Investigating tiredness in Australian general practice - Do pathology tests help in diagnosis?

Copyright © 2003 Australian College of General Practitioners Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.INTRODUCTION: Tiredness is a common presentation in general practice for which pathology tests are commonly ordered. Our aim was to study their utilisation for tiredness. METHODS: We examined an integrated database which contains the medical records for 58,139 patients and their 696,518 associated general practitioner encounters. Three hundred and forty-two patients and their 1652 associated encounters were randomly selected out of 12,291 patients and their 26,748 associated encounters that had mentioned tiredness (or a synonym). RESULTS: One hundred and eighty-one patients (53%) had at least one pathology test ordered at any time in their episode of care. Patients over 60 years of age, patients who consulted their GP more than once and patients without comorbidity were more likely to have a pathology test ordered. Only 12 patients (3%) had a significant clinical diagnosis based on an abnormal pathology test. CONCLUSION: Pathology testing for patients presenting with tiredness is high. Most tests do not yield a significant clinical diagnosis.A Gialamas, JJ Beilby, NL Pratt, R Henning, JE Marley and JF Roddic

Phase fluctuations in superconductors: from Galilean invariant to quantum XY models

We analyze the corrections to the superfluid density due to phase fluctuations within both a continuum and a lattice model for $s$- and d-wave superconductors. We expand the phase-only action beyond the Gaussian level and compare our results with the quantum XY model both in the quantum and in the classical regime. We find new dynamic anharmonic vertices, absent in the quantum XY model, which are responsible for the vanishing of the correction to the superfluid density at zero temperature in a continuum (Galilean invariant) model. Moreover the phase-fluctuation effects are reduced with respect to the XY model by a factor at least of order $1/(k_F\xi_0)^2$.Comment: 4 pages; shorter version, accepted for publication on Phys. Rev. B Rapid Com

Functional Brain Imaging with Multi-Objective Multi-Modal Evolutionary Optimization

Functional brain imaging is a source of spatio-temporal data mining problems. A new framework hybridizing multi-objective and multi-modal optimization is proposed to formalize these data mining problems, and addressed through Evolutionary Computation (EC). The merits of EC for spatio-temporal data mining are demonstrated as the approach facilitates the modelling of the experts' requirements, and flexibly accommodates their changing goals

Strong-coupling perturbation theory for the two-dimensional Bose-Hubbard model in a magnetic field

The Bose-Hubbard model in an external magnetic field is investigated with strong-coupling perturbation theory. The lowest-order secular equation leads to the problem of a charged particle moving on a lattice in the presence of a magnetic field, which was first treated by Hofstadter. We present phase diagrams for the two-dimensional square and triangular lattices, showing a change in shape of the phase lobes away from the well-known power-law behavior in zero magnetic field. Some qualitative agreement with experimental work on Josephson-junction arrays is found for the insulating phase behavior at small fields.Comment: 7 pages, 5 figures include

One-dimensional Josephson arrays as superlattices for single Cooper pairs

We investigate uniform one-dimensional arrays of small Josephson junctions ($E_J \ll E_C$, $E_C = (2e)^2/2C$) with a realistic Coulomb interaction $U(x) = E_C \lambda \exp( - |x|/\lambda)$ (here $\lambda \gg 1$ is the screening length in units of the lattice constant of the array). At low energies this system can be described in terms of interacting Bose particles (extra single Cooper pairs) on the lattice. With increasing concentration $\nu$ of extra Cooper pairs, a crossover from the Bose gas phase to the Wigner crystal phase and then to the superlattice regime occurs. The phase diagram in the superlattice regime consists of commensurable insulating phases with $\nu = 1/l$ ($l$ is integer) separated by superconducting regions where the current is carried by excitations with {\em fractional} electric charge $q = \pm 2e/l$. The Josephson current through a ring-shaped array pierced by magnetic flux is calculated for all of the phases.Comment: 4 pages (LATEX), 2 figure

The Bose Metal: gauge field fluctuations and scaling for field tuned quantum phase transitions

In this paper, we extend our previous discussion of the Bose metal to the field tuned case. We point out that the recent observation of the metallic state as an intermediate phase between the superconductor and the insulator in the field tuned experiments on MoGe films is in perfect consistency with the Bose metal scenario. We establish a connection between general dissipation models and gauge field fluctuations and apply this to a discussion of scaling across the quantum phase boundaries of the Bose metallic state. Interestingly, we find that the Bose metal scenario implies a possible {\em two} parameter scaling for resistivity across the Bose metal-insulator transition, which is remarkably consistent with the MoGe data. Scaling at the superconductor-metal transition is also proposed, and a phenomenolgical model for the metallic state is discussed. The effective action of the Bose metal state is described and its low energy excitation spectrum is found to be $\omega \propto k^{3}$.Comment: 15 pages, 1 figur

Anisotropy in the helicity modulus of a 3D XY-model: application to YBCO

We present a Monte Carlo study of the helicity moduli of an anisotropic classical three-dimensional (3D) XY-model of YBCO in superconducting state. It is found that both the ab-plane and the c-axis helicity moduli, which are proportional to the inverse square of the corresponding magnetic field penetration depth, vary linearly with temperature at low temperatures. The result for the c-axis helicity modulus is in disagreement with the experiments on high quality samples of YBCO. Thus we conclude that purely classical phase fluctuations of the superconducting order parameter cannot account for the observed c-axis electrodynamics of YBCO.Comment: 7 pages, 1 figur

Phase separation in supersolids

We study quantum phase transitions in the ground state of the two dimensional hard-core boson Hubbard Hamiltonian. Recent work on this and related models has suggested ``supersolid'' phases with simultaneous diagonal and off-diagonal long range order. We show numerically that, contrary to the generally held belief, the most commonly discussed ``checkerboard'' supersolid is thermodynamically unstable. Furthermore, this supersolid cannot be stabilized by next near neighbour interaction. We obtain the correct phase diagram using the Maxwell construction. We demonstrate the ``striped'' supersolid is thermodynamically stable and is separated from the superfluid phase by a continuous phase transition.Comment: 4 pages, 4 eps figures, include

Classical Phase Fluctuations in High Temperature Superconductors

Phase fluctuations of the superconducting order parameter play a larger role in the cuprates than in conventional BCS superconductors because of the low superfluid density of a doped insulator. In this paper, we analyze an XY model of classical phase fluctuations in the high temperature superconductors using a low-temperature expansion and Monte Carlo simulations. In agreement with experiment, the value of the superfluid density at temperature T=0 is a quite robust predictor of Tc, and the evolution of the superfluid density with T, including its T-linear behavior at low temperature, is insensitive to microscopic details.Comment: 4 pages, 1 figur

Aquatic plant Azolla as the universal feedstock for biofuel production

Background: The quest for sustainable production of renewable and cheap biofuels has triggered an intensive search for domestication of the next generation of bioenergy crops. Aquatic plants which can rapidly colonize wetlands are attracting attention because of their ability to grow in wastewaters and produce large amounts of biomass. Representatives of Azolla species are some of the fastest growing plants, producing substantial biomass when growing in contaminated water and natural ecosystems. Together with their evolutional symbiont, the cyanobacterium Anabaena azollae, Azolla biomass has a unique chemical composition accumulating in each leaf including three major types of bioenergy molecules: cellulose/hemicellulose, starch and lipids, resembling combinations of terrestrial bioenergy crops and microalgae. Results: The growth of Azolla filiculoides in synthetic wastewater led up to 25, 69, 24 and 40 % reduction of NH4-N, NO3-N, PO4-P and selenium, respectively, after 5 days of treatment. This led to a 2.6-fold reduction in toxicity of the treated wastewater to shrimps, common inhabitants of wetlands. Two Azolla species, Azolla filiculoides and Azolla pinnata, were used as feedstock for the production of a range of functional hydrocarbons through hydrothermal liquefaction, bio-hydrogen and bio-ethanol. Given the high annual productivity of Azolla, hydrothermal liquefaction can lead to the theoretical production of 20.2 t/ha-year of bio-oil and 48 t/ha-year of bio-char. The ethanol production from Azolla filiculoides, 11.7 × 103 L/ha-year, is close to that from corn stover (13.3 × 103 L/ha-year), but higher than from miscanthus (2.3 × 103 L/ha-year) and woody plants, such as willow (0.3 × 103 L/ha-year) and poplar (1.3 × 103 L/ ha-year). With a high C/N ratio, fermentation of Azolla biomass generates 2.2 mol/mol glucose/xylose of hydrogen, making this species a competitive feedstock for hydrogen production compared with other bioenergy crops