More, More, More: Reducing Thrombosis in Acute Coronary Syndromes Beyond Dual Antiplatelet Therapy-Current Data and Future Directions.

© 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.Common to the pathogenesis of acute coronary syndromes (ACS) is the formation of arterial thrombus, which results from platelet activation and triggering of the coagulation cascade.1 To attenuate the risk of future thrombotic events, patients with ACS are treated with dual antiplatelet therapy (DAPT), namely, the combination of aspirin with a P2Y12 inhibitor, such as clopidogrel, ticagrelor, or prasugrel. Despite DAPT, some ≈10% of ACS patients experience recurrent major adverse cardiovascular events over the subsequent 30 days,2 driving the quest for more effective inhibition of thrombotic pathways. In this review, we provide an overview of studies to date and those ongoing that aim to deliver more effective combinations of antithrombotic agents to patients with recent ACS. We have chosen to confine the review to ACS patients without atrial fibrillation because those with atrial fibrillation have a clear indication for combination therapy that includes oral anticoagulation and should, we feel, be treated as a separate cohort. In this article, we discuss the limitations of the currently available clinical trial data and future directions, with suggestions for how practice might change to reduce the risk of coronary thrombosis in those at greatest risk, with minimal impact on bleeding.Peer reviewedFinal Published versio

Gender Differences in Personality across the Ten Aspects of the Big Five

This paper investigates gender differences in personality traits, both at the level of the Big Five and at the sublevel of two aspects within each Big Five domain. Replicating previous findings, women reported higher Big Five Extraversion, Agreeableness, and Neuroticism scores than men. However, more extensive gender differences were found at the level of the aspects, with significant gender differences appearing in both aspects of every Big Five trait. For Extraversion, Openness, and Conscientiousness, the gender differences were found to diverge at the aspect level, rendering them either small or undetectable at the Big Five level. These findings clarify the nature of gender differences in personality and highlight the utility of measuring personality at the aspect level

C-axis Optical Sum Rule in Josephson Coupled Vortex State

Observed violations of the $c$-axis optical sum rule can give important information on deviations from in-plane Fermi liquid behavior and on the nature of interlayer coupling between adjacent copper oxide planes. Application of a magnetic field perpendicular to these planes is another way to probe in-plane dynamics. We find that the optical sum rule is considerably modified in the presence of the $c$-axis magnetic field. Interlayer correlation of pancake vortices is involved in the sum rule modification; however, details of the vortex distribution in the plane are less important.Comment: one figure. To be published in PRB (Sep. 20001

Cost performance and risk in the construction of offshore and onshore wind farms

This article investigates the risk of cost overruns and underruns occurring in the construction of 51 onshore and offshore wind farms commissioned between 2000 and 2015 in 13 countries. In total, these projects required about $39 billion in investment and reached about 11 GW of installed capacity. We use this original dataset to test six hypotheses about construction cost overruns related to (i) technological learning, (ii) fiscal control, (iii) economies of scale, (iv) configuration, (v) regulation and markets and (vi) manufacturing experience. We find that across the entire dataset, the mean cost escalation per project is 6.5$63 million per windfarm, although 20 projects within the sample (39%) did not exhibit cost overruns. The majority of onshore wind farms exhibit cost underruns while for offshore wind farms the results have a larger spread. Interestingly, no significant relationship exists between the size (in total MWor per individual turbine capacity) of a windfarm and the severity of a cost overrun. Nonetheless, there is an indication that the risk increases for larger wind farms at greater distances offshore using new types of turbines and foundations. Overall, the mean cost escalation for onshore projects is 1.7% and 9.6% for offshore projects, amounts much lower than those for other energy infrastructure

Spin-Wave Theory of the Spiral Phase of the t-J Model

A graded H.P,realization of the SU(2|1) algebra is proposed.A spin-wave theory with a condition that the sublattice magnetization is zero is discussed.The long-range spiral phase is investigated.The spin-spin correlator is calculated.Comment: 17 page

Charge pairing, superconducting transition and supersymmetry in high-temperature cuprate superconductors

We propose a model for high-T$_{c}$ superconductors, valid for $0\leq\delta\leq\delta_{SC}$, that includes both the spin fluctuations of the Cu$^{++}$ magnetic ions and of the O$^{--}$ doped holes. Spin-charge separation is taken into account with the charge of the doped holes being associated to quantum skyrmion excitations (holons) of the Cu$^{++}$ spin background. The holon effective interaction potential is evaluated as a function of doping, indicating that Cooper pair formation is determined by the competition between the spin fluctuations of the Cu$^{++}$ background and of spins of the O$^{--}$ doped holes (spinons). The superconducting transition occurs when the spinon fluctuations dominate, thereby reversing the sign of the interaction. At this point ($\delta = \delta_{SC}$), the theory is supersymmetric at short distances and, as a consequence, the leading order results are not modified by radiative corrections. The critical doping parameter for the onset of superconductivity at T=0 is obtained and found to be a universal constant determined by the shape of the Fermi surface. Our theoretical values for $\delta_{SC}$ are in good agreement with the experiment for both LSCO and YBCO.Comment: RevTex, 4 pages, no figure

Continuous symmetry of C60 fullerene and its derivatives

Conventionally, the Ih symmetry of fullerene C60 is accepted which is supported by numerous calculations. However, this conclusion results from the consideration of the molecule electron system, of its odd electrons in particular, in a close-shell approximation without taking the electron spin into account. Passing to the open-shell approximation has lead to both the energy and the symmetry lowering up to Ci. Seemingly contradicting to a high-symmetry pattern of experimental recording, particularly concerning the molecule electronic spectra, the finding is considered in the current paper from the continuous symmetry viewpoint. Exploiting both continuous symmetry measure and continuous symmetry content, was shown that formal Ci symmetry of the molecule is by 99.99% Ih. A similar continuous symmetry analysis of the fullerene monoderivatives gives a reasonable explanation of a large variety of their optical spectra patterns within the framework of the same C1 formal symmetry exhibiting a strong stability of the C60 skeleton.Comment: 11 pages. 5 figures. 6 table

Electronic states, Mott localization, electron-lattice coupling, and dimerization for correlated one-dimensional systems. II

We discuss physical properties of strongly correlated electron states for a linear chain obtained with the help of the recently proposed new method combining the exact diagonalization in the Fock space with an ab initio readjustment of the single-particle orbitals in the correlated state. The method extends the current discussion of the correlated states since the properties are obtained with varying lattice spacing. The finite system of N atoms evolves with the increasing interatomic distance from a Fermi-liquid-like state into the Mott insulator. The criteria of the localization are discussed in detail since the results are already convergent for N>=8. During this process the Fermi-Dirac distribution gets smeared out, the effective band mass increases by ~50%, and the spin-spin correlation functions reduce to those for the Heisenberg antiferromagnet. Values of the microscopic parameters such as the hopping and the kinetic-exchange integrals, as well as the magnitude of both intra- and inter-atomic Coulomb and exchange interactions are calculated. We also determine the values of various local electron-lattice couplings and show that they are comparable to the kinetic exchange contribution in the strong-correlation limit. The magnitudes of the dimerization and the zero-point motion are also discussed. Our results provide a canonical example of a tractable strongly correlated system with a precise, first-principle description as a function of interatomic distance of a model system involving all hopping integrals, all pair-site interactions, and the exact one-band Wannier functions.Comment: 18 pages, REVTEX, submitted to Phys. Rev.

Green tea polyphenol treatment is chondroprotective, anti-inflammatory and palliative in a mouse posttraumatic osteoarthritis model

Introduction Epigallocatechin 3-gallate (EGCG), a polyphenol present in green tea, was shown to exert chondroprotective effects in vitro. In this study, we used a posttraumatic osteoarthritis (OA) mouse model to test whether EGCG could slow the progression of OA and relieve OA-associated pain. Methods C57BL/6 mice were subjected to surgical destabilization of the medial meniscus (DMM) or sham surgery. EGCG (25 mg/kg) or vehicle control was administered daily for 4 or 8 weeks by intraperitoneal injection starting on the day of surgery. OA severity was evaluated using Safranin O staining and Osteoarthritis Research Society International (OARSI) scores, as well as by immunohistochemical analysis to detect cleaved aggrecan and type II collagen and expression of proteolytic enzymes matrix metalloproteinase 13 (MMP-13) and A disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS5). Real-time PCR was performed to characterize the expression of genes critical for articular cartilage homeostasis. During the course of the experiments, tactile sensitivity testing (von Frey test) and open-field assays were used to evaluate pain behaviors associated with OA, and expression of pain expression markers and inflammatory cytokines in the dorsal root ganglion (DRG) was determined by real-time PCR. Results Four and eight weeks after DMM surgery, the cartilage in EGCG-treated mice exhibited less Safranin O loss and cartilage erosion, as well as lower OARSI scores compared to vehicle-treated controls, which was associated with reduced staining for aggrecan and type II collagen cleavage epitopes, and reduced staining for MMP-13 and ADAMTS5 in the articular cartilage. Articular cartilage in the EGCG-treated mice also exhibited reduced levels of Mmp1, Mmp3, Mmp8, Mmp13,Adamts5, interleukin 1 beta (Il1b) and tumor necrosis factor alpha (Tnfa) mRNA and elevated gene expression of the MMP regulator Cbp/p300 interacting transactivator 2 (Cited2). Compared to vehicle controls, mice treated with EGCG exhibited reduced OA-associated pain, as indicated by higher locomotor behavior (that is, distance traveled). Moreover, expression of the chemokine receptor Ccr2 and proinflammatory cytokines Il1b and Tnfa in the DRG were significantly reduced to levels similar to those of sham-operated animals. Conclusions This study provides the first evidence in an OA animal model that EGCG significantly slows OA disease progression and exerts a palliative effect. Electronic supplementary material The online version of this article (doi:10.1186/s13075-014-0508-y) contains supplementary material, which is available to authorized users

High Temperature Superconductivity: the explanation

Soon after the discovery of the first high temperature superconductor by Georg Bednorz and Alex Mueller in 1986 the late Sir Nevill Mott answering his own question "Is there an explanation?" [Nature v 327 (1987) 185] expressed a view that the Bose-Einstein condensation (BEC) of small bipolarons, predicted by us in 1981, could be the one. Several authors then contemplated BEC of real space tightly bound pairs, but with a purely electronic mechanism of pairing rather than with the electron-phonon interaction (EPI). However, a number of other researchers criticized the bipolaron (or any real-space pairing) scenario as incompatible with some angle-resolved photoemission spectra (ARPES), with experimentally determined effective masses of carriers and unconventional symmetry of the superconducting order parameter in cuprates. Since then the controversial issue of whether the electron-phonon interaction (EPI) is crucial for high-temperature superconductivity or weak and inessential has been one of the most challenging problems of contemporary condensed matter physics. Here I outline some developments in the bipolaron theory suggesting that the true origin of high-temperature superconductivity is found in a proper combination of strong electron-electron correlations with a significant finite-range (Froehlich) EPI, and that the theory is fully compatible with the key experiments.Comment: 8 pages, 2 figures, invited comment to Physica Script