1,225 research outputs found
Dielectric properties of charge ordered LuFe2O4 revisited: The apparent influence of contacts
We show results of broadband dielectric measurements on the charge ordered,
proposed to be mul- tiferroic material LuFe2O4. The temperature and frequency
dependence of the complex permittivity as investigated for temperatures above
and below the charge-oder transition near T_CO ~ 320 K and for frequencies up
to 1 GHz can be well described by a standard equivalent-circuit model
considering Maxwell-Wagner-type contacts and hopping induced AC-conductivity.
No pronounced contribution of intrinsic dipolar polarization could be found and
thus the ferroelectric character of the charge order in LuFe2O4 has to be
questioned.Comment: 4 pages, 3 figure
Reliability of the Multidimensional Pain Inventory and stability of the MPI classification system in chronic back pain
Contains fulltext :
109346.pdf (publisher's version ) (Open Access)ABSTRACT: BACKGROUND: This cross validation study examined the reliability of the Multidimensional Pain Inventory (MPI) and the stability of the Multidimensional Pain Inventory Classification System of the empirically derived subgroup classification obtained by cluster analysis in chronic musculoskeletal pain. Reliability of the German Multidimensional Pain Inventory was only examined once in the past in a small sample. Previous international studies mainly involving fibromyalgia patients showed that retest resulted in 33-38% of patients being assigned to a different Multidimensional Pain Inventory subgroup classification. METHODS: Participants were 204 persons with chronic musculoskeletal pain (82% chronic non-specific back pain). Subgroup classification was conducted by cluster analysis at 4 weeks before entry (=test) and at entry into the pain management program (=retest) using Multidimensional Pain Inventory scale scores. No therapeutic interventions in this period were conducted. Reliability was quantified by intraclass correlation coefficients (ICC) and stability by kappa coefficients (kappa). RESULTS: Reliability of the Multidimensional Pain Inventory scales was least with ICC = 0.57 for the scale life control and further ranged from ICC = 0.72 (negative mood) to 0.87 (solicitous responses) in the other scales. At retest, 82% of the patients in the Multidimensional Pain Inventory cluster interpersonally distressed (kappa = 0.69), 80% of the adaptive copers (kappa = 0.58), and 75% of the dysfunctional patients (kappa = 0.70) did not change classification. In total, 22% of the patients changed Multidimensional Pain Inventory cluster group, mainly into the adaptive copers subgroup. CONCLUSION: Test-retest reliability of the German Multidimensional Pain Inventory was moderate to good and comparable to other language versions. Multidimensional Pain Inventory subgroup classification is substantially stable in chronic back pain patients when compared to other diagnostic groups and other examiner-based subgroup Classification Systems. The MPI Classification System can be recommended for reliable and stable specification of subgroups in observational and interventional studies in patients with chronic musculoskeletal pain
Anisotropy parameters of superconducting MgB
Data on macroscopic superconducting anisotropy of MgB are reviewed. The
data are described within a weak coupling two-gaps anisotropic s-wave model of
superconductivity. The calculated ratio of the upper critical fields
increases with decreasing temperature in
agreement with available data, whereas the calculated ratio of London
penetration depths decreases to reach
at T=0. Possible macroscopic consequences of
are discussed.Comment: accepted to Physica C, special MgB2 issu
Shared decision-making:Achieving well-balanced treatment decisions for patients with prostate disease
Multimorbidity in bipolar disorder and under-treatment of cardiovascular disease: a cross sectional study
Background: Individuals with serious mental disorders experience poor physical health, especially increased rates of cardiometabolic morbidity and premature morbidity. Recent evidence suggests that individuals with schizophrenia have numerous comorbid physical conditions which may be under-recorded and under-treated but to date very few studies have explored this issue for bipolar disorder.
Methods:We conducted a cross-sectional analysis of a dataset of 1,751,841 registered patients within 314 primary-care practices in Scotland, U.K. Bipolar disorder was identified using Read Codes recorded within electronic medical records. Data on 32 common chronic physical conditions were also assessed. Potential prescribing inequalities were evaluated by analyzing prescribing data for coronary heart disease (CHD) and hypertension.
Results: Compared to controls, individuals with bipolar disorder were significantly less likely to have no recorded physical conditions (OR 0.59, 95% CI 0.54-0.63) and significantly more likely to have one physical condition (OR 1.27, 95% CI 1.16-1.39), two physical conditions (OR 1.45, 95% CI 1.30-1.62) and three or more physical conditions (OR 1.44, 95% CI 1.30-1.64). People with bipolar disorder also had higher rates of thyroid disorders, chronic kidney disease, chronic pain, chronic obstructive airways disease and diabetes but, surprisingly, lower recorded rates of hypertension and atrial fibrillation. People with bipolar disorder and comorbid CHD or hypertension were significantly more likely to be prescribed no antihypertensive or cholesterol-lowering medications compared to controls, and bipolar individuals with CHD or hypertension were significantly less likely to be on 2 or more antihypertensive agents.
Conclusions: Individuals with bipolar disorder are similar to individuals with schizophrenia in having a wide range of comorbid and multiple physical health conditions. They are also less likely than controls to have a primary-care record of cardiovascular conditions such as hypertension and atrial fibrillation. Those with a recorded diagnosis of CHD or hypertension were less likely to be treated with cardiovascular medications and were treated less intensively. This study highlights the high physical healthcare needs of people with bipolar disorder, and provides evidence for a systematic under-recognition and under-treatment of cardiovascular disease in this group
Limits of the upper critical field in dirty two-gap superconductors
An overview of the theory of the upper critical field in dirty two-gap
superconductors, with a particular emphasis on MgB is given. We focus here
on the maximum which may be achieved by increasing intraband
scattering, and on the limitations imposed by weak interband scattering and
paramagnetic effects. In particular, we discuss recent experiments which have
recently demonstrated ten-fold increase of in dirty carbon-doped films
as compared to single crystals, so that the parallel to the ab
planes may approach the BCS paramagnetic limit, . New effects produced by weak interband scattering in the two-gap
Ginzburg-Landau equations and in ultrathin MgB films are
addressed.Comment: Submitted to the special issue of Physica C on MgB on Dec. 3,
200
Upper critical field in dirty two-band superconductors: breakdown of the anisotropic Ginzburg-Landau theory
We investigate the upper critical field in a dirty two-band superconductor
within quasiclassical Usadel equations. The regime of very high anisotropy in
the quasi-2D band, relevant for MgB, is considered. We show that strong
disparities in pairing interactions and diffusion constant anisotropies for two
bands influence the in-plane in a different way at high and low
temperatures. This causes temperature-dependent anisotropy, in
accordance with recent experimental data in MgB. The three-dimensional
band most strongly influences the in-plane near , in the
Ginzburg-Landau (GL) region. However, due to a very large difference between
the c-axis coherence lengths in the two bands, the GL theory is applicable only
in an extremely narrow temperature range near . The angular dependence of
deviates from a simple effective-mass law even near .Comment: 12 pages, 5 figures, submitted to Phys.Rev.
Current training on the basics of robotic surgery in the Netherlands: Time for a multidisciplinary approach?
Introduction: The following research questions were answered: (1) What are the training pathways followed by the current robot professionals? (2) Are there any differences between the surgical specialties in robot training and robot use? (3) What is their opinion about multidisciplinary basic skills training? Methods: An online questionnaire was sent to 91 robot professionals in The Netherlands. The questionnaire contained 21 multiple-choice questions focusing on demographics, received robot training, and their opinion on basic skills training in robotic surgery. Results: The response rate was 62 % (n = 56): 13 general surgeons, 16 gynecologists, and 27 urologists. The urologists performed significantly more robotic procedures than surgeons and gynecologists. The kind of training of all professionals varied from a training program by Intuitive Surgical, master-apprenticeship with or without duo console, fellowship, and self-designed training programs. The training did neither differ significantly among the different specialties nor the year of starting robotic surgery. Majority of respondents favor an obliged training program including an examination for the basics of robot skills training. Conclusion: Training of the current robot professionals is mostly dependent on local circumstances and the manufacturer of the robot system. Training is independent of the year of start with robotic surgery and speciality. To guarantee the quality of future training of residents and fellows in robot-assisted surgery, clear training goals should be formulated and implemented. Since this study shows that current training of different specialities does not differ, training in robotic surgery could be started by a multidisciplinary basic skills training and assessment
Macroscopic anisotropy in superconductors with anisotropic gaps
It is shown within the weak-coupling model that the macroscopic
superconducting anisotropy for materials with the gap varying on the Fermi
surface cannot be characterized by a single number, unlike the case of clean
materials with isotropic gaps. For clean uniaxial materials, the anisotropy
parameter defined as the ratio of London penetration depths,
, is evaluated for all 's. Within the two-gap model
of MgB, is an increasing function of .Comment: 4 pages, 2 figure
Ginzburg-Landau theory of vortices in a multi-gap superconductor
The Ginzburg-Landau functional for a two-gap superconductor is derived within
the weak-coupling BCS model. The two-gap Ginzburg-Landau theory is, then,
applied to investigate various magnetic properties of MgB2 including an upturn
temperature dependence of the transverse upper critical field and a core
structure of an isolated vortex. Orientation of vortex lattice relative to
crystallographic axes is studied for magnetic fields parallel to the c-axis. A
peculiar 30-degree rotation of the vortex lattice with increasing strength of
an applied field observed by neutron scattering is attributed to the multi-gap
nature of superconductivity in MgB2.Comment: 11 page
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