitions arise if the interaction among
particles embodies an attractive as well as a repulsive contribution. In this
work it will be shown that the breakdown of Lorentz symmetry, characterized
through a deformation in the relation dispersion, plus the bosonic statistics
predict the emergence of critical points. In other words, in some quantum
gravity models the structure of spacetime implies the emergence of critical
points even when no interaction among the particle has been considered.Comment: 5 pages, no figure
Time Delays on Carotid Endarterectomy: Institutional Experience and Improvement Strategies
Objetivos: Avaliar as vias de referenciação dos doentes com estenoses carotídeas sintomáticas
que foram operados na nossa instituição; estruturar os tempos de espera desde os primeiros
sintomas neurológicos à data da cirurgia; identificar os fatores responsáveis pelos atrasos e criar
estratégias que permitam reduzi-los.
Material e métodos: Realizou-se um estudo observacional retrospetivo de todos os doentes com
estenoses carotídeas sintomáticas submetidas a endarterectomia carotídea na nossa instituição
entre 2011-2013. Foram identificadas as etapas essenciais no processo de referenciação dos
doentes e foram colhidos dados referentes às datas do início dos sintomas, primeiro contacto
médico, exames de imagem vascular, referenciação ao cirurgião, consulta de cirurgia vascular
e da endarterectomia carotídea. O tempo decorrido entre o evento neurológico e a cirurgia foi
calculado em dias e todos os atrasos identificados foram analisados detalhadamente.
Resultados: A mediana do tempo de espera do evento neurológico à cirurgia foi de 27,5 dias
(intervalo 7-581).Os maiores atrasos verificaram-se entre a data em que é colocada a indicação
cirúrgica e a endarterectomia carotídea (mediana 9 dias; intervalo 1-349); na referenciação dos
doentes à consultadecirurgia vascular (mediana 6,5 dias; intervalo 0-97)e entre o primeiro contacto médico e a realização dos exames de imagem vascular (mediana 6 dias; intervalo 1-71).
Dos 60 doentes incluídos, apenas 21,7% foram operados nos primeiros 14 dias após o evento
neurológico. O atraso foi significativamente menor nos doentes admitidos de forma urgente
por transferência inter/intra-hospitalar (n=30; mediana 15 dias, intervalo 7-163) comparativamente aos doentes admitidos eletivamente pela consulta (n=30; mediana 86 dias, intervalo
13-581 dias) (p<0,0001).Discussão: Apesar da evidência atual, ainda existem atrasos significativos no processo de referenciação dos doentes com estenoses carotídeas sintomáticas. Estratégias direcionadas à
redução destes atrasos poderão aumentar substancialmente a proporção de doentes submetidos
a endarterectomia carotídea até 14 dias após o evento neurológico inicial
Copper: Synthesis Techniques in Nanoscale and Powerful Application as an Antimicrobial Agent
Nanosized metal particles show specific physical and chemical properties that allow the creation of new composites materials, which are important for multiple applications in biology and medicine such as infections control. Metal nanoparticles, mainly copper, exhibit excellent inhibitory effect on Gram-positive and Gram-negative bacteria; therefore the exploration about the efficient, economical, and friendly environmental technics to synthesize inorganic nanoparticles is imperative. In this work a brief overview of the several methods is made including the comparison of the methods, mainly between sonochemical, microwave, and chemical routes. It allows determining the optimal parameters and technical conditions to synthesize copper nanoparticles with physical and chemical properties suitable for the oral bacterial inhibition
Influence of perhalophenyl groups in the TADF mechanism of diphosphino gold(I) complexes
New perhalophenyl three-coordinated gold(i) complexes using the chelate ligand 1,2-bis(diphenyl-phosphino)benzene (dppBz) and [AuR(tht)] (R = C6F5 (1), o-C6BrF4 (2), p-C6BrF4 (3), o-C6F4I (4), p-C6F4I (5); tht = tetrahydrothiophene) have been prepared. The crystal structures of compounds 1 and 2 consist of distorted three-coordinated Au(i) complexes displaying different Au-P distances at the same gold atom. The complexes show intense photoluminescent emission in the solid state at room temperature (RT) and at 77 K. The study of the dependence of the emission lifetime with temperature suggests the existence of thermally activated delayed fluorescence (TADF) processes at RT. We have computed the rate constants for intersystem crossing and reverse intersystem crossing of the photophysical processes through first-principle calculations, supporting the experimental observations with very good agreement.Peer reviewe
Primary Angioplasty in a Catastrophic Presentation: Acute Left Main Coronary Total Occlusion—The ATOLMA Registry
Objectives. To determine the outcome predictors of in-hospital mortality in acute total occlusion of the left main coronary artery (ATOLMA) patients referred to emergent angioplasty and to describe the clinical presentation and the long-term outcome of these patients.Background. ATOLMA is an uncommon angiographic finding that usually leads to a catastrophic presentation. Limited and inconsistent data have been previously reported regarding true ATOLMA, yet comprehensive knowledge remains scarce.Methods. This is a multicenter retrospective cohort that includes patients presenting with myocardial infarction due to a confirmed ATOLMA who underwent emergency percutaneous coronary intervention (PCI).Results. In the period of the study, 7930 emergent PCI were performed in the five participating centers, and 46 of them had a true ATOLMA (0.58%). At admission, cardiogenic shock was present in 89% of patients, and cardiopulmonary resuscitation was required in 67.4%. All the patients had right dominance. Angiographic success was achieved in 80.4% of the procedures, 13 patients (28.2%) died during the catheterization, and the in-hospital mortality rate was 58.6% (27/46). At one-year and at the final follow-up, 18 patients (39%) were alive, including four cases successfully transplanted. Multivariate analysis showed that postprocedural TIMI flow was the only independent predictor of in-hospital mortality (OR 0.23, (95% CI 0.1-0.36),p<0.001).Conclusions. Our study confirms that the clinical presentation of ATOLMA is catastrophic, presenting a high in-hospital mortality rate; nevertheless, primary angioplasty in this setting is feasible. Postprocedural TIMI flow resulted as the only independent predictor of in-hospital mortality. In-hospital survivors presented an encouraging outcome. ATOLMA and left dominance could be incompatible with life
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