717 research outputs found

    Superconductivity and non-Fermi liquid behavior near a nematic quantum critical point

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    Using determinantal quantum Monte Carlo, we compute the properties of a lattice model with spin 12\frac 1 2 itinerant electrons tuned through a quantum phase transition to an Ising nematic phase. The nematic fluctuations induce superconductivity with a broad dome in the superconducting TcT_c enclosing the nematic quantum critical point. For temperatures above TcT_c, we see strikingly non-Fermi liquid behavior, including a "nodal - anti nodal dichotomy" reminiscent of that seen in several transition metal oxides. In addition, the critical fluctuations have a strong effect on the low frequency optical conductivity, resulting in behavior consistent with "bad metal" phenomenology

    Exploring Alternative Funding Methods for the Lead Remediation Program in Scott County, Iowa

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    For this project, five students worked to put together five alternative funding solutions for the Scott County Health Department\u27s lead remediation program. With limited government grants available, the health department is now considering local funding in order to address the issue of lead poisoning in Davenport, Iowa. These reports, along with other SWLI research, provide valuable information and are the foundation of the up-and-coming remediation program for the county

    An audit of discharge summaries

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    Background: In the continuum of patient care, admission to the department of medicine constitutes a brief yet critical period. Subsequent patient care depends on the discharge summary (DS) and its implementation. Aim: To evaluate the department of medicine -family physician interface by a discharge summaries audit. Method: A retrospective study analyzing all admissions and discharges between a department of medicine and a primary care clinic over a period of ten months. Results: 129 DS were evaluated and compared to 97 available primary care medical charts. Most admissions were due to a medical emergency (95%), the patients were often elderly and 23% lived alone. Hospital stay averaged 4.0±2.4 days, readmission rate was 15.8%. In 73% of the DS at least one new drug was prescribed. The family physician was the one expected to continue treatment in most of the cases, but in over a third of the patients, a referral to further consultation was deemed necessary. The DS was found in 82% of the primary care charts. Median time interval between discharge and consultation with the family physician was three days (range 1-30). Home visits by physicians were documented in eight cases only. Conclusion: Most discharged patients require further evaluation and newly prescribed medications, making a timely and coordinated continuous care in the community mandatory. A high quality, rapidly available DS is therefore important for the family physician. Whether improved communication will reduce readmissions and improve patient prognosis and quality of care should be clarified by further study.peer-reviewe

    Good physicians from the perspective of their patients

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    BACKGROUND: It is not currently known what is the patient's viewpoint of a "good" physician. We set out to define patient's priorities regarding different physician's attributes in 3 domains important in medical care. METHODS: Patients hospitalized or attending clinics at a large teaching hospital selected the 4 attributes that they considered most important out of 21 listed arbitrarily in a questionnaire. The questionnaire included 7 items each in the domains of patient autonomy, professional expertise and humanism. RESULTS: Participating patients (n = 445, mean age 57.5 ± 16 years) selected professional expertise (50%), physician's patience and attentiveness (38% and 30%, respectively), and informing the patient, representing the patient's interests, being truthful and respecting patient's preferences (25–36% each) as the most essential attributes. Patient's selections were not significantly influenced by different demographic or clinical background. Selections of attributes in the domain of patient's autonomy were significantly more frequent and this was the preferred domain for 31% and as important as another domain for 16% – significantly more than the domain of professional expertise (P = 0.008), and much more than the domain of humanism and support (P < 0.0005). CONCLUSIONS: Patients studied want their physicians to be highly professional and expert clinicians and show humaneness and support, but their first priority is for the physician to respect their autonomy

    Mechanics of extended masses in general relativity

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    The "external" or "bulk" motion of extended bodies is studied in general relativity. Compact material objects of essentially arbitrary shape, spin, internal composition, and velocity are allowed as long as there is no direct (non-gravitational) contact with other sources of stress-energy. Physically reasonable linear and angular momenta are proposed for such bodies and exact equations describing their evolution are derived. Changes in the momenta depend on a certain "effective metric" that is closely related to a non-perturbative generalization of the Detweiler-Whiting R-field originally introduced in the self-force literature. If the effective metric inside a self-gravitating body can be adequately approximated by an appropriate power series, the instantaneous gravitational force and torque exerted on it is shown to be identical to the force and torque exerted on an appropriate test body moving in the effective metric. This result holds to all multipole orders. The only instantaneous effect of a body's self-field is to finitely renormalize the "bare" multipole moments of its stress-energy tensor. The MiSaTaQuWa expression for the gravitational self-force is recovered as a simple application. A gravitational self-torque is obtained as well. Lastly, it is shown that the effective metric in which objects appear to move is approximately a solution to the vacuum Einstein equation if the physical metric is an approximate solution to Einstein's equation linearized about a vacuum background.Comment: 39 pages, 2 figures; fixed equation satisfied by the Green function used to construct the effective metri

    Structural expression of a fading rift front: a case study from the Oligo-Miocene Irbid rift of northwest Arabia

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    Not all continental rifts mature to form a young ocean. The mechanism and duration of their cessation depend on the crustal structure, modifications in plate kinematics, lithospheric thermal response, or the intensity of subcrustal flow (e.g., plume activity). The cessation is recorded in the structure and stratigraphy of the basins that develop during the rifting process. This architecture is lost due to younger tectonic inversion, severe erosion, or even burial into greater depths that forces their detection by low-resolution geophysical imaging. The current study focuses on a uniquely preserved Oligo-Miocene rift that was subsequently taken over by a crossing transform fault system and, mostly due to that, died out. We integrate all geological, geophysical, and previous study results from across the southern Galilee to unravel the structural development of the Irbid failing rift in northwest Arabia. Despite tectonic, magmatic, and geomorphologic activity postdating the rifting, its subsurface structure northwest of the Dead Sea fault is preserved at depths of up to 1&thinsp;km. Our results show that a series of basins subsided at the rift front, i.e., rift termination, across the southern Galilee. We constrain the timing and extent of their subsidence into two main stages based on facies analysis and chronology of magmatism. Between 20 and 9&thinsp;Ma grabens and half-grabens subsided within a larger releasing jog, following a NW direction of a deeper presumed principal displacement zone. The basins continued to subside until a transition from the transtensional Red Sea to the transpressional Dead Sea stress regime occurred. With the transition, the basins ceased to subside as a rift, while the Dead Sea fault split the jog structure. Between 9 and 5&thinsp;Ma basin subsidence accentuated and an uplift of their margins accompanied their overall elongation to the NNE. Our study provides for the first time a structural as well as tectonic context for the southern Galilee basins. Based on this case study we suggest that the rift did not fail but rather faded and was taken over by a more dominant stress regime. Otherwise, these basins of a failing rift could have simply died out peacefully.</p
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