2,997 research outputs found

    Effective-Mass Klein-Gordon-Yukawa Problem for Bound and Scattering States

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    Bound and scattering state solutions of the effective-mass Klein-Gordon equation are obtained for the Yukawa potential with any angular momentum â„“\ell. Energy eigenvalues, normalized wave functions and scattering phase shifts are calculated as well as for the constant mass case. Bound state solutions of the Coulomb potential are also studied as a limiting case. Analytical and numerical results are compared with the ones obtained before.Comment: 13 pages, 1 figur

    Economic evaluation of ASCOT-BPLA: Antihypertensive treatment with an amlodipine-based regimen is cost-effective compared to an atenolol-based regimen

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    Copyright © 2010 BMJ Publishing Group Ltd & British Cardiovascular Society. Internal or personal use of this material is permitted. However, permission to reprint/republish this material must be obtained from the Publisher.Objective: To compare the cost effectiveness of an amlodipine-based strategy and an atenolol-based strategy in the treatment of hypertension in the UK and Sweden. Design: A prospective, randomised trial complemented with a Markov model to assess long-term costs and health effects. Setting: Primary care. Patients: Patients with moderate hypertension and three or more additional risk factors. Interventions: Amlodipine 5–10 mg with perindopril 4–8 mg added as needed or atenolol 50–100 mg with bendroflumethiazide 1.25–2.5 mg and potassium added as needed Main outcome measures: Cost per cardiovascular event and procedure avoided, and cost per quality-adjusted life-year gained. Results: In the UK, the cost to avoid one cardiovascular event or procedure would be €18 965, and the cost to gain one quality-adjusted life-year would be €21 875. The corresponding figures for Sweden were €13 210 and €16 856. Conclusions: Compared with the thresholds applied by NICE and in the Swedish National Board of Health and Welfare’s Guidelines for Cardiac Care, an amlodipine-based regimen is cost effective for the treatment of hypertension compared with an atenolol-based regimen in the population studied.The study was supported by the principal funding source, Pfizer, New York, USA

    Following severe injury, hypocholesterolemia improves with convalescence but persists with organ failure or onset of infection

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    INTRODUCTION: Our primary objective was to determine the impact of traumatic injury, onset of infection, organ/metabolic dysfunction, and mortality on serum cholesterol. METHODS: During 676 surgical intensive care unit (SICU) days, 28 ventilated trauma patients underwent daily measurement of white blood cell (WBC) count and differential, cholesterol, arterial oxygen tension/fractional inspired oxygen, bilirubin, glucose, creatinine, and bicarbonate. With the onset of infection, WBC response was considered positive if the WBC count was 16.0 or greater, immature neutrophils were 10% or greater, or WBC count increased by 20%. Cholesterol response was considered positive if cholesterol decreased or failed to increase by 10%. RESULTS: Injury Severity Score was 30.6 ± 8.6 and there were 48 infections. Initial cholesterol was decreased (119 ± 44 mg/dl) compared with expected values from a database (201 ± 17 mg/dl; P < 0.0001). The 25 survivors had higher cholesterol at SICU discharge (143 ± 35 mg/dl) relative to admission (112 ± 37 mg/dl; P < 0.0001). In the three patients who died, the admission cholesterol was 175 ± 62 mg/dl and the cholesterol at death was 117 ± 27 mg/dl. The change in percentage of expected cholesterol (observed value divided by expected value) from admission to discharge was different for patients surviving (16 ± 19%) and dying (-29 ± 19%; P = 0.0005). With onset of infection, the WBC response was positive in 61% and cholesterol response was positive in 91% (P = 0.001). Percentage of expected cholesterol was decreased with each system dysfunction: arterial oxygen tension/fractional inspired oxygen < 350, creatinine > 2.0 mg/dl, glucose > 120 mg/dl, bilirubin > 2.5 mg/dl, and bicarbonate ≥ 28 or ≤ 23 (P < 0.01). Percentage of expected cholesterol decreased as the number of dysfunctions increased (P = 0.0001). CONCLUSION: Hypocholesterolemia is seen following severe injury. Convalescing patients (ready for SICU discharge) have improved cholesterol levels, whereas dying patients appear to have progressive hypocholesterolemia. Decreasing or fixed cholesterol levels suggest the development of infection or organ/metabolic dysfunction. Cholesterol responses are more sensitive for the onset of infection than are WBC responses. Sequential cholesterol monitoring is recommended for patients with severe trauma

    Reply to Kornfeld and Titus: No distraction from misconduct

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    ASCORE: an up-to-date cardiovascular risk score for hypertensive patients reflecting contemporary clinical practice developed using the (ASCOT-BPLA) trial data.

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    A number of risk scores already exist to predict cardiovascular (CV) events. However, scores developed with data collected some time ago might not accurately predict the CV risk of contemporary hypertensive patients that benefit from more modern treatments and management. Using data from the randomised clinical trial Anglo-Scandinavian Cardiac Outcomes Trial-BPLA, with 15 955 hypertensive patients without previous CV disease receiving contemporary preventive CV management, we developed a new risk score predicting the 5-year risk of a first CV event (CV death, myocardial infarction or stroke). Cox proportional hazard models were used to develop a risk equation from baseline predictors. The final risk model (ASCORE) included age, sex, smoking, diabetes, previous blood pressure (BP) treatment, systolic BP, total cholesterol, high-density lipoprotein-cholesterol, fasting glucose and creatinine baseline variables. A simplified model (ASCORE-S) excluding laboratory variables was also derived. Both models showed very good internal validity. User-friendly integer score tables are reported for both models. Applying the latest Framingham risk score to our data significantly overpredicted the observed 5-year risk of the composite CV outcome. We conclude that risk scores derived using older databases (such as Framingham) may overestimate the CV risk of patients receiving current BP treatments; therefore, 'updated' risk scores are needed for current patients

    Temporal evolution of carbon stocks, fluxes and carbon balance in pedunculate oak chronosequence under close-to-nature forest management

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    Under current environmental changes, forest management is challenged to foster contrasting benefits from forests, such as continuous wood supply while preserving biomass production, biodiversity conservation, and contribution to climate change mitigation through atmospheric carbon sequestration. Although being found as globally important, estimates of long-term forest C balance are still highly uncertain. In this context, the chronosequence experiments (space-for-time substitution) might fill this gap in even-aged forests, as they represent an approach that enables the assessment of forest net C balance in the long term. In this research, we explored the dynamics of C stocks and fluxes in different forest pools throughout the rotation period (140 years) of a Pedunculate oak (Quercus robur L.) forest in Croatia. For this purpose, we selected a chronosequence that was made up of seven forest stands with different age (5, 13, 38, 53, 68, 108, and 138 years). To address the issues of uncertainty in C balance estimates, we compared net ecosystem carbon balance (NECB) estimated while using two different approaches, which we name pool-change (from C stocks) approach and component-flux (from C fluxes) approach. Overall, the pool-change approach showed higher NECB estimate, with the greatest difference being observed in younger stands (&lt;50 years). Component-flux approach showed significantly higher uncertainty. Throughout the rotation period, managed pedunculate oak stands become a C sink early in their development phase, between the age of 13 and 35 years according to pool-change and component-flux approach, respectively. During the 140 years, oak forest provided 187.2 Mg C ha&minus;1 (604 m3 ha&minus;1) through thinnings and 147.9 Mg C ha&minus;1 (477 m3 ha&minus;1) in the final cut, while preserving, on average, 88.9 Mg C ha&minus;1 in mineral soil down to 40 cm, 18.2 Mg C ha&minus;1 in dead wood, and 6.0 Mg C ha&minus;1 in the forest floor. Soil C stocks in our chronosequence did not show any age-related trend, indicating that current management practice has no negative effect on soil C stocks. Finally, under current close-to-nature forest management, Pedunculate oak forest showed to be sustainable in providing both economic and ecological ecosystem services

    Analytical Treatment of the Oscillating Yukawa Potential

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    Using a suitable Laguerre basis set that ensures a tridiagonal matrix representation of the reference Hamiltonian, we were able to evaluate in closed form the matrix elements of the generalized Yukawa potential with complex screening parameter. This enabled us to treat analytically both the cosine and sine-like Yukawa potentials on equal footing and compute their bound states spectrum as the eigenvalues of the associated analytical matrix representing their Hamiltonians. Finally we used a carefully designed complex scaling method to evaluate the resonance energies and compared our results satisfactorily with those obtained in the literature.Comment: 8 pages 2 table

    SERVIR: From Space to Village. A Regional Monitoring and Visualization System For Environmental Management Using Satellite Applications For Sustainable Development

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    NASA is committed to providing technological support and expertise to regional and national organizations for earth science monitoring and analysis. This commitment is exemplified by NASA's long-term relationship with Central America. The focus of these efforts has primarily been to measure the impact of human development on the environment and to provide data for the management of human settlement and expansion in the region. Now, NASA is planning to extend and expand this capability to other regions of the world including Africa and the Caribbean. NASA began using satellite imagery over twenty-five years ago to locate important Maya archeological sites in Mesoamerica and to quantify the affect of deforestation on those sites. Continuing that mission, NASA has partnered with the U.S. Agency for International Development (USAID), the World Bank, the Water Center for the Humid Tropics of Latin America and the Caribbean (CATHALAC) and the Central American Commission for Environment and Development (CCAD) to develop SERVIR (Sistema Regional de Visualizacion y Monitoreo), for the Mesoamerican Biological Corridor. SERVIR has become one of the most important aspects of NASA's geospatial efforts in Central America by establishing a common access portal for information that affects the lives, livelihood and future of everyone in the region. SERVIR, most commonly referred to as a regional visualization and monitoring system, is a scientific and technological platform that integrates satellite and other geospatial data sets to generate tools for improved decision-making capabilities. It has a collection of data and models that are easily accessible to earth science managers, first responders, NGO's (Non-Government Organizations) and a host of others. SERVIR is currently used to monitor and forecast ecological changes as well as provide information for decision support during severe events such as forest fires, red tides,and tropical storms. Additionally, SERVIR addresses the nine societal benefit areas of the Global Earth Observation System (GEOSS): disasters, ecosystems, biodiversity, weather, water, climate, health, agriculture and energy
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