2,217 research outputs found

    Magnetism in heavy-fermion U(Pt,Pd)3 studied by mSR

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    We report mSR experiments carried out on a series of heavy-electron pseudobinary compounds U(Pt1-xPdx)3 (x<=0.05). For x<=0.005 the zero-field muon depolarisation is described by the Kubo-Toyabe function. However the temperature variation of the Kubo-Toyabe relaxation rate does not show any sign of the small-moment antiferromagnetic phase with TN~6 K (signalled by neutron diffraction), in contrast to previous reports. The failure to detect the small ordered moment suggests it has a fluctuating (> 10 MHz) nature, which is consistent with the interpretation of NMR data. For 0.01<=x<=0.05 the muon depolarisation in the ordered state is described by two terms of equal amplitude: an exponentially damped spontaneous oscillation and a Lorentzian Kubo-Toyabe function. These terms are associated with antiferromagnetic order with substantial moments. The Knight-shift measured in a magnetic field of 0.6 T on single-crystalline U(Pt0.95Pd0.05)3 in the paramagnetic state shows two signals for B perpendicular to c, while only one signal is observed for B||c. The observation of two signals for B perpendicular to c, while there is only one muon localisation site (0,0,0), points to the presence of two spatially distinct regions of different magnetic response.Comment: 25 pages including 12 figures (PS), J. Phys.: Condens. Matter, in prin

    Development of a National Core Dataset for Preoperative Assessment

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    Objective:To define a core dataset for preoperative assessment to leverage uniform data collection in this domain. This uniformity is a prerequisite for data exchange between care providers and semantic interoperability between health record systems. Methods: To design this core dataset a combination of literature review and expert consensus meetings were used. In the first meeting a working definition for “core dataset” was specified. Subgroups were formed to address major headings of the core dataset. In the following eight meetings data items for each subheading were discussed. The items in the resulting draft of the dataset were compared to those retrieved from an earlier literature review study. In the last two expert meetings modifications of the dataset were performed based on the result of this literature study. Results: Based on expert consensus a draft dataset including 82 data items was designed. Seventy-six percent of data items in the draft dataset were covered by the literature study. Nine data items were modified in the draft and 14 data items were added to the dataset based on input from the literature review. The final dataset of 93 data items covers patient history, physical examination, supplementary examination and consultation, and final judgment. Conclusions: This preoperative-assessment dataset was defined based on expert con - sensus and literature review. Both methods proved to be valuable and complementary. This dataset opens the door for creating standardized approaches in data collection in the preoperative assessment field which will facilitate interoperability between different electronic health records and different users

    Formalization and computation of quality measures based on electronic medical records

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    Ambiguous definitions of quality measures in natural language impede their automated computability and also the reproducibility, validity, timeliness, traceability, comparability, and interpretability of computed results. Therefore, quality measures should be formalized before their release. We have previously developed and successfully applied a method for clinical indicator formalization (CLIF). The objective of our present study is to test whether CLIF is generalizable--that is, applicable to a large set of heterogeneous measures of different types and from various domains. We formalized the entire set of 159 Dutch quality measures for general practice, which contains structure, process, and outcome measures and covers seven domains. We relied on a web-based tool to facilitate the application of our method. Subsequently, we computed the measures on the basis of a large database of real patient data. Our CLIF method enabled us to fully formalize 100% of the measures. Owing to missing functionality, the accompanying tool could support full formalization of only 86% of the quality measures into Structured Query Language (SQL) queries. The remaining 14% of the measures required manual application of our CLIF method by directly translating the respective criteria into SQL. The results obtained by computing the measures show a strong correlation with results computed independently by two other parties. The CLIF method covers all quality measures after having been extended by an additional step. Our web tool requires further refinement for CLIF to be applied completely automatically. We therefore conclude that CLIF is sufficiently generalizable to be able to formalize the entire set of Dutch quality measures for general practic

    Construction of an Interface Terminology on SNOMED CT Generic Approach and Its Application in Intensive...

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    Objective: To provide a generic approach for developing a domain-specific interface terminology on SNOMED CT and to apply this approach to the domain of intensive care. Methods:The process of developing an interface terminology on SNOMED CT can be regarded as six sequential phases: domain analysis, mapping from the domain con - cepts to SNOMED CT concepts, creating the SNOMED CT subset guided by the mapping, extending the subset with non-covered concepts, constraining the subset by removing irrelevant content, and deploying the subset in a terminology server. Results:The APACHE IV classification, a standard in the intensive care with 445 diagnostic categories, served as the starting point for designing the interface terminology. The majority (89.2%) of the diagnostic categories from APACHE IV could be mapped to SNOMED CT concepts and for the remaining concepts a partial match was identified. The resulting initial set of mapped concepts consisted of 404 SNOMED CT concepts. This set could be extended to 83,125 concepts if all taxonomic children of these concepts were included. Also including all concepts that are referred to in the definition of other concepts lead to a subset of 233,782 concepts. An evaluation of the interface terminology should reveal what level of detail in the subset is suitable for the intensive care domain and whether parts need further constraining. In the final phase, the interface terminology is implemented in the intensive care in a locally developed terminology server to collect the reasons for intensive care admission. Conclusions: We provide a structure for the process of identifying a domain-specific interface terminology on SNOMED CT. We use this approach to design an interface terminology on SNOMED CT for the intensive care domain. This work is of value for other researchers who intend to build a domain-specific interface terminology on SNOMED CT

    Some thoughts about nonequilibrium temperature

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    The main objective of this paper is to show that, within the present framework of the kinetic theoretical approach to irreversible thermodynamics, there is no evidence that provides a basis to modify the ordinary Fourier equation relating the heat flux in a non-equilibrium steady state to the gradient of the local equilibrium temperature. This fact is supported, among other arguments, through the kinetic foundations of generalized hydrodynamics. Some attempts have been recently proposed asserting that, in the presence of non-linearities of the state variables, such a temperature should be replaced by the non-equilibrium temperature as defined in Extended Irreversible Thermodynamics. In the approximations used for such a temperature there is so far no evidence that sustains this proposal.Comment: 13 pages, TeX, no figures, to appear in Mol. Phy

    Superconductivity in heavy-fermion U(Pt,Pd)3 and its interplay with magnetism

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    The effect of Pd doping on the superconducting phase diagram of the unconventional superconductor UPt3 has been measured by (magneto)resistance, specific heat, thermal expansion and magnetostriction. Experiments on single- and polycrystalline U(Pt1-xPdx)3 for x<= 0.006 show that the superconducting transition temperatures of the A phase, Tc+, and of the B phase, Tc-, both decrease, while the splitting DTc increases at a rate of 0.30(2)K/at.%Pd. We find that DTc(x) correlates with an increase of the weak magnetic moment m(x) upon Pd doping. This provides further evidence for Ginzburg-Landau scenarios with magnetism as the symmetry breaking field, i.e. the 2D E representation and the 1D odd parity model. Only for small splittings DTc is proportional to m^2(Tc+) (DTc<= 0.05 K) as predicted. The results at larger splittings call for Ginzburg-Landau expansions beyond 4th order. The tetracritical point in the B-T plane persists till at least x= 0.002 for B perpendicular to c, while it is rapidly suppressed for B||c. Upon alloying the A and B phases gain stability at the expense of the C phase.Comment: 25 pages text (PS), 8 pages with 14 figures (PS), submitted to Phys.Rev.
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