Structural Changes and the Nature of Superconductivity in Rare-earth Doped CaFe2As2

Chemical substitution into iron-pnictide parent compounds (e.g. AFe2As2 where A=Ba, Sr, or Ca) has proven to be an effective means to induce bulk high-temperature superconductivity in these systems. By doping CaFe2As2 with rare-earth lanthanides (La, Ce, Pr, and Nd), we have observed a 47 K superconducting phase coexisting with a lattice distorting “collapse” transition. Both of these effects have important ramifications: the collapse transition occurs when interlayer As atoms form a bond, shrinking the c-axis lattice constant and simultaneously quenching the iron magnetic moment. This transition is further explored in context of a similar system, Sr-doped BaNi2As2. The superconducting phase, given the right combination of conditions, appears with a critical temperature as high as 49 K, but always in a very small volume of the sample (as determined by shielding effects). This has led to interesting theories about the nature of this superconductivity. A recently posited idea of “interfacial superconductivity” has been ruled out by our tests. Additionally, increasing the concentration of rare-earth atoms does not increase the superconducting volume fraction, but, in fact lowers the transition temperature, excluding the hypothesis that rare-earth defects are responsible for the minority superconducting phase. New pressure measurements have shown that the superconducting phase is stabilized when antiferromagnetic order is fully suppressed

Superconductivity and magnetism in platinum-substituted SrFe2As2 single crystals

Single crystals of SrFe2-xPtxAs2 (0 < x < 0.36) were grown using the self flux solution method and characterized using x-ray crystallography, electrical transport, magnetic susceptibility, and specific heat measurements. The magnetic/structural transition is suppressed with increasing Pt concentration, with superconductivity seen over the range 0.08 < x < 0.36 with a maximum transition temperature Tc of 16 K at x = 0.16. The shape of the phase diagram and the changes to the lattice parameters are similar to the effects of other group VIII elements Ni and Pd, however the higher transition temperature and extended range of superconductivity suggest some complexity beyond the simple electron counting picture that has been discussed thus far.Comment: 6 pages, 6 figure

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

Sixfold Enhancement of Superconductivity in a Tunable Electronic Nematic System

The electronic nematic phase -- in which electronic degrees of freedom lower the crystal rotational symmetry -- is commonly observed in high-temperature superconductors. However, understanding the role of nematicity and nematic fluctuations in Cooper pairing is often made more complicated by the coexistence of other orders, particularly long-range magnetic order. Here we report the enhancement of superconductivity in a model electronic nematic system that is not magnetic, and show that the enhancement is directly born out of strong nematic fluctuations associated with a quantum phase transition. We present measurements of the resistance as a function of strain in Ba11-xSrxNi2As2 to show that strontium substitution promotes an electronically driven nematic order in this system. In addition, the complete suppression of that order to absolute zero temperature leads to an enhancement of the pairing strength, as evidenced by a sixfold increase in the superconducting transition temperature. The direct relation between enhanced pairing and nematic fluctuations in this model system, as well as the interplay with a unidirectional charge-density-wave order comparable to that found in the cuprates, offers a means to investigate the role of nematicity in strengthening superconductivity

Appendicitis risk prediction models in children presenting with right iliac fossa pain (RIFT study): a prospective, multicentre validation study.

Background Acute appendicitis is the most common surgical emergency in children. Differentiation of acute appendicitis from conditions that do not require operative management can be challenging in children. This study aimed to identify the optimum risk prediction model to stratify acute appendicitis risk in children. Methods We did a rapid review to identify acute appendicitis risk prediction models. A prospective, multicentre cohort study was then done to evaluate performance of these models. Children (aged 5\u201315 years) presenting with acute right iliac fossa pain in the UK and Ireland were included. For each model, score cutoff thresholds were systematically varied to identify the best achievable specificity while maintaining a failure rate (ie, proportion of patients identified as low risk who had acute appendicitis) less than 5%. The normal appendicectomy rate was the proportion of resected appendixes found to be normal on histopathological examination. Findings 15 risk prediction models were identified that could be assessed. The cohort study enrolled 1827 children from 139 centres, of whom 630 (34\ub75%) underwent appendicectomy. The normal appendicectomy rate was 15\ub79% (100 of 630 patients). The Shera score was the best performing model, with an area under the curve of 0\ub784 (95% CI 0\ub782\u20130\ub786). Applying score cutoffs of 3 points or lower for children aged 5\u201310 years and girls aged 11\u201315 years, and 2 points or lower for boys aged 11\u201315 years, the failure rate was 3\ub73% (95% CI 2\ub70\u20135\ub72; 18 of 539 patients), specificity was 44\ub73% (95% CI 41\ub74\u201347\ub72; 521 of 1176), and positive predictive value was 41\ub74% (38\ub75\u201344\ub74; 463 of 1118). Positive predictive value for the Shera score with a cutoff of 6 points or lower (72\ub76%, 67\ub74\u201377\ub74) was similar to that of ultrasound scan (75\ub70%, 65\ub73\u201383\ub71). Interpretation The Shera score has the potential to identify a large group of children at low risk of acute appendicitis who could be considered for early discharge. Risk scoring does not identify children who should proceed directly to surgery. Medium-risk and high-risk children should undergo routine preoperative ultrasound imaging by operators trained to assess for acute appendicitis, and MRI or low-dose CT if uncertainty remains. Funding None