Ultrasound by emergency physicians to detect abdominal aortic aneurysms: a UK case series

Early identification of abdominal aortic aneurysms in some patients can be difficult and the diagnosis is missed in up to 30% of patients. Ultrasound cannot be used to identify a leak, but the presence of an aneurysm in an unstable patient is conclusive. With minimal training emergency physicians can easily identify the aorta and thus in the early phase of resuscitation an aneurysm can be confidently excluded. The purpose of the examination is not to delineate the extent of the aneurysm, but to identify those patients that will need emergency surgery. A series of patients presented to the department in an unstable condition with equivocal abdominal signs. An ultrasound scan in the resuscitation room by members of the emergency department revealed an aneurysm, which was enough to convince the vascular surgeons to take the patient straight to theatre with good results. In patients who are stable, computed tomography will continue to be used to evaluate the extent of the aneurysm and identify a leak

Evolution of unoccupied resonance during the synthesis of a silver dimer on Ag(111)

Silver dimers were fabricated on Ag(111) by single-atom manipulation using the tip of a cryogenic scanning tunnelling microscope. An unoccupied electronic resonance was observed to shift toward the Fermi level with decreasing atom-atom distance as monitored by spatially resolved scanning tunnelling spectroscopy. Density functional calculations were used to analyse the experimental observations and revealed that the coupling between the adsorbed atoms is predominantly direct rather than indirect via the Ag(111) substrate.Comment: 9 pages, 3 figure

Island size distributions in submonolayer growth: successful prediction by mean field theory with coverage dependent capture numbers

We show that mean-field rate equations for submonolayer growth can successfully predict island size distributions in the pre-coalescence regime if the full dependence of capture numbers on both the island size and the coverage is taken into account. This is demonstrated by extensive Kinetic Monte Carlo simulations for a growth kinetics with hit and stick aggregation. A detailed analysis of the capture numbers reveals a nonlinear dependence on the island size for small islands. This nonlinearity turns out to be crucial for the successful prediction of the island size distribution and renders an analytical treatment based on a continuum limit of the mean-field rate equations difficult.Comment: 4 pages, 4 figue

Distributional fixed point equations for island nucleation in one dimension: a retrospective approach for capture zone scaling

The distributions of inter-island gaps and captures zones for islands nucleated on a one-dimensional substrate during submonolayer deposition are considered using a novel retrospective view. This provides an alternative perspective on why scaling occurs in this continuously evolving system. Distributional fixed point equations for the gaps are derived both with and without a mean field approximation for nearest neighbour gap size correlation. Solutions to the equations show that correct consideration of fragmentation bias justifies the mean field approach which can be extended to provide closed-from equations for the capture zones. Our results compare favourably to Monte Carlo data for both point and extended islands using a range of critical island size $i=0,1,2,3$. We also find satisfactory agreement with theoretical models based on more traditional fragmentation theory approaches.Comment: 9 pages, 7 figures and 1 tabl

Crossover in the scaling of island size and capture zone distributions

Simulations of irreversible growth of extended (fractal and square) islands with critical island sizes i=1 and 2 are performed in broad ranges of coverage \theta and diffusion-to-deposition ratios R in order to investigate scaling of island size and capture zone area distributions (ISD, CZD). Large \theta and small R lead to a crossover from the CZD predicted by the theory of Pimpinelli and Einstein (PE), with Gaussian right tail, to CZD with simple exponential decays. The corresponding ISD also cross over from Gaussian or faster decays to simple exponential ones. For fractal islands, these features are explained by changes in the island growth kinetics, from a competition for capture of diffusing adatoms (PE scaling) to aggregation of adatoms with effectively irrelevant diffusion, which is characteristic of random sequential adsorption (RSA) without surface diffusion. This interpretation is confirmed by studying the crossover with similar CZ areas (of order 100 sites) in a model with freezing of diffusing adatoms that corresponds to i=0. For square islands, deviations from PE predictions appear for coverages near \theta=0.2 and are mainly related to island coalescence. Our results show that the range of applicability of the PE theory is narrow, thus observing the predicted Gaussian tail of CZD may be difficult in real systems.Comment: 9 pages, 7 figure

Capture-zone scaling in island nucleation: phenomenological theory of an example of universal fluctuation behavior

In studies of island nucleation and growth, the distribution of capture zones, essentially proximity cells, can give more insight than island-size distributions. In contrast to the complicated expressions, ad hoc or derived from rate equations, usually used, we find the capture-zone distribution can be described by a simple expression generalizing the Wigner surmise from random matrix theory that accounts for the distribution of spacings in a host of fluctuation phenomena. Furthermore, its single adjustable parameter can be simply related to the critical nucleus of growth models and the substrate dimensionality. We compare with extensive published kinetic Monte Carlo data and limited experimental data. A phenomenological theory sheds light on the result.Comment: 5 pages, 4 figures, originally submitted to Phys. Rev. Lett. on Dec. 15, 2006; revised version v2 tightens and focuses the presentation, emphasizes the importance of universal features of fluctuations, corrects an error for d=1, replaces 2 of the figure

Dynamic effects on the loss of control in template-directed nucleation

Full nucleation control for deposited functional molecules on pre-patterned surfaces is of major technological relevance. To understand the nucleation behavior we combine the numerical solution for the evolution of the adatom concentration with standard nucleation theory. From the qualitative change in nucleation behavior upon variation of the pattern spacing and coverage we show why the quality of nucleation control can vary significantly in different parameter regimes. In some limits analytical expressions can be formulated for the nucleation control. Our analysis provides a theoretical explanation for previous experimental observations [Wang et al, PRL 98, 225504 (2007)]

Incorporation of Non-metal Impurities at the Anatase TiO2_2(001)-(1×\times4) Surface

We use first-principles calculations to investigate the adsorption and incorporation of non-metal impurities (N, C) at the anatase TiO$_2$(001)-(1$\times$4) reconstructed surface. We analyze in detail the influence of the surface structure and local strain on the impurity binding sites and incorporation pathways and identify important intermediates which facilitate impurity incorporation. We find various subsurface interstitial binding sites and corresponding surface $\rightarrow$ subsurface penetration pathways on the reconstructed surface. This surface also favors the presence of subsurface oxygen-vacancies, to which adsorbed species can migrate to form substitutional impurities. Most notably, we show that the non-exposed oxygen sites just below the surface have a key role in the incorporation of nitrogen and carbon in TiO$_2$(001).Comment: 5 figure

Caesium on Si(100) Studied by Biassed Secondary Electron Microscopy

An ultra-high vacuum scanning electron microscope (UHV-SEM) has been used to study sub-monolayers of Cs on Si(100) surface. Cs adsorption on the surface causes a considerable change in the work function. Coverages below 1/2 monolayer (ML) have been estimated by correlating the work function changes with the secondary electron (SE) signal. It has been found that this signal is sensitive down to ~ 0.005 ML when the sample is biassed to a few hundred volts. Electron trajectories from a biassed sample have been simulated for electrons originating from different areas with different work functions across the sample. This indicates that variations in coverage can be determined by secondary electron imaging provided these coverages are less than 1/2 ML. The diffusion of Cs (\u3c 1/2 ML) above room temperature has been studied using the biassed-SE imaging technique. Observed diffusion profiles have unusual features including two linear regions. These can be explained by a model which contains two competing adsorption sites, and includes blocking of the diffusion paths by other Cs atoms