Anomalous thermalization in ergodic systems

It is commonly believed that quantum isolated systems satisfying the eigenstate thermalization hypothesis (ETH) are diffusive. We show that this assumption is too restrictive, since there are systems that are asymptotically in a thermal state, yet exhibit anomalous, subdiffusive thermalization. We show that such systems satisfy a modified version of the ETH ansatz and derive a general connection between the scaling of the variance of the offdiagonal matrix elements of local operators, written in the eigenbasis of the Hamiltonian, and the dynamical exponent. We find that for subdiffusively thermalizing systems the variance scales more slowly with system size than expected for diffusive systems. We corroborate our findings by numerically studying the distribution of the coefficients of the eigenfunctions and the offdiagonal matrix elements of local operators of the random field Heisenberg chain, which has anomalous transport in its thermal phase. Surprisingly, this system also has non-Gaussian distributions of the eigenfunctions, thus directly violating Berry's conjecture.Comment: 5 pages, 3 figures; generalized derivations and introduced analogy with Thouless tim

Absence of dynamical localization in interacting driven systems

Using a numerically exact method we study the stability of dynamical localization to the addition of interactions in a periodically driven isolated quantum system which conserves only the total number of particles. We find that while even infinitesimally small interactions destroy dynamical localization, for weak interactions density transport is significantly suppressed and is asymptotically diffusive, with a diffusion coefficient proportional to the interaction strength. For systems tuned away from the dynamical localization point, even slightly, transport is dramatically enhanced and within the largest accessible systems sizes a diffusive regime is only pronounced for sufficiently small detunings.Comment: Scipost resubmission. 14 pages, 4 figures. Changes to the figures. Corrects a few typo

Multifractality and its role in anomalous transport in the disordered XXZ spin-chain

The disordered XXZ model is a prototype model of the many-body localization transition (MBL). Despite numerous studies of this model, the available numerical evidence of multifractality of its eigenstates is not very conclusive due severe finite size effects. Moreover it is not clear if similarly to the case of single-particle physics, multifractal properties of the many-body eigenstates are related to anomalous transport, which is observed in this model. In this work, using a state-of-the-art, massively parallel, numerically exact method, we study systems of up to 24 spins and show that a large fraction of the delocalized phase flows towards ergodicity in the thermodynamic limit, while a region immediately preceding the MBL transition appears to be multifractal in this limit. We discuss the implication of our finding on the mechanism of subdiffusive transport.Comment: 13 pages, 8 figure

Spontaneous Expulsion of Giant Lipid Vesicles Induced by Laser Tweezers

Irradiation of a giant unilamellar lipid bilayer vesicle with a focused laser spot leads to a tense pressurized state which persists indefinitely after laser shutoff. If the vesicle contains another object it can then be gently and continuously expelled from the tense outer vesicle. Remarkably, the inner object can be almost as large as the parent vesicle; its volume is replaced during the exit process. We offer a qualitative theoretical model to explain these and related phenomena. The main hypothesis is that the laser trap pulls in lipid and ejects it in the form of submicron objects, whose osmotic activity then drives the expulsion.Comment: Plain TeX file; uses harvmac and epsf; .ps available at http://dept.physics.upenn.edu/~nelson/expulsion.p

Signature of heavy Majorana neutrinos at a linear collider: Enhanced charged Higgs pair production

A charged Higgs pair can be produced at an ee collider through a t-channel exchange of a heavy neutrino (N) via e^+ e^- -> H^+ H^- and, if N is a Majorana particle, also via the lepton number violating (LNV) like-sign reaction e^\pm e^\pm \to H^\pm H^\pm. Assuming no a-priori relation between the effective eNH^+ coupling (\xi) and light neutrino masses, we show that this interaction vertex can give a striking enhancement to these charged Higgs pair production processes. In particular, the LNV H^-H^- signal can probe N at the ILC in the mass range 100 GeV < m_N < 10^4 TeV and with the effective mixing angle, \xi, in the range 10^{-4} < \xi^2 < 10^{-8} - well within its perturbative unitarity bound and the neutrinoless double beta decay (\beta\beta_{0\nu}) limit. The lepton number conserving (LNC) e^+ e^- \to H^+ H^- mode can be sensitive to, e.g., an O(10) TeV heavy Majorana neutrino at a 500 GeV International Linear Collider (ILC), if \xi^2 > 0.001.Comment: Latex, 5 pages, 3 figures. V2 as published in PR

A systematic review of treating recurrent head and neck cancer: a reintroduction of brachytherapy with or without surgery.

Purpose: To review brachytherapy use in recurrent head and neck carcinoma (RHNC) with focus on its efficacy and complication rates. Material and methods: A literature search of PubMed, Ovid, Google Scholar, and Scopus was conducted from 1990 to 2017. Publications describing treatment of RHNC with brachytherapy with or without surgery were included. The focus of this review is on oncologic outcomes and the safety of brachytherapy in the recurrent setting. Results: Thirty studies involving RHNC treatment with brachytherapy were reviewed. Brachytherapy as adjunctive treatment to surgical resection appears to be associated with an improved local regional control and overall survival, when compared with the published rates for re-irradiation utilizing external beam radiotherapy (RT) or brachytherapy alone. Safety data remains variable with different isotopes and dose rates with implantable brachytherapy demonstrating a tolerable side effect profile. Conclusions: Although surgery remains a mainstay treatment for RHNC, intraoperative interstitial brachytherapy delivery as adjunctive therapy may improve the treatment outcome and may be associated with fewer complication rates as compared to reirradiation using external beam radiotherapy. Further investigations are required to elucidate the role of brachytherapy for RHNC

A retrospective analysis of geriatric trauma patients: venous lactate is a better predictor of mortality than traditional vital signs

BACKGROUND: Traditional vital signs (TVS), including systolic blood pressure (SBP), heart rate (HR) and their composite, the shock index, may be poor prognostic indicators in geriatric trauma patients. The purpose of this study is to determine whether lactate predicts mortality better than TVS. METHODS: We studied a large cohort of trauma patients age ≥ 65 years admitted to a level 1 trauma center from 2009-01-01 - 2011-12-31. We defined abnormal TVS as hypotension (SBP < 90 mm Hg) and/or tachycardia (HR > 120 beats/min), an elevated shock index as HR/SBP ≥ 1, an elevated venous lactate as ≥ 2.5 mM, and occult hypoperfusion as elevated lactate with normal TVS. The association between these variables and in-hospital mortality was compared using Chi-square tests and multivariate logistic regression. RESULTS: There were 1987 geriatric trauma patients included, with an overall mortality of 4.23% and an incidence of occult hypoperfusion of 20.03%. After adjustment for GCS, ISS, and advanced age, venous lactate significantly predicted mortality (OR: 2.62, p < 0.001), whereas abnormal TVS (OR: 1.71, p = 0.21) and SI ≥ 1 (OR: 1.18, p = 0.78) did not. Mortality was significantly greater in patients with occult hypoperfusion compared to patients with no sign of circulatory hemodynamic instability (10.67% versus 3.67%, p < 0.001), which continued after adjustment (OR: 2.12, p = 0.01). CONCLUSIONS: Our findings demonstrate that occult hypoperfusion was exceedingly common in geriatric trauma patients, and was associated with a two-fold increased odds of mortality. Venous lactate should be measured for all geriatric trauma patients to improve the identification of hemodynamic instability and optimize resuscitative efforts

Identifying dynamical modules from genetic regulatory systems: applications to the segment polarity network

BACKGROUND It is widely accepted that genetic regulatory systems are 'modular', in that the whole system is made up of smaller 'subsystems' corresponding to specific biological functions. Most attempts to identify modules in genetic regulatory systems have relied on the topology of the underlying network. However, it is the temporal activity (dynamics) of genes and proteins that corresponds to biological functions, and hence it is dynamics that we focus on here for identifying subsystems. RESULTS Using Boolean network models as an exemplar, we present a new technique to identify subsystems, based on their dynamical properties. The main part of the method depends only on the stable dynamics (attractors) of the system, thus requiring no prior knowledge of the underlying network. However, knowledge of the logical relationships between the network components can be used to describe how each subsystem is regulated. To demonstrate its applicability to genetic regulatory systems, we apply the method to a model of the Drosophila segment polarity network, providing a detailed breakdown of the system. CONCLUSION We have designed a technique for decomposing any set of discrete-state, discrete-time attractors into subsystems. Having a suitable mathematical model also allows us to describe how each subsystem is regulated and how robust each subsystem is against perturbations. However, since the subsystems are found directly from the attractors, a mathematical model or underlying network topology is not necessarily required to identify them, potentially allowing the method to be applied directly to experimental expression data

Three heavy jet events at hadron colliders as a sensitive probe of the Higgs sector

Assuming that a non-standard neutral Higgs with an enhanced Yukawa coupling to a bottom quark is observed at future hadron experiments, we propose a method for a better understanding of the Higgs sector. Our procedure is based on "counting" the number of events with heavy jets (where "heavy" stands for a c or b jet) versus b jets, in the final state of processes in which the Higgs is produced in association with a single high p_T c or b jet. We show that an observed signal of the type proposed, at either the Tevatron or the LHC, will rule out the popular two Higgs doublet model of type II as well as its supersymmetric version - the Minimal Supersymmetric Standard Model (MSSM), and may provide new evidence in favor of some more exotic multi Higgs scenarios. As an example, we show that in a version of a two Higgs doublet model which naturally accounts for the large mass of the top quark, our signal can be easily detected at the LHC within that framework. We also find that such a signal may be observable at the upgraded Tevatron RunIII, if the neutral Higgs in this model has a mass around 100 GeV and \tan\beta > 50 and if the efficiency for distinguishing a c jet from a light jet will reach the level of 50%.Comment: Revtex, 11 pages, 4 figures embedded in the text. Main changes with respect to Version 1: Numerical results re-calculated using the CTEQ5L pdf, improved discussion on the experimental consequences, new references added. Conclusions remain unchanged. As will appear in Phys. Rev.

Salvage Fractionated Stereotactic Re-irradiation (FSRT) for Patients with Recurrent High Grade Gliomas Progressed after Bevacizumab Treatment

Purpose/Objectives: Bevacizumab failure is a major clinical problem in the manage- ment of high grade gliomas (HGG), with a median overall survival of less than 4 months (m). This study evaluated the efficacy of fractionated stereotactic re-irradiation (FSRT) for patients with HGG after progression on Bevacizumab. Materials/Methods: Retrospective review was conducted of patients treated with FSRT after progression on bevacizumab. A total of 36 patients were identified. FSRT was most commonly delivered in 3.5 Gy fractions to a total dose of 35 Gy. Survival from initial diagnosis, as well as from recurrence and re-irradiation, were utilized as study endpoints. Univariate and multivariate analysis was performed. Results: Among the 36 patients, 31 patients had recurrent glioblastoma, and 5 patients had recurrent anaplastic astrocytoma. The median time from initial bevacizumab treatment to FSRT was 8.5 m (range 2.3 – 32.0 m). The median plan target volume for FSRT was 27.5 cc (range 1.95 – 165 cc). With a median follow up of 20.4 m, the overall survival of the patients since initial diagnosis was also 24.9 m. The median overall survival after initiation of bevacizumab was 13.4 months. The median overall survival from FSRT was 4.8 m. FSRT treatment was well tolerated with no Grade \u3e3 toxicity. Conclusions: Favorable outcomes were observed in patients with recurrent HGG who received salvage FSRT after bevacizumab failure. The treatment was well tolerated. Prospective study is warranted to further evaluate the efficacy of salvage FSRT for selected patients with recurrent HGG amenable to FSRT, who had failed bevacizumab treatment