55 research outputs found
Formation and control of electron molecules in artificial atoms: Impurity and magnetic-field effects
Interelectron interactions and correlations in quantum dots can lead to
spontaneous symmetry breaking of the self-consistent mean field resulting in
formation of Wigner molecules. With the use of spin-and-space unrestricted
Hartree-Fock (sS-UHF) calculations, such symmetry breaking is discussed for
field-free conditions, as well as under the influence of an external magnetic
field. Using as paradigms impurity-doped (as well as the limiting case of
clean) two-electron quantum dots (which are analogs to helium-like atoms), it
is shown that the interplay between the interelectron repulsion and the
electronic zero-point kinetic energy leads, for a broad range of impurity
parameters, to formation of a singlet ground-state electron molecule,
reminiscent of the molecular picture of doubly-excited helium. Comparative
analysis of the conditional probability distributions for the sS-UHF and the
exact solutions for the ground state of two interacting electrons in a clean
parabolic quantum dot reveals that both of them describe formation of an
electron molecule with similar characteristics. The self-consistent field
associated with the triplet excited state of the two-electron quantum dot
(clean as well as impurity-doped) exhibits symmetry breaking of the Jahn-Teller
type, similar to that underlying formation of nonspherical open-shell nuclei
and metal clusters. Furthermore, impurity and/or magnetic-field effects can be
used to achieve controlled manipulation of the formation and pinning of the
discrete orientations of the Wigner molecules. Impurity effects are futher
illustrated for the case of a quantum dot with more than two electrons.Comment: Latex/Revtex, 10 pages with 4 gif figures. Small changes to explain
the difference between Wigner and Jahn-Teller electron molecules. A complete
version of the paper with high quality figures inside the text is available
at http://shale.physics.gatech.edu/~costas/qdhelium.html For related papers,
see http://www.prism.gatech.edu/~ph274c
Electron transport across a quantum wire in the presence of electron leakage to a substrate
We investigate electron transport through a mono-atomic wire which is tunnel
coupled to two electrodes and also to the underlying substrate. The setup is
modeled by a tight-binding Hamiltonian and can be realized with a scanning
tunnel microscope (STM). The transmission of the wire is obtained from the
corresponding Green's function. If the wire is scanned by the contacting STM
tip, the conductance as a function of the tip position exhibits oscillations
which may change significantly upon increasing the number of wire atoms. Our
numerical studies reveal that the conductance depends strongly on whether or
not the substrate electrons are localized. As a further ubiquitous feature, we
observe the formation of charge oscillations.Comment: 7 pages, 7 figure
Incident Hepatitis C Virus Infections in the Swiss HIV Cohort Study : changes in treatment uptake and outcomes between 1991 and 2013
Background: The hepatitis C virus (HCV) epidemic is evolving rapidly in patients infected with human immunodeficiency virus (HIV). We aimed to describe changes in treatment uptake and outcomes of incident HCV infections before and after 2006, the time-point at which major changes in HCV epidemic became apparent. Methods. We included all adults with an incident HCV infection before June 2012 in the Swiss HIV Cohort Study, a prospective nationwide representative cohort of individuals infected with HIV. We assessed the following outcomes by time period: the proportion of patients starting an HCV therapy, the proportion of treated patients achieving a sustained virological response (SVR), and the proportion of patients with persistent HCV infection during follow-up. Results. Of 193 patients with an HCV seroconversion, 106 were diagnosed before and 87 after January 2006. The proportion of men who have sex with men increased from 24% before to 85% after 2006 (P < .001). Hepatitis C virus treatment uptake increased from 33% before 2006 to 77% after 2006 (P < .001). Treatment was started during early infection in 22% of patients before and 91% after 2006 (P < .001). An SVR was achieved in 78% and 29% (P = .01) of patients treated during early and chronic HCV infection. The probability of having a detectable viral load 5 years after diagnosis was 0.67 (95% confidence interval [CI], 0.58-0.77) in the group diagnosed before 2006 and 0.24 (95% CI, 0.16-0.35) in the other group (P < .001). Conclusions. In recent years, increased uptake and earlier initiation of HCV therapy among patients with incident infections significantly reduced the proportion of patients with replicating HCV
Non-AIDS defining cancers in the D:A:D Study-time trends and predictors of survival : a cohort study
BACKGROUND:Non-AIDS defining cancers (NADC) are an important cause of morbidity and mortality in HIV-positive individuals. Using data from a large international cohort of HIV-positive individuals, we described the incidence of NADC from 2004-2010, and described subsequent mortality and predictors of these.METHODS:Individuals were followed from 1st January 2004/enrolment in study, until the earliest of a new NADC, 1st February 2010, death or six months after the patient's last visit. Incidence rates were estimated for each year of follow-up, overall and stratified by gender, age and mode of HIV acquisition. Cumulative risk of mortality following NADC diagnosis was summarised using Kaplan-Meier methods, with follow-up for these analyses from the date of NADC diagnosis until the patient's death, 1st February 2010 or 6 months after the patient's last visit. Factors associated with mortality following NADC diagnosis were identified using multivariable Cox proportional hazards regression.RESULTS:Over 176,775 person-years (PY), 880 (2.1%) patients developed a new NADC (incidence: 4.98/1000PY [95% confidence interval 4.65, 5.31]). Over a third of these patients (327, 37.2%) had died by 1st February 2010. Time trends for lung cancer, anal cancer and Hodgkin's lymphoma were broadly consistent. Kaplan-Meier cumulative mortality estimates at 1, 3 and 5 years after NADC diagnosis were 28.2% [95% CI 25.1-31.2], 42.0% [38.2-45.8] and 47.3% [42.4-52.2], respectively. Significant predictors of poorer survival after diagnosis of NADC were lung cancer (compared to other cancer types), male gender, non-white ethnicity, and smoking status. Later year of diagnosis and higher CD4 count at NADC diagnosis were associated with improved survival. The incidence of NADC remained stable over the period 2004-2010 in this large observational cohort.CONCLUSIONS:The prognosis after diagnosis of NADC, in particular lung cancer and disseminated cancer, is poor but has improved somewhat over time. Modifiable risk factors, such as smoking and low CD4 counts, were associated with mortality following a diagnosis of NADC
A novel and accurate computer model of melanoma prognosis for patients staged by sentinel lymph node biopsy: comparison with the American Joint Committee on Cancer model.
Item does not contain fulltextBACKGROUND: We found that a computer model developed by the American Joint Committee on Cancer (AJCC) melanoma staging committee had limitations for predicting prognosis of patients staged by sentinel lymph node (SLN) biopsy. We sought to develop a model that more accurately predicts prognosis in this population. STUDY DESIGN: Using a data set obtained from a prospective multi-institutional study of 2,507 patients with clinically node-negative melanomas >/=1.0 mm Breslow thickness, we developed a prognostic model using a Cox regression formula incorporating a number of significant clinicopathologic factors. The AJCC model and our model were used to predict 5-year survival from this test data set. The concordance correlation coefficient (CCC) was determined and chi-square tests were performed. Our new prognostic model was validated using an independent data set of 1,001 patients. RESULTS: Using the test data set, the CCC for the AJCC model was 0.875; chi-square tests demonstrated statistically significant differences between observed and predicted survivals for numerous clinicopathologic factors. The CCC for our model was 0.976 and none of the chi-square tests was statistically significant. Our model performed similarly well in SLN-negative patients (CCC 0.929) and SLN-positive patients (CCC 0.889). The AJCC model performed well in SLN-negative patients (CCC 0.854), but not in SLN-positive patients (CCC 0.626). Using the validation data set, similar findings were obtained. CONCLUSIONS: Our prognostic model provides superior survival estimates compared with the AJCC model for patients undergoing SLN biopsy. This online tool is available at www.melanomacalculator.com, and will provide important information that can be used to guide adjuvant therapy decisions and stratification in clinical trials.1 april 201
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