4,650 research outputs found
M-flation and its spectators
M-flation is an implementation of assisted inflation, in which the inflaton
fields are three N_c x N_c non-abelian hermitean matrices. The model can be
consistently truncated to an effectively single field inflation model, with all
``spectator'' fields fixed at the origin. We show that starting with random
initial conditions for all fields the truncated sector is not a late-time
attractor, but instead the system evolves towards quadratic assisted inflation
with all fields mass degenerate. Demanding the energy density during inflation
to be below the effective quantum gravity scale, we find that the number of
fields, and thus the assisted effect, is bounded N_c < 10^2.Comment: 26 pages, published versio
Multimorbidity Patterns in Elderly Primary Health Care Patients in a South Mediterranean European Region: A Cluster Analysis.
Published onlineJournal ArticleResearch Support, Non-U.S. Gov'tThis is the final version of the article. Available from Public Library of Science via the DOI in this record.OBJECTIVE: The purpose of this study was to identify clusters of diagnoses in elderly patients with multimorbidity, attended in primary care. DESIGN: Cross-sectional study. SETTING: 251 primary care centres in Catalonia, Spain. PARTICIPANTS: Individuals older than 64 years registered with participating practices. MAIN OUTCOME MEASURES: Multimorbidity, defined as the coexistence of 2 or more ICD-10 disease categories in the electronic health record. Using hierarchical cluster analysis, multimorbidity clusters were identified by sex and age group (65-79 and ≥80 years). RESULTS: 322,328 patients with multimorbidity were included in the analysis (mean age, 75.4 years [Standard deviation, SD: 7.4], 57.4% women; mean of 7.9 diagnoses [SD: 3.9]). For both men and women, the first cluster in both age groups included the same two diagnoses: Hypertensive diseases and Metabolic disorders. The second cluster contained three diagnoses of the musculoskeletal system in the 65- to 79-year-old group, and five diseases coincided in the ≥80 age group: varicose veins of the lower limbs, senile cataract, dorsalgia, functional intestinal disorders and shoulder lesions. The greatest overlap (54.5%) between the three most common diagnoses was observed in women aged 65-79 years. CONCLUSION: This cluster analysis of elderly primary care patients with multimorbidity, revealed a single cluster of circulatory-metabolic diseases that were the most prevalent in both age groups and sex, and a cluster of second-most prevalent diagnoses that included musculoskeletal diseases. Clusters unknown to date have been identified. The clusters identified should be considered when developing clinical guidance for this population.This study was supported by a grant from the Ministry of Science and Innovation through the Instituto Carlos III (ISCiii) in the 2012 call for Strategic Health Action proposals under the National Plan for Scientific Research, Development and Technological Innovation 2008–2011; by the European Union through the European Regional Development Fund (IP12/00427), as part of the Primary Care Prevention and Health Promotion Research Network (rediAPP), by ISCiii-RETICS (RD12/0005), by a 2011–2013 scholarship that aims to promote research in Primary Health Care by health professionals who have completed their specialty training, awarded by Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), by a National Institute for Health Research Clinician Scientist Award (Jose M Valderas, NIHR/CS/010/024) and by a grant from the XIX call for research projects in the elderly population by Agrupació Mútua Foundation (Premio ámbito para las personas mayores, 2012). The funders had no role in the study design, collection, analysis and interpretation of data, writing of the manuscript or decision to submit for publication
Monopole-antimonopole bound states as a source of ultra-high-energy cosmic rays
The electromagnetic decay and final annihilation of magnetic
monopole-antimonopole pairs formed in the early universe has been proposed as a
possible mechanism to produce the highest energy cosmic rays. We show that for
a monopole abundance saturating the Parker limit, the density of magnetic
monopolonium formed is many orders of magnitude less than that required to
explain the observed cosmic ray flux. We then propose a different scenario in
which the monopoles and antimonopoles are connected by strings formed at a low
energy phase transition (~ 100 GeV). The bound states decay by gravitational
radiation, with lifetimes comparable with the age of the universe. This
mechanism avoids the problems of the standard monopolonium scenario, since the
binding of monopoles and antimonopoles is perfectly efficient.Comment: 10 pages, RevTeX, no figure
Evolution of opinions on social networks in the presence of competing committed groups
Public opinion is often affected by the presence of committed groups of
individuals dedicated to competing points of view. Using a model of pairwise
social influence, we study how the presence of such groups within social
networks affects the outcome and the speed of evolution of the overall opinion
on the network. Earlier work indicated that a single committed group within a
dense social network can cause the entire network to quickly adopt the group's
opinion (in times scaling logarithmically with the network size), so long as
the committed group constitutes more than about 10% of the population (with the
findings being qualitatively similar for sparse networks as well). Here we
study the more general case of opinion evolution when two groups committed to
distinct, competing opinions and , and constituting fractions and
of the total population respectively, are present in the network. We show
for stylized social networks (including Erd\H{o}s-R\'enyi random graphs and
Barab\'asi-Albert scale-free networks) that the phase diagram of this system in
parameter space consists of two regions, one where two stable
steady-states coexist, and the remaining where only a single stable
steady-state exists. These two regions are separated by two fold-bifurcation
(spinodal) lines which meet tangentially and terminate at a cusp (critical
point). We provide further insights to the phase diagram and to the nature of
the underlying phase transitions by investigating the model on infinite
(mean-field limit), finite complete graphs and finite sparse networks. For the
latter case, we also derive the scaling exponent associated with the
exponential growth of switching times as a function of the distance from the
critical point.Comment: 23 pages: 15 pages + 7 figures (main text), 8 pages + 1 figure + 1
table (supplementary info
Burden of multimorbidity, socioeconomic status and use of health services across stages of life in urban areas: a cross-sectional study
This is a freely-available open access publication. Please cite the published version which is available via the DOI link in this record.Background
The burden of chronic conditions and multimorbidity is a growing health problem in developed countries. The study aimed to determine the estimated prevalence and patterns of multimorbidity in urban areas of Catalonia, stratified by sex and adult age groups, and to assess whether socioeconomic status and use of primary health care services were associated with multimorbidity.
Methods
A cross-sectional study was conducted in Catalonia. Participants were adults (19+ years) living in urban areas, assigned to 251 primary care teams. Main outcome: multimorbidity (≥2 chronic conditions). Other variables: sex (male/female), age (19–24; 25–44; 45–64; 65–79; 80+ years), socioeconomic status (quintiles), number of health care visits during the study.
Results
We included 1,356,761 patients; mean age, 47.4 years (SD: 17.8), 51.0% women. Multimorbidity was present in 47.6% (95% CI 47.5-47.7) of the sample, increasing with age in both sexes but significantly higher in women (53.3%) than in men (41.7%). Prevalence of multimorbidity in each quintile of the deprivation index was higher in women than in men (except oldest group). In women, multimorbidity prevalence increased with quintile of the deprivation index. Overall, the median (interquartile range) number of primary care visits was 8 (4–14) in multimorbidity vs 1 (0–4) in non-multimorbidity patients. The most prevalent multimorbidity pattern beyond 45 years of age was uncomplicated hypertension and lipid disorder. Compared with the least deprived group, women in other quintiles of the deprivation index were more likely to have multimorbidity than men until 65 years of age. The odds of multimorbidity increased with number of visits in all strata.
Conclusions
When all chronic conditions were included in the analysis, almost 50% of the adult urban population had multimorbidity. The prevalence of multimorbidity differed by sex, age group and socioeconomic status. Multimorbidity patterns varied by life-stage and sex; however, circulatory-endocrine-metabolic patterns were the most prevalent multimorbidity pattern after 45 years of age. Women younger than 80 years had greater prevalence of multimorbidity than men, and women’s multimorbidity prevalence increased as socioeconomic status declined in all age groups. Identifying multimorbidity patterns associated with specific age-related life-stages allows health systems to prioritize and to adapt clinical management efforts by age group.Ministry of Science and Innovation through the Instituto Carlos III (ISCiii)ISCiii-RETICSISCiiiInstitut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol
Electric Field-Tuned Topological Phase Transition in Ultra-Thin Na3Bi - Towards a Topological Transistor
The electric field induced quantum phase transition from topological to
conventional insulator has been proposed as the basis of a topological field
effect transistor [1-4]. In this scheme an electric field can switch 'on' the
ballistic flow of charge and spin along dissipationless edges of the
two-dimensional (2D) quantum spin Hall insulator [5-9], and when 'off' is a
conventional insulator with no conductive channels. Such as topological
transistor is promising for low-energy logic circuits [4], which would
necessitate electric field-switched materials with conventional and topological
bandgaps much greater than room temperature, significantly greater than
proposed to date [6-8]. Topological Dirac semimetals(TDS) are promising systems
in which to look for topological field-effect switching, as they lie at the
boundary between conventional and topological phases [3,10-16]. Here we use
scanning probe microscopy/spectroscopy (STM/STS) and angle-resolved
photoelectron spectroscopy (ARPES) to show that mono- and bilayer films of TDS
Na3Bi [3,17] are 2D topological insulators with bulk bandgaps >400 meV in the
absence of electric field. Upon application of electric field by doping with
potassium or by close approach of the STM tip, the bandgap can be completely
closed then re-opened with conventional gap greater than 100 meV. The large
bandgaps in both the conventional and quantum spin Hall phases, much greater
than the thermal energy kT = 25 meV at room temperature, suggest that ultrathin
Na3Bi is suitable for room temperature topological transistor operation
The ACS Survey of Galactic Globular Clusters. XII. Photometric Binaries along the Main-Sequence
The fraction of binary stars is an important ingredient to interpret globular
cluster dynamical evolution and their stellar population. We investigate the
properties of main-sequence binaries measured in a uniform photometric sample
of 59 Galactic globular clusters that were observed by HST WFC/ACS as a part of
the Globular Cluster Treasury project. We measured the fraction of binaries and
the distribution of mass-ratio as a function of radial location within the
cluster, from the central core to beyond the half-mass radius. We studied the
radial distribution of binary stars, and the distribution of stellar mass
ratios. We investigated monovariate relations between the fraction of binaries
and the main parameters of their host clusters. We found that in nearly all the
clusters, the total fraction of binaries is significantly smaller than the
fraction of binaries in the field, with a few exceptions only. Binary stars are
significantly more centrally concentrated than single MS stars in most of the
clusters studied in this paper. The distribution of the mass ratio is generally
flat (for mass-ratio parameter q>0.5). We found a significant anti-correlation
between the binary fraction in a cluster and its absolute luminosity (mass).
Some, less significant correlation with the collisional parameter, the central
stellar density, and the central velocity dispersion are present. There is no
statistically significant relation between the binary fraction and other
cluster parameters. We confirm the correlation between the binary fraction and
the fraction of blue stragglers in the cluster.Comment: 43 Pages, 52 figures, accepted for publication in A&
Particle physics models of inflation
Inflation models are compared with observation on the assumption that the
curvature perturbation is generated from the vacuum fluctuation of the inflaton
field. The focus is on single-field models with canonical kinetic terms,
classified as small- medium- and large-field according to the variation of the
inflaton field while cosmological scales leave the horizon. Small-field models
are constructed according to the usual paradigm for beyond Standard Model
physicsComment: Based on a talk given at the 22nd IAP Colloquium, ``Inflation +25'',
Paris, June 2006 Curve omitted from final Figur
An Inflaton Mass Problem in String Inflation from Threshold Corrections to Volume Stabilization
Inflationary models whose vacuum energy arises from a D-term are believed not
to suffer from the supergravity eta problem of F-term inflation. That is,
D-term models have the desirable property that the inflaton mass can naturally
remain much smaller than the Hubble scale. We observe that this advantage is
lost in models based on string compactifications whose volume is stabilized by
a nonperturbative superpotential: the F-term energy associated with volume
stabilization causes the eta problem to reappear. Moreover, any shift
symmetries introduced to protect the inflaton mass will typically be lifted by
threshold corrections to the volume-stabilizing superpotential. Using threshold
corrections computed by Berg, Haack, and Kors, we illustrate this point in the
example of the D3-D7 inflationary model, and conclude that inflation is
possible, but only for fine-tuned values of the stabilized moduli. More
generally, we conclude that inflationary models in stable string
compactifications, even D-term models with shift symmetries, will require a
certain amount of fine-tuning to avoid this new contribution to the eta
problem.Comment: 25 page
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