498 research outputs found
Has the expansion in extended criteria deceased donors led to a different type of delayed graft function and poorer outcomes?
Objectives:
There has been considerable change in the practice of deceased kidney transplantation in the past 15 years, with more extreme phenotypes implanted. The aim of this study was to determine whether increased use of expanded criteria donors (extended criteria donors and donors after circulatory death) affected clinical outcomes, including the incidence and pattern of delayed graft function.
Methods and materials:
A retrospective analysis of 1359 renal transplants was performed over 15 years. The first 10 years of data (group 1) were compared with the subsequent 5 years (group 2). Outcomes were analyzed at 6 months and 12 months in addition to serum creatinine and patterns of delayed graft function (posttransplant times: on hemodialysis, to peak creatinine, for creatinine to half, and for creatinine to fall within 10% of baseline).
Results:
There was a significant increase in the percentage of expanded criteria donor allografts used in group 2 with a significant increase in the incidence of delayed graft function. Despite this, serum creatinine and the incidence of biopsy-proven acute rejection had both improved in group 2. Group 2 expanded criteria donor kidneys had a significantly lower incidence of type 1 delayed graft function and a significantly higher incidence of types 3 and 4 delayed graft function. Time for creatinine to half in both groups was the best predictor of a serum creatinine <180 μmol/L at 1 year.
Conclusion:
The increased use of expanded criteria donor kidneys has led to a higher incidence of delayed graft function, but the pattern has shown that the requirement for hemodialysis has significantly reduced
On the reliability of the Autosub autonomous underwater vehicle
As autonomous underwater vehicles (AUVs) enter operational service an assessment of their reliability is timely. Using the Autosub AUV as an example, several design issues affecting reliability are discussed, followed by an analysis of recorded faults. Perhaps contrary to expectations, failures rarely involved the autonomous nature of the vehicle. Rather, faults were typical of those that occur with any complex item of marine electromechanical equipment. A statistical analysis showed that the failure rate decreased with distance travelled- an indicator that an AUV underway, submerged, is at less risk of a fault developing than during other phases of a mission. 1
A non trivial extension of the two-dimensional Ising model: the d-dimensional "molecular" model
A recently proposed molecular model is discussed as a non-trivial extension
of the Ising model. For d=2 the two models are shown to be equivalent, while
for d>2 the molecular model describes a peculiar second order transition from
an isotropic high temperature phase to a low-dimensional anisotropic low
temperature state. The general mean field analysis is compared with the results
achieved by a variational Migdal-Kadanoff real space renormalization group
method and by standard Monte Carlo sampling for d=3. By finite size scaling the
critical exponent has been found to be 0.44\pm 0.02 thus establishing that the
molecular model does not belong to the universality class of the Ising model
for d>2.Comment: 25 pages, 5 figure
Many-body physics of a quantum fluid of exciton-polaritons in a semiconductor microcavity
Some recent results concerning nonlinear optics in semiconductor
microcavities are reviewed from the point of view of the many-body physics of
an interacting photon gas. Analogies with systems of cold atoms at thermal
equilibrium are drawn, and the peculiar behaviours due to the non-equilibrium
regime pointed out. The richness of the predicted behaviours shows the
potentialities of optical systems for the study of the physics of quantum
fluids.Comment: Proceedings of QFS2006 conference to appear on JLT
Steady states of a chi-three parametric oscillator with coupled polarisations
Polarisation effects in the microcavity parametric oscillator are studied
using a simple model in which two chi-three optical parametric oscillators are
coupled together. It is found that there are, in general, a number of steady
states of the model under continuous pumping. There are both continuous and
discontinuous thresholds, at which new steady-states appear as the driving
intensity is increased: at the continuous thresholds, the new state has zero
output intensity, whereas at the discontinuous threshold it has a finite output
intensity. The discontinuous thresholds have no analog in the uncoupled device.
The coupling also generates rotations of the linear polarisation of the output
compared with the pump, and shifts in the output frequencies as the driving
polarisation or intensity is varied. For large ratios of the interaction
between polarisations to the interaction within polarisations, of the order of
5, one of the thresholds has its lowest value when the pump is elliptically
polarised. This is consistent with recent experiments in which the maximum
output was achieved with an elliptically polarised pump.Comment: 7 pages, 4 figure
Polariton condensation and lasing in optical microcavities - the decoherence driven crossover
We explore the behaviour of a system which consists of a photon mode dipole
coupled to a medium of two-level oscillators in a microcavity in the presence
of decoherence. We consider two types of decoherence processes which are
analogous to magnetic and non-magnetic impurities in superconductors. We study
different phases of this system as the decoherence strength and the excitation
density is changed. For a low decoherence we obtain a polariton condensate with
comparable excitonic and photonic parts at low densities and a BCS-like state
with bigger photon component due to the fermionic phase space filling effect at
high densities. In both cases there is a large gap in the density of states. As
the decoherence is increased the gap is broadened and suppressed, resulting in
a gapless condensate and finally a suppression of the coherence in a low
density regime and a laser at high density limit. A crossover between these
regimes is studied in a self-consistent way analogous to the Abrikosov and
Gor'kov theory of gapless superconductivity.Comment: 17 pages, 8 figures, submitted to PR
Green manure in coffee systems in the region of Zona da Mata, Minas Gerais: characteristics and kinetics of carbon and nitrogen mineralization.
The use of green manure may contribute to reduce soil erosion and increase the soil organic matter content and N availability in coffee plantations in the Zona da Mata, State of Minas Gerais, in Southeastern Brazil. The potential of four legumes (A. pintoi, C. mucunoides, S. aterrimum and S. guianensis)to produce above-ground
biomass, accumulate nutrients and mineralize N was studied in two coffee plantations of subsistence farmers under different climate conditions. The biomass production of C. mucunoides was influenced by the shade of the coffee plantation.C. mucunoides tended to mineralize more N than the other legumes due to the low polyphenol content and polyphenol/N ratio. In the first year, the crop establishment of A. pintoi in the area took longer than of the other legumes, resulting in lower biomass production and N2 fixation. In the long term, cellulose was the main
factor controlling N mineralization. The biochemical characteristics, nutrient accumulation and biomass production of the legumes were greatly influenced by
the altitude and position of the area relative to the sun
A Guide to Localized Frames and Applications to Galerkin-like Representations of Operators
This chapter offers a detailed survey on intrinsically localized frames and
the corresponding matrix representation of operators. We re-investigate the
properties of localized frames and the associated Banach spaces in full detail.
We investigate the representation of operators using localized frames in a
Galerkin-type scheme. We show how the boundedness and the invertibility of
matrices and operators are linked and give some sufficient and necessary
conditions for the boundedness of operators between the associated Banach
spaces.Comment: 32 page
Contribution of humic substances from different composts to the synthesis of humin in a tropical soil
The contribution of humic substances of different composts to the synthesis of humin in a tropical soil was evaluated. Increasing doses (0, 13, 26, 52, and 104 Mg ha-1) of five different composts consisting of agroinpowderrial residues were applied to a Red-Yellow Latosol. These composts were chemically characterized and 13C NMR determined and the quantity of the functional alkyl groups of humic acids applied to the soil as compost was estimated. Thirty days after application of the treatments, organic matter samples were collected for fractionation of humic acids (HA), fulvic acids (FA) and humin (HU), from which the ratios HA/FA and (HA + FA)/HU were calculated. The application of the composts based on castor cake resulted in the highest HU levels in the soil; alkyl groups of the HA fraction of the composts were predominant in the organic components added to the HU soil fraction.Avaliou-se a contribuição de substâncias húmicas provenientes de diferentes compostos orgânicos na síntese de humina em um solo tropical. Para isso, foram adicionadas doses crescentes (0, 13, 26, 52 e 104 Mg ha-1) de cinco diferentes compostos orgânicos formulados com resíduos orgânicos agroindustriais em um Latossolo Vermelho-Amarelo. As substâncias húmicas desses compostos foram caracterizadas quimicamente e por ressonância nuclear magnética do 13C, sendo estimados os quantitativos dos grupos funcionais alquil dos ácidos húmicos aplicados no solo via composto. Trinta dias após aplicação dos tratamentos, coletaram-se amostras de solo para fracionamento da matéria orgânica em ácidos húmicos (AH), ácidos fúlvicos (FA) e humina (HU), a partir dos quais foram calculadas as relações AH/FA e (AH + FA)/HU. A aplicação do composto à base de torta de mamona contribuiu para obtenção de teores mais elevados de HU no solo; a incorporação de componentes orgânicos à fração HU do solo foi regida pelo conteúdo de grupos alquil da fração AH dos compostos
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