A realistic model of superfluidity in the neutron star inner crust

A semi-microscopic self-consistent quantum approach developed recently to describe the inner crust structure of neutron stars within the Wigner-Seitz (WS) method with the explicit inclusion of neutron and proton pairing correlations is further developed. In this approach, the generalized energy functional is used which contains the anomalous term describing the pairing. It is constructed by matching the realistic phenomenological functional by Fayans et al. for describing the nuclear-type cluster in the center of the WS cell with the one calculated microscopically for neutron matter. Previously the anomalous part of the latter was calculated within the BCS approximation. In this work corrections to the BCS theory which are known from the many-body theory of pairing in neutron matter are included into the energy functional in an approximate way. These modifications have a sizable influence on the equilibrium configuration of the inner crust, i.e. on the proton charge Z and the radius R_c of the WS cell. The effects are quite significant in the region where the neutron pairing gap is larger.Comment: 24 pages, 14 figures; LaTeX, submitted to EPJ

Surface behaviour of the pairing gap in a slab of nuclear matter

The surface behaviour of the pairing gap previously studied for semi-infinite nuclear matter is analyzed in the slab geometry. The gap-shape function is calculated in two cases: (a) pairing with the Gogny force in a hard-wall potential and (b) pairing with the separable Paris interaction in a Saxon-Woods mean-field potential. It is shown that the surface features are preserved in the case of slab geometry, being almost independent of the width of the slab. It is also demonstrated that the surface enhancement is strengthened as the absolute value of chemical potential $|\mu|$ decreases which simulates the approach to the nucleon drip line.Comment: 12 pages, 2 figure

In medium T-matrix for nuclear matter with three-body forces - binding energy and single particle properties

We present spectral calculations of nuclear matter properties including three-body forces. Within the in-medium T-matrix approach, implemented with the CD-Bonn and Nijmegen potentials plus the three-nucleon Urbana interaction, we compute the energy per particle in symmetric and neutron matter. The three-body forces are included via an effective density dependent two-body force in the in-medium T-matrix equations. After fine tuning the parameters of the three-body force to reproduce the phenomenological saturation point in symmetric nuclear matter, we calculate the incompressibility and the energy per particle in neutron matter. We find a soft equation of state in symmetric nuclear matter but a relatively large value of the symmetry energy. We study the the influence of the three-body forces on the single-particle properties. For symmetric matter the spectral function is broadened at all momenta and all densities, while an opposite effect is found for the case of neutrons only. Noticeable modification of the spectral functions are realized only for densities above the saturation density. The modifications of the self-energy and the effective mass are not very large and appear to be strongly suppressed above the Fermi momentum.Comment: 20 pages, 11 figure

Telemedicine in chronic disease management: a Public Health perspective

Introduction In 2014, the School of Hygiene of the University of Padua carried out an evaluation of home telemonitoring (HTM) programs for the management of chronic diseases. Our aims were to verify their efficacy, and to identify a model of care that could be integrated into the current health system. Our analysis addressed both organizational and clinical matters. Methods Our evaluation involved 19 reviews and 53 randomized controlled trials (RCT). Main selection criteria were: papers published over the last 15 years, HTM performed through a sensor system, data sent remotely to physicians, health out-comes and monitored parameters clearly stated. Included diseases were: heart failure, hypertension, COPD, asthma and diabetes. Results Several critical issues were highlighted. Due to the general tendency in the scientific literature to report HTM efficacy, there is a lack of conclusive evidence whether telemedicine actually improves both clinical (e.g. decreased disease/all-cause mortality, drop in disease/all-cause hospitalization rates, improvement in biological parameters and quality of life) and organizational (decreased length of hospital stay, decreased emergency room/other service use, decreased costs) outcomes or not. Discussion From a Public Health perspective, discrepancies and weaknesses may affect published results, since the best method for organizing and delivering telemedicine programs has not yet been identified. There is still no consensus on the following topics: setting: which context expresses the potential of technology best? No studies were found comparing, e.g., rural with urban communities. Within urban scenarios, samples do not discriminate users by their capability to access the healthcare network (e.g. residents in peripheral areas with limited transportation resources, rather than users with reduced mobility); target: it is unclear which demographic or socioeconomic characteristics users should possess to gain most benefit from HTM; duration and frequency: there are significant differences in RCT (and HTM program) duration. It has not been established whether HTM is more effective when permanently implemented, or only in the early stages of disease (i.e. until stabilization). There is no agreement on the optimal HTM implementation frequency, nor whether the patients should also receive traditional interventions (e.g. nurse home visits);scope: it has not been determined whether measurements should be disclosed to patients as educational means to improve disease management. However, past literature does include some indications that the effectiveness of HTM programs may be attributable to care intensification (or to a perceived intensification by the patient, as per the \u201cHawthorne effect\u201d described in sociology) or to the empowerment process. Conclusions HTM management of chronic diseases is a promising and remarkable strategy, still flawed by the lack of evidence. Reported efficacy, although modest, probably has a multifactorial origin. Our hypothesis is that it may not result from the technology itself, but from the impact of such process on multiple components of care, emphasizing patients' involvement and autonomy, and improving monitoring intensity. Further studies are needed to clarify the role played by the different HTM components (target, setting, etc.). The application of HTM as a tool for prevention, empowerment and reduction of healthcare access remains little explored

The neutron star in Cassiopeia A: equation of state, superfluidity, and Joule heating

The thermomagnetic evolution of the young neutron star in Cassiopea A is studied by considering fast neutrino emission processes. In particular, we consider neutron star models obtained from the equation of state computed in the framework of the Brueckner-Bethe-Goldstone many-body theory and variational methods, and models obtained with the Akmal-Pandharipande-Ravenhall equation of state. It is shown that it is possible to explain a fast cooling regime as the one observed in the neutron star in Cassiopea A if the Joule heating produced by dissipation of the small-scale magnetic field in the crust is taken into account. We thus argue that it is difficult to put severe constraints on the superfluid gap if the Joule heating is considered.Comment: 4 pages, 2 figures, to appear on A&A Letter