1,341 research outputs found
Steering a quantum system over a Schroedinger bridge
A new approach to the steering problem for quantum systems relying on
Nelson's stochastic mechanics and on the theory of Schroedinger bridges is
presented. The method is illustrated by working out a simple Gaussian example.Comment: Proc. Intern. Conf. on the Mathematical Theory of Networks and
Systems, Perpignan, France, June 2000, CD-ROM, paper nr. 268, M. Fliess and
A. El Jai Ed
Coefficient of thermal expansion of nanostructured tungsten based coatings assessed by thermally induced substrate curvature method
The in plane coefficient of thermal expansion (CTE) and the residual stress
of nanostructured W based coatings are extensively investigated. The CTE and
the residual stresses are derived by means of an optimized ad-hoc developed
experimental setup based on the detection of the substrate curvature by a laser
system. The nanostructured coatings are deposited by Pulsed Laser Deposition.
Thanks to its versatility, nanocrystalline W metallic coatings,
ultra-nano-crystalline pure W and W-Tantalum coatings and amorphous-like W
coatings are obtained. The correlation between the nanostructure, the residual
stress and the CTE of the coatings are thus elucidated. We find that all the
samples show a compressive state of stress that decreases as the structure goes
from columnar nanocrystalline to amorphous-like. The CTE of all the coatings is
higher than the one of the corresponding bulk W form. In particular, as the
grain size shrinks, the CTE increases from 5.1 10 K for
nanocrystalline W to 6.6 10 K in the ultra-nano-crystalline
region. When dealing with amorphous W, the further increase of the CTE is
attributed to a higher porosity degree of the samples. The CTE trend is also
investigated as function of materials stiffness. In this case, as W coatings
become softer, the easier they thermally expand.Comment: The research leading to these results has also received funding from
the European Research Council Consolidator Grant ENSURE (ERC-2014-CoG No.
647554
Thermomechanical properties of amorphous metallic tungsten-oxygen and tungsten-oxide coatings
In this work, we investigate the correlation between morphology, composition,
and the mechanical properties of metallic amorphous tungsten-oxygen and
amorphous tungsten-oxide films deposited by Pulsed Laser Deposition. This
correlation is investigated by the combined use of Brillouin Spectroscopy and
the substrate curvature method. The stiffness of the films is strongly affected
by both the oxygen content and the mass density. The elastic moduli show a
decreasing trend as the mass density decreases and the oxygen-tungsten ratio
increases. A plateaux region is detected in correspondence of the transition
between metallic and oxide films. The compressive residual stresses, moderate
stiffness and high local ductility that characterize compact amorphous
tungsten-oxide films make them promising for applications involving thermal or
mechanical loads. The coefficient of thermal expansion is quite high (i.e. 8.9
10 K), being strictly correlated to the amorphous
structure and stoichiometry of the films. Under thermal treatments they show a
quite low relaxation temperature (i.e. 450 K). They crystallize into the
monoclinic phase of WO starting from 670 K, inducing an increase
by about 70\% of material stiffness.Comment: The research leading to these results has also received funding from
the European Research Council Consolidator Grant ENSURE (ERC-2014-CoG No.
647554). The views and opinions expressed herein do not necessarily reflect
those of the European Commissio
Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy
Objectives: An observation of the admissions to the emergency room (ER) requiring psychiatric evaluation during the lockdown and investigation of the demographic and clinical variables. Methods: Retrospective longitudinal observational study of ER accesses for psychiatric evaluation was performed, comparing two periods (9 March–3 May 2020 vs. 9 March–3 May 2019). Data (number of admissions, key baseline demographic and clinical variables) were extracted from the ER databases of referral centres in a well-defined geographic area of North-Eastern Italy (Cesena, Ravenna, Forlì, and Rimini). Results: A 15% reduction of psychiatric referrals was observed, together with a 17% reduction in the total number of patients referring to the ER. This reduction was most evident in the first month of the lockdown period (almost 25% reduction of both referrals and patients). Female gender (OR: 1.52: 95%, CI: 1.12–2.06) and being a local resident (OR: 1.54: 95%CI: 1.02–2.34) were factors associated with the decrease. Conclusions: Lockdown changed dramatically health priorities in the local population, including people with mental health. We speculate that our observations do not only refer to the confinement due to the lockdown regime but also to fear of contagion and adoption of different coping strategies, especially in women.Key-points During lockdown 15% reduction of psychiatric visits and >17% reduction in the number of psychiatric patients referring to the ER was observed. in the first four weeks of the lockdown almost 25% reduction of both visits and patients was observed Female gender and being a local resident were factors associated with the decrease
Risk of Guillain-Barré syndrome after 2010–2011 influenza vaccination
Influenza vaccination has been implicated in Guillain Barré Syndrome (GBS) although the evidence for this link is controversial. A case–control study was conducted between October 2010 and May 2011 in seven Italian Regions to explore the relation between influenza vaccination and GBS. The study included 176 GBS incident cases aged ≥18 years from 86 neurological centers. Controls were selected among patients admitted for acute conditions to the Emergency Department of the same hospital as cases. Each control was matched to a case by sex, age, Region and admission date. Two different analyses were conducted: a matched case–control analysis and a self-controlled case series analysis (SCCS). Case–control analysis included 140 cases matched to 308 controls. The adjusted matched odds ratio (OR) for GBS occurrence within 6 weeks after influenza vaccination was 3.8 (95 % CI: 1.3, 10.5). A much stronger association with gastrointestinal infections (OR = 23.8; 95 % CI 7.3, 77.6) and influenza-like illness or upper respiratory tract infections (OR = 11.5; 95 % CI 5.6, 23.5) was highlighted. The SCCS analysis included all 176 GBS cases. Influenza vaccination was associated with GBS, with a relative risk of 2.1 (95 % CI 1.1, 3.9). According to these results the attributable risk in adults ranges from two to five GBS cases per 1,000,000 vaccinations
Migraine-specific quality of life questionnaire and relapse on medication overuse headache
Background: The management of Medication overuse headache (MOH) represents a difficult challenge for clinicians and headache experts, particularly for the responder rate after a successful withdrawal treatment. The purpose of this study was to investigate the role of demographic and clinical characteristics as well as the score of Migraine-Specific Quality of Life Questionnaire (MSQ), Migraine Disability Questionnaire and Leeds Dependence Questionnaire in predicting a response after a successful withdrawal treatment in patients with MOH.
Methods: This ancillary study is part of a randomized trial that demonstrated the safety and the efficacy of a 3-month treatment with sodium valproate (VPA) (800 mg/day vs placebo) in MOH. Demographic and clinical characteristics and questionnaire results were obtained from the entire sample.
Results: A significant correlation was found only between MOH relapse and the total MSQ score, the Role Preventive sub-scale and the Emotional Function sub-scale, suggesting a poorer quality of life in non responders.
Conclusion: A high MSQ score could be associated with a poor short-term outcome in MOH patients after a successful treatment with detoxification followed by a new treatment
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Risk factors for fatal and nonfatal repetition of suicide attempts: a literature review
Objectives: This review aimed to identify the evidence for predictors of repetition of suicide attempts, and more specifically for subsequent completed suicide. Methods: We conducted a literature search of PubMed and Embase between January 1, 1991 and December 31, 2009, and we excluded studies investigating only special populations (eg, male and female only, children and adolescents, elderly, a specific psychiatric disorder) and studies with sample size fewer than 50 patients. Results: The strongest predictor of a repeated attempt is a previous attempt, followed by being a victim of sexual abuse, poor global functioning, having a psychiatric disorder, being on psychiatric treatment, depression, anxiety, and alcohol abuse or dependence. For other variables examined (Caucasian ethnicity, having a criminal record, having any mood disorders, bad family environment, and impulsivity) there are indications for a putative correlation as well. For completed suicide, the strongest predictors are older age, suicide ideation, and history of suicide attempt. Living alone, male sex, and alcohol abuse are weakly predictive with a positive correlation (but sustained by very scarce data) for poor impulsivity and a somatic diagnosis. Conclusion: It is difficult to find predictors for repetition of nonfatal suicide attempts, and even more difficult to identify predictors of completed suicide. Suicide ideation and alcohol or substance abuse/dependence, which are, along with depression, the most consistent predictors for initial nonfatal attempt and suicide, are not consistently reported to be very strong predictors for nonfatal repetition
The impact of COVID-19 quarantine on mental health: an observational study from an outpatient service for non-psychotic patients in Russia (Moscow)
We aimed to compare psychiatric hospital visits during the COVID-19 quarantine period with the same period in 2019, to reveal the predictors of underutilization of mental health services. We then investigated the fluctuation of telemedicine service during the quarantine period. The retrospective study included patients with non-psychotic mental disorders who consecutively visited the Moscow clinic. The number of outpatient visits, inpatient admissions, sociodemographic factors were analyzed. We assessed the sample within two periods -the "quarantine period" (March 30 -June 9, 2020) and "control period" (March 30 -June 9, 2019). Psychiatric visits decreased in older, retired and disabled persons, and increased among the unemployed. In multivariate analysis, the reduction became significant for the number of inpatient admissions. Telemedicine calls gradually increased from the start of the service, but decreased towards the end of the quarantine. In conclusion, referrals to outpatient and inpatient psychiatric services decreased during the quarantine period, with newly established TMS potentially compensating for that decrease. The strongest factor associated with visits during the pandemic is employment status
Risk of seizure recurrence in people with single seizures and early epilepsy - Model development and external validation
PURPOSE: Following a single seizure, or recent epilepsy diagnosis, it is difficult to balance risk of medication side effects with the potential to prevent seizure recurrence. A prediction model was developed and validated enabling risk stratification which in turn informs treatment decisions and individualises counselling. METHODS: Data from a randomised controlled trial was used to develop a prediction model for risk of seizure recurrence following a first seizure or diagnosis of epilepsy. Time-to-event data was modelled via Cox's proportional hazards regression. Model validity was assessed via discrimination and calibration using the original dataset and also using three external datasets - National General Practice Survey of Epilepsy (NGPSE), Western Australian first seizure database (WA) and FIRST (Italian dataset of people with first tonic-clonic seizures). RESULTS: People with neurological deficit, focal seizures, abnormal EEG, not indicated for CT/MRI scan, or not immediately treated have a significantly higher risk of seizure recurrence. Discrimination was fair and consistent across the datasets (c-statistics: 0.555 (NGPSE); 0.558 (WA); 0.597 (FIRST)). Calibration plots showed good agreement between observed and predicted probabilities in NGPSE at one and three years. Plots for WA and FIRST showed poorer agreement with the model underpredicting risk in WA, and over-predicting in FIRST. This was resolved following model recalibration. CONCLUSION: The model performs well in independent data especially when recalibrated. It should now be used in clinical practice as it can improve the lives of people with single seizures and early epilepsy by enabling targeted treatment choices and more informed patient counselling
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