87 research outputs found
NMR and NQR Fluctuation Effects in Layered Superconductors
We study the effect of thermal fluctuations of the s-wave order parameter of
a quasi two dimensional superconductor on the nuclear spin relaxation rate near
the transition temperature Tc. We consider both the effects of the amplitude
fluctuations and the Berezinskii-Kosterlitz-Thouless (BKT) phase fluctuations
in weakly coupled layered superconductors. In the treatment of the amplitude
fluctuations we employ the Gaussian approximation and evaluate the longitudinal
relaxation rate 1/T1 for a clean s-wave superconductor, with and without pair
breaking effects, using the static pair fluctuation propagator D. The increase
in 1/T1 due to pair breaking in D is overcompensated by the decrease arising
from the single particle Green's functions. The result is a strong effect on
1/T1 for even a small amount of pair breaking. The phase fluctuations are
described in terms of dynamical BKT excitations in the form of pancake
vortex-antivortex (VA) pairs. We calculate the effect of the magnetic field
fluctuations caused by the translational motion of VA excitations on 1/T1 and
on the transverse relaxation rate 1/T2 on both sides of the BKT transitation
temperature T(BKT)<Tc. The results for the NQR relaxation rates depend strongly
on the diffusion constant that governs the motion of free and bound vortices as
well as the annihilation of VA pairs. We discuss the relaxation rates for real
multilayer systems where the diffusion constant can be small and thus increase
the lifetime of a VA pair, leading to an enhancement of the rates. We also
discuss in some detail the experimental feasibility of observing the effects of
amplitude fluctuations in layered s-wave superconductors such as the
dichalcogenides and the effects of phase fluctuations in s- or d-wave
superconductors such as the layered cuprates.Comment: 38 pages, 12 figure
Structural and electrical properties of ZnS/CdTe and ZnTe/CdTe heterostructures
We investigated the structural, substructural and electrical properties of ZnS/CdTe and ZnTe/CdTe heterostructures obtained by the close-spaced vacuum sublimation. It was found that the structural properties of CdTe and ZnTe thin films deposited on ZnS or CdTe sublayers are better than those of the films obtained on glass substrate at the same growth conditions. XRD-analysis has shown that Zn(x)Cd(1- x)Te(x = 0.21-0.30) solid solutions having the cubic phase were formed near the films’ interfaces. Furthermore, the saturation current, the ideality factor and the value of the potential barrier height were determined by the analysis of dark currentevoltage characteristics. This makes it possible to establish optimal growth conditions of ZnS/CdTe heterojunctions.
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The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set
Background
Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables.
Methods
Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set.
Results
Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001).
Conclusions
The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy
Whole-genome sequencing reveals host factors underlying critical COVID-19
Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalization2,3,4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling (IL10RB and PLSCR1), leucocyte differentiation (BCL11A) and blood-type antigen secretor status (FUT2). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase (ATP11A), and increased expression of a mucin (MUC1)—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules (SELE, ICAM5 and CD209) and the coagulation factor F8, all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease
Social and behavioural factors associated with HIV seroconversion in homosexual men attending a central London STD clinic: a feasibility study
Abstract An unmatched retrospective case control study was conducted to test the feasibility of investigating social and behavioural factors which may have contributed to recent HIV seroconversion in a group of homosexual men. Participants, recruited from a London sexually transmitted disease (STD) clinic, were sexually active and had had a negative HIV test with a subsequent test (positive (cases) or negative (controls)) within three to 15 months. Twenty cases and 22 controls were recruited between February and October 1995. There was no difference between cases and controls in: the number of regular or casual sexual partners, the proportion who were unaware of their regular partners' serostatus (cases 60%, controls 59%), or the proportion who had known HIV-positive regular partners (cases 20%, controls 23%). A significant difference in sexual behaviour was found only when the HIV status of partners, if known, was taken into account: cases were more likely than controls to have had unprotected receptive anal intercourse with a partner not known to be HIV-negative (OR=5.5, CI=1.15-29.50). Fifty per cent of the cases and 27% of the controls acquired acute STDs between the two HIV tests. All participants achieved high self-efficacy scores, but the controls believed their peers placed a greater value on safer sex. Cases cited emotional issues and the use of drugs and alcohol as contributing to theft seroconversion, whereas controls cited a commitment to safer sex and the avoidance of high-risk situations as contributing to theft remaining HIV-negative. The results illustrate the importance of acknowledging the concept of 'negotiated safety' in studies of sexual behaviour; seroconversion was only associated with unprotected sex with a partner not known to be HIV-negative. Despite high self-efficacy scores, indicating the skills to negotiate safer sex, high levels of unsafe anal intercourse were reported. Differences between cases and controls included the importance of safer sex, periods of emotional vulnerability, influence of peers and the appropriate use of condoms. There is a need for these results to be confirmed in a larger and more powerful study
Extremely low birth weight and control infants at 2 years corrected age: A comparison of intellectual abilities, motor performance, growth and health
A 2-year cohort of 63 surviving extremely low birth weight (ELBW) infants was prospectively studied and 60 of these infants, together with 44 normal birth weight control infants, were assessed at 2 years of age for intellectual abilities, motor skills, growth and health. The total ELBW group differed significantly from controls on overall Griffiths developmental quotient (99.3 vs. 103.8 P = 0.02) and in the personal/social subscale (100.7 vs. 106.7 P = 0.01). A subset of 43 of the ELBW infants was identified as low risk at discharge. No statistically significant differences were present between the low risk ELBW subset and controls in intellectual abilities though both the total ELBW group and the low risk ELBW subset differed from controls in fine and gross motor abilities, and in weight at 2 years. The total ELBW group also experienced more frequent ill health and hospital readmission
How do red knots Calidris canutus leave Northwest Australia in May and reach the breeding grounds in June? Predictions of stopover times, fuelling rates and prey quality in the Yellow Sea
In general, Arctic-breeding waders leave non-breeding grounds in Australasia from March (New Zealand) to mid-April (Northwest Australia). Here we provide evidence from radio-tracking and visual observations that many red knots Calidris canutus do not leave Roebuck Bay, Northwest Australia, until early or mid-May. Late-departing red knots probably belong to the subspecies piersmai, which breeds on the New Siberian Islands, 10,400 km from Northwest Australia. Based on comparisons of temperatures on the breeding grounds of different knot subspecies, we predict that piersmai knots would not arrive on the breeding grounds until early June, leaving at most 3–4 weeks refuelling in Asia. Using a model of fuelling capacity in relation to prey quality and gizzard mass, we show that these knots must fuel very differently in Australia and Asia. In Australia, knots have seemingly suboptimal gizzard sizes and deposit fuel slowly. In the Yellow Sea, birds could only fuel up within the available time if they either enlarged their gizzards substantially or encountered prey qualities much higher than in Australia, for which we provide quantitative predictions.
Shear wave velocity monitoring of collapsible loessic brickearth soil
Metastable loessic brickearth comprises a stiff fabric structure with inter-particle interactions different to those normally associated with clay-sized or silt-sized particle fabrics. Laboratory samples loaded near in situ moisture contents exhibited little consolidation and relatively high shear wave velocities, which changed in response to sample flooding. In situ hydro-collapse caused non-monotonic changes in the velocity of shear waves through loessic brickearth that was subjected to simple flooding and to flooding while under additional surface loading. Hydro-collapse in situ resulted in an overall reduction of up to 50% in the shear wave velocity. A conceptual model of brickearth structure based on SEM images is presented to explain the process of collapse and its effect on shear wave velocity. These indicate a transition from a relatively low-density, high-stiffness fabric to the higher-density, lower-stiffness fabric during structural collapse of the loessic brickearth. The collapse process disrupts clay bridge-bonds that hold individual and aggregated clay-coated silt sized particles in an open packed structure, and which are absent in a more closely packed collapsed structure. These studies provide information for geohazard research and the development of shear wave velocity and other geophysical tools to assess soil collapse potential in situ
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