Seizure outcome after switching antiepileptic drugs: A matched, prospective study.

OBJECTIVE: Outcomes after changing antiepileptic drugs (AEDs) have largely been studied in single cohort series. We recently reported the first study to examine this question in a controlled manner. Here we expand on these results by using a matched, prospective methodology applied to both uncontrolled and well-controlled patients taking any AED. METHODS: We reviewed all outpatient notes over a 9-month period and identified patients with focal epilepsy who were on monotherapy. We classified those who switched AEDs as case patients, with those remaining on the same drug serving as controls. We matched cases with controls for seizure status (seizure-free in the preceding 6 months or not), current AED, and number of failed AEDs. We subsequently assessed outcome 6 months later. RESULTS: Seizure-free patients who switched drug (n = 12) had a 16.7% rate of seizure recurrence at 6 months, compared to 2.8% among controls remaining on the same drug (n = 36, p = 0.11). There was a 37% remission rate among uncontrolled patients who switched drug compared to 55.6% among controls (n = 27 per group, p = 0.18). Uncontrolled patients who had previously tried more than one AED were somewhat less likely to enter remission (p = 0.057). Neither AED mechanism of action nor change in dosage impacted outcome. SIGNIFICANCE: Herein we provide further estimation of the modest risk (~14%) associated with switching AEDs in patients in remission compared to being maintained on the same regimen. Uncontrolled patients were no more likely to enter remission after a drug switch than they were after remaining on the same drug, suggesting that spontaneous changes in disease state, and not drug response, underlie remission in this population

Two-axis control of a singlet-triplet qubit with an integrated micromagnet

The qubit is the fundamental building block of a quantum computer. We fabricate a qubit in a silicon double quantum dot with an integrated micromagnet in which the qubit basis states are the singlet state and the spin-zero triplet state of two electrons. Because of the micro magnet, the magnetic field difference $\Delta B$ between the two sides of the double dot is large enough to enable the achievement of coherent rotation of the qubit's Bloch vector about two different axes of the Bloch sphere. By measuring the decay of the quantum oscillations, the inhomogeneous spin coherence time $T_{2}^{*}$ is determined. By measuring $T_{2}^{*}$ at many different values of the exchange coupling $J$ and at two different values of $\Delta B$, we provide evidence that the micromagnet does not limit decoherence, with the dominant limits on $T_{2}^{*}$ arising from charge noise and from coupling to nuclear spins.Comment: 10 pages, 9 figure

Carrier dynamics of LT InAs/GaAs QDs using time resolved differential reflectivity

We present a Time Resolved Differential Reflectivity (TRDR) study of LT (low temperature grown) Stransky - Krastanov InAs/GaAs Quantum Dots (QDs) grown using molecular beam epitaxy. The photoluminescence (PL) spectrum shows a QD-peak around 1200nm. In the TRDR measurements we observe an initial fast decay (80ps) followed by a much slower decay of about 800ps. The strong temperature dependence of the PL-signal is not observed in the reflectivity signal. This leads us to conclude that the electrons are trapped at a fast rate by As antisite defects while the hole decay dynamics take place at a slower rate, which is also monitored in TRDR

Computing the Loewner driving process of random curves in the half plane

We simulate several models of random curves in the half plane and numerically compute their stochastic driving process (as given by the Loewner equation). Our models include models whose scaling limit is the Schramm-Loewner evolution (SLE) and models for which it is not. We study several tests of whether the driving process is Brownian motion. We find that just testing the normality of the process at a fixed time is not effective at determining if the process is Brownian motion. Tests that involve the independence of the increments of Brownian motion are much more effective. We also study the zipper algorithm for numerically computing the driving function of a simple curve. We give an implementation of this algorithm which runs in a time O(N^1.35) rather than the usual O(N^2), where N is the number of points on the curve.Comment: 20 pages, 4 figures. Changes to second version: added new paragraph to conclusion section; improved figures cosmeticall

Exploring Dark Energy with Next-Generation Photometric Redshift Surveys

The coming decade will be an exciting period for dark energy research, during which astronomers will address the question of what drives the accelerated cosmic expansion as first revealed by type Ia supernova (SN) distances, and confirmed by later observations. The mystery of dark energy poses a challenge of such magnitude that, as stated by the Dark Energy Task Force (DETF), nothing short of a revolution in our understanding of fundamental physics will be required to achieve a full understanding of the cosmic acceleration. The lack of multiple complementary precision observations is a major obstacle in developing lines of attack for dark energy theory. This lack is precisely what next-generation surveys will address via the powerful techniques of weak lensing (WL) and baryon acoustic oscillations (BAO) -- galaxy correlations more generally -- in addition to SNe, cluster counts, and other probes of geometry and growth of structure. Because of their unprecedented statistical power, these surveys demand an accurate understanding of the observables and tight control of systematics. This white paper highlights the opportunities, approaches, prospects, and challenges relevant to dark energy studies with wide-deep multiwavelength photometric redshift surveys. Quantitative predictions are presented for a 20000 sq. deg. ground-based 6-band (ugrizy) survey with 5-sigma depth of r~27.5, i.e., a Stage 4 survey as defined by the DETF

Phenolic Characterisation and Antioxidant Capacity of Young Wines Made From Different Grape Varieties Grown in Helanshan Donglu Wine Zone (China)

The Helanshan Donglu wine zone (China) is one of the most successful wine region of China, and the phenolic characterisation and antioxidant capacity of the primarily young, monovarietal wines from there were evaluated. The result showed that Helanshan Donglu wines contained abundant phenolic compounds, especially flavan-3-ols, and possessed high antioxidant capacity. In different grape varieties, the phenolic profiles varied greatly in both red and white wines. For red wines, Cabernet Sauvignon represented the highest total phenols (2 631 mg/L GAE), total flavonoids (1 840.83 mg/L CTE) and antioxidant capacity. Gamay and Cabernet Gernischt possessed the highest total flavan-3-ols (1 108.08 mg/L CTE) and total anthocyanins (258.78 mg/L CGE). Amongst the white wines, Chardonnay and Chenin blanc showed the highest phenolic contents and antioxidant capacity. (+)-Catechin and (-)-epicatechin were dominant phenolic constituents in both the red and white wines. Gallic acid and salicylic acid were the second most abundant in red wines, while gentisic acid was the second most abundant in white wines

Semiparametric regression methods for temporal processes subject to multiple sources of censoring

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155547/1/cjs11528.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155547/2/cjs11528_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155547/3/cjs11528-sup-0002-SuppInfo2.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155547/4/cjs11528-sup-0001-SuppInfo1.pd

A general approximation of quantum graph vertex couplings by scaled Schroedinger operators on thin branched manifolds

We demonstrate that any self-adjoint coupling in a quantum graph vertex can be approximated by a family of magnetic Schroedinger operators on a tubular network built over the graph. If such a manifold has a boundary, Neumann conditions are imposed at it. The procedure involves a local change of graph topology in the vicinity of the vertex; the approximation scheme constructed on the graph is subsequently `lifted' to the manifold. For the corresponding operator a norm-resolvent convergence is proved, with the natural identification map, as the tube diameters tend to zero.Comment: 19 pages, one figure; introduction amended and some references added, to appear in CM