Evolution of the specific-heat anomaly of the high-temperature superconductor YBa2Cu3O7 under influence of doping through application of pressure up to 10 GPa

The evolution of the specific-heat anomaly in the overdoped range of a single crystal of the high-temperature superconductor YBa2Cu3O7 has been studied under influence of pressure up to 10 GPa, using AC calorimetry in a Bridgman-type pressure cell. We show that the specific-heat jump as well as the bulk Tc are reduced with increasing pressure in accordance with a simple charge-transfer model. This new method enables us through pressure-induced charge transfer to study the doping dependence of the superconducting transition, as well as the evolution of the superconducting condensation energy on a single stoichometric sample without adding atomic disorder.Comment: final version: J. Phys.: Condens. Matter 17 (2005) 4135-414

Patient expectations at a multicultural out-patient clinic in Switzerland

Background. Recognizing patient expectation is considered as an important objective for primary care physicians. A number of studies suggest that failure to identify patient expectations can lead to patient dissatisfaction with care, lack of compliance and inappropriate use of medical resources. It has been suggested that identifying patient expectations in multicultural contexts can be especially challenging. Objectives. The aim of the study was to compare health care expectations of Swiss and immigrant patients attending the out-patient clinic of a Swiss university hospital and to assess physicians' ability to identify their patients' expectations. Methods. Over a 3-month period, all patients attending the out-patient clinic at a Swiss university hospital were requested to complete pre-consultation surveys. Their physicians were requested to complete post-consultation surveys. Outcome measures were patients' self-rated health, resort to prior home treatment, patients' expectations of the consultation, physicians' perception of their patients' expectations and agreement between patients and physicians. Results. We analysed 343 questionnaires completed by patients prior to their consultation (> 50% immigrants) and 333 questionnaires completed by their physicians after the consultation. Most expectations were shared by all patients. Physicians had inaccurate perceptions of their patients' expectations, regardless of patients' origin. Conclusions. Our study found no evidence that immigrant patients' expectations differed from those of Swiss patients, nor that physicians had more difficulty identifying expectations of immigrant patients. However, physicians in our study were generally poor at identifying patients' expectations, and therefore inter-group differences may be difficult to detect. Our results point to the need to strengthen physicians' general communication skills which should then serve as a foundation for more specific, cross-cultural communication trainin

Specific heat of MgB_2 after irradiation

We studied the effect of disorder on the superconducting properties of polycrystalline MgB_2 by specific-heat measurements. In the pristine state, these measurements give a bulk confirmation of the presence of two superconducting gaps with 2 Delta 0 / k_B T_c = 1.3 and 3.9 with nearly equal weights. The scattering introduced by irradiation suppresses T_c and tends to average the two gaps although less than predicted by theory. We also found that by a suitable irradiation process by fast neutrons, a substantial bulk increase of dH_{c2}/dT at T_c can be obtained without sacrificing more than a few degrees in T_c. The upper critical field of the sample after irradiation exceeds 28 T at T goes to 0 K.Comment: 11 pages text, 6 figures, accepted by Journal of Physics: Condensed Matte

Specific heat and magnetization of a ZrB12 single crystal: characterization of a type II/1 superconductor

We measured the specific heat, the magnetization, and the magnetoresistance of a single crystal of ZrB12, which is superconducting below Tc ~ 6 K. The specific heat in zero field shows a BCS-type superconducting transition. The normal- to superconducting-state transition changes from first order (with a latent heat) to second order (without latent heat) with increasing magnetic field, indicating that the pure compound is a low-kappa, type-II/1 superconductor in the classification of Auer and Ullmaier [J. Auer and H. Ullmaier, Phys. Rev.B 7, 136 (1973)]. This behavior is confirmed by magnetization measurements. The H-T phase diagram based on specific-heat and magnetization data yields Hc2(0) =550 G for the bulk upper critical field, whereas the critical field defined by vanishing resistance is a surface critical field Hc3(0) ~ 1000 G.Comment: 17 pages, 8 figures, submitted to PR

Brief report: Beyond clinical experience: Features of data collection and interpretation that contribute to diagnostic accuracy

BACKGROUND: Clinical experience, features of data collection process, or both, affect diagnostic accuracy, but their respective role is unclear. OBJECTIVE, DESIGN: Prospective, observational study, to determine the respective contribution of clinical experience and data collection features to diagnostic accuracy. METHODS: Six Internists, 6 second year internal medicine residents, and 6 senior medical students worked up the same 7 cases with a standardized patient. Each encounter was audiotaped and immediately assessed by the subjects who indicated the reasons underlying their data collection. We analyzed the encounters according to diagnostic accuracy, information collected, organ systems explored, diagnoses evaluated, and final decisions made, and we determined predictors of diagnostic accuracy by logistic regression models. RESULTS: Several features significantly predicted diagnostic accuracy after correction for clinical experience: early exploration of correct diagnosis (odds ratio [OR] 24.35) or of relevant diagnostic hypotheses (OR 2.22) to frame clinical data collection, larger number of diagnostic hypotheses evaluated (OR 1.08), and collection of relevant clinical data (OR 1.19). CONCLUSION: Some features of data collection and interpretation are related to diagnostic accuracy beyond clinical experience and should be explicitly included in clinical training and modeled by clinical teachers. Thoroughness in data collection should not be considered a privileged way to diagnostic succes

Direct Observation and Anisotropy of the Contribution of Gap nodes in the Low Temperature Specific Heat of YBa_2Cu_3O_7

The specific heat due to line nodes in the superconducting gap of YBa2Cu3O7 has been obscured up to now by magnetic terms of extrinsic origin, even for high quality crystals. We report the specific heat of a new single crystal grown in a non-corrosive BaZrO3 crucible, for which paramagnetic terms are reduced to less than one spin-1/2 center for 20'000 Cu atoms. The contribution of line nodes shows up directly in the difference C(B,T) - C(0,T) at fixed temperatures (T < 5 K) as a function of the magnetic field parallel to the c-axis (B<=14 T). These data illustrate the smooth crossover from C propotional to T^2 at low fields to C propotional to TB^1/2 at high fields, and provide new values for gap parameters which are quantitatively consistent with tunneling spectroscopy and thermal conductivity in the framework of dx^2-y^2 pairing symmetry. Data for B along the nodal and antinodal directions in the ab-plane are also provided. The in-plane anisotropy predicted in the clean limit is not observed.Comment: 29 pages(using Revtex style), 14 postscript figures, submitted to Phys. Rev. B Content of the file changed after replacin

Predictors of inappropriate hospital days in a department of internal medicine

Background This study aimed to identify predictors of inappropriate hospital days in a deparUnent of internal medicine, as a basis for quality improvement interventions. Methods The appropriateness of 5665 hospital days contributed by 500 patients admitted to the Department of Internal Medicine, Geneva University Hospitals, Switzerland, was assessed by means of the Appropriateness Evaluation Protocol. Predictor variables included patient's age and sex, manner of admission and discharge, and characteristics of hospital days (weekend, holiday, sequence). Results Overall, 15% of hospital admissions and 28% of hospital days were rated as inappropriate. In multivariate models, inappropriate hospital days were more frequent among patients whose admission was inappropriate (odds ratio [OR] = 5.3, 95% CI: 3.1-8.4) and among older patients (80-95 years: OR = 3.6. 95% CI: 1.7-7.0, versus <50 years). The likelihood of inappropriateness also increased with each subsequent hospital day, culminating on the day of discharge, regardless of the total length of stay. Conclusions This study identified both the admission and the discharge processes as important sources of inappropriate hospital use in a department of internal medicine. The oldest patients were also at high risk of remaining in the hospital inappropriately. Surprisingly, long hospital stays did not generate a higher proportion of inappropriate days than short hospital stays. This information proved useful in developing interventions to improve the hospitalization proces

Fluctuating diamagnetism in underdoped high temperature superconductors

The fluctuation induced diamagnetism of underdoped high temperature superconductors is studied in the framework of the Lawrence-Doniach model. By taking into account the fluctuations of the phase of the order parameter only, the latter reduces to a layered XY-model describing a liquid of vortices which can be either thermally excited or induced by the external magnetic field. The diamagnetic response is given by a current-current correlation function which is evaluated using the Coulomb gas analogy. Our results are then applied to recent measurements of fluctuation diamagnetism in underdoped YBCO. They allow to understand both the observed anomalous temperature dependence of the zero-field susceptibility and the two distinct regimes appearing in the magnetic field dependence of the magnetization.Comment: 12 pages, 4 figures included, accepted for publication in PR