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Obesity and prostate cancer-specific mortality after radical prostatectomy: results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database.
BackgroundAt the population level, obesity is associated with prostate cancer (PC) mortality. However, few studies analyzed the associations between obesity and long-term PC-specific outcomes after initial treatment.MethodsWe conducted a retrospective analysis of 4268 radical prostatectomy patients within the Shared Equal Access Regional Cancer Hospital (SEARCH) database. Cox models accounting for known risk factors were used to examine the associations between body mass index (BMI) and PC-specific mortality (PCSM; primary outcome). Secondary outcomes included biochemical recurrence (BCR) and castration-resistant PC (CRPC). BMI was used as a continuous and categorical variable (normal <25 kg/m2, overweight 25-29.9 kg/m2 and obese ⩾30 kg/m2). Median follow-up among all men who were alive at last follow-up was 6.8 years (interquartile range=3.5-11.0). During this time, 1384 men developed BCR, 117 developed CRPC and 84 died from PC. Hazard ratios were analyzed using competing-risks regression analysis accounting for non-PC death as a competing risk.ResultsOn crude analysis, higher BMI was not associated with risk of PCSM (P=0.112), BCR (0.259) and CRPC (P=0.277). However, when BMI was categorized, overweight (hazard ratio (HR) 1.99, P=0.034) and obesity (HR 1.97, P=0.048) were significantly associated with PCSM. Obesity and overweight were not associated with BCR or CRPC (all P⩾0.189). On multivariable analysis adjusting for both clinical and pathological features, results were little changed in that obesity (HR=2.05, P=0.039) and overweight (HR=1.88, P=0.061) were associated with higher risk of PCSM, but not with BCR or CRPC (all P⩾0.114) with the exception that the association for overweight was no longer statistical significant.ConclusionsOverweight and obesity were associated with increased risk of PCSM after radical prostatectomy. If validated in larger studies with longer follow-up, obesity may be established as a potentially modifiable risk factor for PCSM
Interaction-induced edge states in anisotropic non-Fermi liquids
We devise an approach to calculation of scaling dimensions of generic operators describing scattering within multi-channel Luttinger liquid. The local impurity scattering in arbitrary configuration of conducting and insulating channels is investigated and the problem is reduced to a single algebraic matrix equation. The application to a semi-infinite array of chains described by Luttinger liquid models demonstrates that for a weak inter-chain hybridisation and intra-channel electron-electron attraction the edge wire is robust against disorder whereas bulk wires, on contrary, become insulating in some region of inter-chain interaction parameters. This result proves that the edge states may exist in disordered anisotropic strongly correlated systems without time-reversal symmetry breaking or spin-orbit interaction and provide quantized low-temperature transport
Local Thermometry of Neutral Modes on the Quantum Hall Edge
A system of electrons in two dimensions and strong magnetic fields can be
tuned to create a gapped 2D system with one dimensional channels along the
edge. Interactions among these edge modes can lead to independent transport of
charge and heat, even in opposite directions. Measuring the chirality and
transport properties of these charge and heat modes can reveal otherwise hidden
structure in the edge. Here, we heat the outer edge of such a quantum Hall
system using a quantum point contact. By placing quantum dots upstream and
downstream along the edge of the heater, we can measure both the chemical
potential and temperature of that edge to study charge and heat transport,
respectively. We find that charge is transported exclusively downstream, but
heat can be transported upstream when the edge has additional structure related
to fractional quantum Hall physics.Comment: 24 pages, 18 figure
The space group classification of topological band insulators
Topological band insulators (TBIs) are bulk insulating materials which
feature topologically protected metallic states on their boundary. The existing
classification departs from time-reversal symmetry, but the role of the crystal
lattice symmetries in the physics of these topological states remained elusive.
Here we provide the classification of TBIs protected not only by time-reversal,
but also by crystalline symmetries. We find three broad classes of topological
states: (a) Gamma-states robust against general time-reversal invariant
perturbations; (b) Translationally-active states protected from elastic
scattering, but susceptible to topological crystalline disorder; (c) Valley
topological insulators sensitive to the effects of non-topological and
crystalline disorder. These three classes give rise to 18 different
two-dimensional, and, at least 70 three-dimensional TBIs, opening up a route
for the systematic search for new types of TBIs.Comment: Accepted in Nature Physic
Phase diagram of a Bose gas near a wide Feshbach resonance
In this paper, we study the phase diagram of a homogeneous Bose gas with a
repulsive interaction near a wide Feshbach resonance at zero temperature. The
Bose-Einstein-condensation (BEC) state of atoms is a metastable state. When the
scattering length exceeds a critical value depending on the atom density
, , the molecular excitation energy is imaginary and the atomic
BEC state is dynamically unstable against molecule formation. The BEC state of
diatomic molecules has lower energy, where the atomic excitation is gapped and
the molecular excitation is gapless. However when the scattering length is
above another critical value, , the molecular BEC state becomes a
unstable coherent mixture of atoms and molecules. In both BEC states, the
binding energy of diatomic molecules is reduced due to the many-body effect.Comment: 5 pages, 4 figure
Topological modes bound to dislocations in mechanical metamaterials
Mechanical metamaterials are artificial structures with unusual properties,
such as negative Poisson ratio, bistability or tunable vibrational properties,
that originate in the geometry of their unit cell. At the heart of such unusual
behaviour is often a soft mode: a motion that does not significantly stretch or
compress the links between constituent elements. When activated by motors or
external fields, soft modes become the building blocks of robots and smart
materials. Here, we demonstrate the existence of topological soft modes that
can be positioned at desired locations in a metamaterial while being robust
against a wide range of structural deformations or changes in material
parameters. These protected modes, localized at dislocations, are the
mechanical analogue of topological states bound to defects in electronic
systems. We create physical realizations of the topological modes in prototypes
of kagome lattices built out of rigid triangular plates. We show mathematically
that they originate from the interplay between two Berry phases: the Burgers
vector of the dislocation and the topological polarization of the lattice. Our
work paves the way towards engineering topologically protected nano-mechanical
structures for molecular robotics or information storage and read-out.Comment: 13 pages, 6 figures; changes to text and figures and added analysis
on mode localization; see
http://www.lorentz.leidenuniv.nl/~paulose/dislocation-modes/ for accompanying
video
A topological Dirac insulator in a quantum spin Hall phase : Experimental observation of first strong topological insulator
When electrons are subject to a large external magnetic field, the
conventional charge quantum Hall effect \cite{Klitzing,Tsui} dictates that an
electronic excitation gap is generated in the sample bulk, but metallic
conduction is permitted at the boundary. Recent theoretical models suggest that
certain bulk insulators with large spin-orbit interactions may also naturally
support conducting topological boundary states in the extreme quantum limit,
which opens up the possibility for studying unusual quantum Hall-like phenomena
in zero external magnetic field. Bulk BiSb single crystals are
expected to be prime candidates for one such unusual Hall phase of matter known
as the topological insulator. The hallmark of a topological insulator is the
existence of metallic surface states that are higher dimensional analogues of
the edge states that characterize a spin Hall insulator. In addition to its
interesting boundary states, the bulk of BiSb is predicted to
exhibit three-dimensional Dirac particles, another topic of heightened current
interest. Here, using incident-photon-energy-modulated (IPEM-ARPES), we report
the first direct observation of massive Dirac particles in the bulk of
BiSb, locate the Kramers' points at the sample's boundary and
provide a comprehensive mapping of the topological Dirac insulator's gapless
surface modes. These findings taken together suggest that the observed surface
state on the boundary of the bulk insulator is a realization of the much sought
exotic "topological metal". They also suggest that this material has potential
application in developing next-generation quantum computing devices.Comment: 16 pages, 3 Figures. Submitted to NATURE on 25th November(2007
Fate of the Josephson effect in thin-film superconductors
The dc Josephson effect refers to the dissipationless electrical current --
the supercurrent -- that can be sustained across a weak link connecting two
bulk superconductors. This effect is a probe of the fundamental nature of the
superconducting state. Here, we analyze the case of two superconducting thin
films connected by a point contact. Remarkably, the Josephson effect is absent
at nonzero temperature, and the resistance across the contact is nonzero.
Moreover, the point contact resistance is found to vary with temperature in a
nearly activated fashion, with a UNIVERSAL energy barrier determined only by
the superfluid stiffness characterizing the films, an angle characterizing the
geometry, and whether or not the Coulomb interaction between Cooper pairs is
screened. This behavior reflects the subtle nature of the superconductivity in
two-dimensional thin films, and should be testable in detail by future
experiments.Comment: 16 + 8 pages. 1 figure, 1 tabl
One-dimensional Topological Edge States of Bismuth Bilayers
The hallmark of a time-reversal symmetry protected topologically insulating
state of matter in two-dimensions (2D) is the existence of chiral edge modes
propagating along the perimeter of the system. To date, evidence for such
electronic modes has come from experiments on semiconducting heterostructures
in the topological phase which showed approximately quantized values of the
overall conductance as well as edge-dominated current flow. However, there have
not been any spectroscopic measurements to demonstrate the one-dimensional (1D)
nature of the edge modes. Among the first systems predicted to be a 2D
topological insulator are bilayers of bismuth (Bi) and there have been recent
experimental indications of possible topological boundary states at their
edges. However, the experiments on such bilayers suffered from irregular
structure of their edges or the coupling of the edge states to substrate's bulk
states. Here we report scanning tunneling microscopy (STM) experiments which
show that a subset of the predicted Bi-bilayers' edge states are decoupled from
states of Bi substrate and provide direct spectroscopic evidence of their 1D
nature. Moreover, by visualizing the quantum interference of edge mode
quasi-particles in confined geometries, we demonstrate their remarkable
coherent propagation along the edge with scattering properties that are
consistent with strong suppression of backscattering as predicted for the
propagating topological edge states.Comment: 15 pages, 5 figures, and supplementary materia
Photonic Analogue of Two-dimensional Topological Insulators and Helical One-Way Edge Transport in Bi-Anisotropic Metamaterials
Recent progress in understanding the topological properties of condensed
matter has led to the discovery of time-reversal invariant topological
insulators. Because of limitations imposed by nature, topologically non-trivial
electronic order seems to be uncommon except in small-band-gap semiconductors
with strong spin-orbit interactions. In this Article we show that artificial
electromagnetic structures, known as metamaterials, provide an attractive
platform for designing photonic analogues of topological insulators. We
demonstrate that a judicious choice of the metamaterial parameters can create
photonic phases that support a pair of helical edge states, and that these edge
states enable one-way photonic transport that is robust against disorder.Comment: 13 pages, 3 figure
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