862 research outputs found
Isospectral domains with mixed boundary conditions
We construct a series of examples of planar isospectral domains with mixed
Dirichlet-Neumann boundary conditions. This is a modification of a classical
problem proposed by M. Kac.Comment: 9 figures. Statement of Theorem 5.1 correcte
Trial of Remote Continuous versus Intermittent NEWS monitoring after major surgery (TRaCINg): protocol for a feasibility randomised controlled trial
Background: Despite medical advances, major surgery remains high risk. Up to 44% of patients experience postoperative complications, which can have huge impacts for patients and the healthcare system. Early recognition of postoperative complications is crucial in reducing morbidity and preventing long-term disability. The current standard of care is intermittent manual vital signs monitoring, but new wearable remote monitors offer the benefits of continuous vital signs monitoring without limiting the patient’s mobility. The aim of this study is to evaluate the feasibility, acceptability and clinical impacts of continuous remote monitoring after major surgery.
Methods: The study is a randomised, controlled, unblinded, parallel group, feasibility trial. Adult patients undergoing elective major surgery will be invited to participate if they have the capacity to provided informed, written consent and do not have a cardiac pacemaker or an allergy to adhesives. Participants will be randomly assigned to receive continuous remote monitoring and normal National Early Warning Score (NEWS) monitoring (intervention group) or normal NEWS monitoring alone (control group). Continuous remote monitoring will be achieved using the SensiumVitals® wireless patch which is worn on the patient’s chest and monitors heart rate, respiratory rate and temperature continuously and alerts the nurse when there is deviation from pre-set physiological norms. Participants will be followed up throughout their hospital admission and for 30 days after discharge. Feasibility will be assessed by evaluating recruitment rate, adherence to protocol and randomisation, and the amount of missing data. The acceptability of the patch to nursing staff and patients will be assessed using questionnaires and interviews. Clinical outcomes will include time to antibiotics in cases of sepsis, length of hospital stay, number of critical care admissions and rate of readmission within 30 days of discharge.
Discussion: Early detection and treatment of complications minimises the need for critical care, improves patient outcomes, and produces significant cost savings for the healthcare system. Remote continuous monitoring systems have the potential to allow earlier detection of complications, but evidence from the literature is mixed. Demonstrating significant benefit over intermittent monitoring to offset the practical and economic implications of continuous monitoring requires well-controlled studies in high-risk populations to demonstrate significant differences in clinical outcomes; this feasibility trial seeks to provide evidence of how best to conduct such a confirmatory trial.
Trial registration: This study is listed on the ISRCTN registry with study ID ISRCTN16601772
Classical and quantum ergodicity on orbifolds
We extend to orbifolds classical results on quantum ergodicity due to
Shnirelman, Colin de Verdi\`ere and Zelditch, proving that, for any positive,
first-order self-adjoint elliptic pseudodifferential operator P on a compact
orbifold X with positive principal symbol p, ergodicity of the Hamiltonian flow
of p implies quantum ergodicity for the operator P. We also prove ergodicity of
the geodesic flow on a compact Riemannian orbifold of negative sectional
curvature.Comment: 14 page
Affective iconic words benefit from additional sound–meaning integration in the left amygdala
Recent studies have shown that a similarity between sound and meaning of a word (i.e., iconicity) can help more readily access the meaning of that word, but the neural mechanisms underlying this beneficial role of iconicity in semantic processing remain largely unknown. In an fMRI study, we focused on the affective domain and examined whether affective iconic words (e.g., high arousal in both sound and meaning) activate additional brain regions that integrate emotional information from different domains (i.e., sound and meaning). In line with our hypothesis, affective iconic words, compared to their non‐iconic counterparts, elicited additional BOLD responses in the left amygdala known for its role in multimodal representation of emotions. Functional connectivity analyses revealed that the observed amygdalar activity was modulated by an interaction of iconic condition and activations in two hubs representative for processing sound (left superior temporal gyrus) and meaning (left inferior frontal gyrus) of words. These results provide a neural explanation for the facilitative role of iconicity in language processing and indicate that language users are sensitive to the interaction between sound and meaning aspect of words, suggesting the existence of iconicity as a general property of human language
Transverse instability for non-normal parameters
We consider the behaviour of attractors near invariant subspaces on varying a
parameter that does not preserve the dynamics in the invariant subspace but is
otherwise generic, in a smooth dynamical system. We refer to such a parameter
as ``non-normal''. If there is chaos in the invariant subspace that is not
structurally stable, this has the effect of ``blurring out'' blowout
bifurcations over a range of parameter values that we show can have positive
measure in parameter space.
Associated with such blowout bifurcations are bifurcations to attractors
displaying a new type of intermittency that is phenomenologically similar to
on-off intermittency, but where the intersection of the attractor by the
invariant subspace is larger than a minimal attractor. The presence of distinct
repelling and attracting invariant sets leads us to refer to this as ``in-out''
intermittency. Such behaviour cannot appear in systems where the transverse
dynamics is a skew product over the system on the invariant subspace.
We characterise in-out intermittency in terms of its structure in phase space
and in terms of invariants of the dynamics obtained from a Markov model of the
attractor. This model predicts a scaling of the length of laminar phases that
is similar to that for on-off intermittency but which has some differences.Comment: 15 figures, submitted to Nonlinearity, the full paper available at
http://www.maths.qmw.ac.uk/~eo
On the rate of quantum ergodicity in Euclidean billiards
For a large class of quantized ergodic flows the quantum ergodicity theorem
due to Shnirelman, Zelditch, Colin de Verdi\`ere and others states that almost
all eigenfunctions become equidistributed in the semiclassical limit. In this
work we first give a short introduction to the formulation of the quantum
ergodicity theorem for general observables in terms of pseudodifferential
operators and show that it is equivalent to the semiclassical eigenfunction
hypothesis for the Wigner function in the case of ergodic systems. Of great
importance is the rate by which the quantum mechanical expectation values of an
observable tend to their mean value. This is studied numerically for three
Euclidean billiards (stadium, cosine and cardioid billiard) using up to 6000
eigenfunctions. We find that in configuration space the rate of quantum
ergodicity is strongly influenced by localized eigenfunctions like bouncing
ball modes or scarred eigenfunctions. We give a detailed discussion and
explanation of these effects using a simple but powerful model. For the rate of
quantum ergodicity in momentum space we observe a slower decay. We also study
the suitably normalized fluctuations of the expectation values around their
mean, and find good agreement with a Gaussian distribution.Comment: 40 pages, LaTeX2e. This version does not contain any figures. A
version with all figures can be obtained from
http://www.physik.uni-ulm.de/theo/qc/ (File:
http://www.physik.uni-ulm.de/theo/qc/ulm-tp/tp97-8.ps.gz) In case of any
problems contact Arnd B\"acker (e-mail: [email protected]) or Roman
Schubert (e-mail: [email protected]
Binary Tree Approach to Scaling in Unimodal Maps
Ge, Rusjan, and Zweifel (J. Stat. Phys. 59, 1265 (1990)) introduced a binary
tree which represents all the periodic windows in the chaotic regime of
iterated one-dimensional unimodal maps. We consider the scaling behavior in a
modified tree which takes into account the self-similarity of the window
structure. A non-universal geometric convergence of the associated superstable
parameter values towards a Misiurewicz point is observed for almost all binary
sequences with periodic tails. There are an infinite number of exceptional
sequences, however, which lead to superexponential scaling. The origin of such
sequences is explained.Comment: 25 pages, plain Te
Music training alters the course of adolescent auditory development
Fundamental changes in brain structure and function during adolescence are well characterized, but the extent to which experience modulates adolescent neurodevelopment are not. Musical experience provides an ideal case for examining this question because the influence of music training begun early in life is well known. We investigated the effects of in-school music training, previously shown to enhance auditory skills, versus another in-school training program that did not focus on development of auditory skills (active control). We tested adolescents on neural responses to sound and language skills before they entered high school (pre-training) and again three years later. Here we show that in-school music training begun in high school prolongs the stability of subcortical sound processing and accelerates maturation of cortical auditory responses. Although phonological processing improved in both the music training and active control groups, the enhancement was greater in adolescents who underwent music training. Thus, music training initiated as late as adolescence can enhance neural processing of sound and confer benefits for language skills. These results establish the potential for experience-driven brain plasticity during adolescence, and demonstrate that in-school programs can engender these changes
Natural equilibrium states for multimodal maps
This paper is devoted to the study of the thermodynamic formalism for a class
of real multimodal maps. This class contains, but it is larger than,
Collet-Eckmann. For a map in this class, we prove existence and uniqueness of
equilibrium states for the geometric potentials , for the largest
possible interval of parameters . We also study the regularity and convexity
properties of the pressure function, completely characterising the first order
phase transitions. Results concerning the existence of absolutely continuous
invariant measures with respect to the Lebesgue measure are also obtained
The hybrid spectral problem and Robin boundary conditions
The hybrid spectral problem where the field satisfies Dirichlet conditions
(D) on part of the boundary of the relevant domain and Neumann (N) on the
remainder is discussed in simple terms. A conjecture for the C_1 coefficient is
presented and the conformal determinant on a 2-disc, where the D and N regions
are semi-circles, is derived. Comments on higher coefficients are made.
A hemisphere hybrid problem is introduced that involves Robin boundary
conditions and leads to logarithmic terms in the heat--kernel expansion which
are evaluated explicitly.Comment: 24 pages. Typos and a few factors corrected. Minor comments added.
Substantial Robin additions. Substantial revisio
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