An open question in designing superconducting quantum circuits is how best to reduce the full circuit Hamiltonian which describes their dynamics to an effective two-level qubit Hamiltonian which is ...appropriate for manipulation of quantum information. Despite advances in numerical methods to simulate the spectral properties of multi-element superconducting circuits (Yurke B and Denker J S 1984 Phys. Rev. A 29 1419, Reiter F and Sørensen A S 2012 Phys. Rev. A 85 032111 and Amin M H et al 2012 Phys. Rev. A 86 052314), the literature lacks a consistent and effective method of determining the effective qubit Hamiltonian. Here we address this problem by introducing a novel local basis reduction method. This method does not require any ad hoc assumption on the structure of the Hamiltonian such as its linear response to applied fields. We numerically benchmark the local basis reduction method against other Hamiltonian reduction methods in the literature and report specific examples of superconducting qubits, including the capacitively-shunted flux qubit, where the standard reduction approaches fail. By combining the local basis reduction method with the Schrieffer-Wolff transformation we further extend its applicability to systems of interacting qubits and use it to extract both non-stoquastic two-qubit Hamiltonians and three-local interaction terms in three-qubit Hamiltonians.
Clinical frailty is an important syndrome for clinical care and research, independently predicting mortality and rates of institutionalisation in a range of medical conditions. However, there has ...been little research into the role of frailty in stroke.
This study investigates the effect of frailty on 28-day mortality following ischaemic stroke and outcomes following stroke thrombolysis.
Frailty was measured using the Clinical Frailty Scale (CFS) for all ischaemic stroke admissions aged ≥75 years. Stroke severity was measured using the National Institutes of Health Stroke Scale (NIHSS). 28-day mortality and clinical outcomes were collected retrospectively. Analysis included both dichotomised measures of frailty (non-frail: CFS 1-4, frail: 5-8) and CFS as a continuous ordinal scale.
In 433 individuals with ischaemic stroke, 28-day mortality was higher in frail versus non-frail individuals (39 (16.7%) versus 10 (5%), P < 0.01). On multivariable analysis, a one-point increase in CFS was independently associated with 28-day mortality (OR 1.03 (1.01-1.05)). In 63 thrombolysed individuals, median NIHSS reduced significantly in non-frail individuals (12.5 (interquartile range (IQR) 9.25) to 5 (IQR 10.5), P < 0.01) but not in frail individuals (15 (IQR 11.5) to 16 (IQR 16.5), P = 0.23). On multivariable analysis, a one-point increase in CFS was independently associated with a one-point reduction in post-thrombolysis NIHSS improvement (coefficient 1.07, P = 0.03).
Clinical frailty is independently associated with 28-day mortality after ischaemic stroke and appears independently associated with attenuated improvement in NIHSS following stroke thrombolysis. Further research is needed to elucidate the underlying mechanisms and how frailty may be utilised in clinical decision-making.
The usefulness of the implantable loop recorder (ILR) with improved atrial fibrillation (AF) detection capability (Reveal XT) and the factors associated with AF in the setting of unexplained stroke ...were investigated.
A cohort study is reported of 51 patients in whom ILRs were implanted for the investigation of ischemic stroke for which no cause had been found (cryptogenic) following appropriate vascular and cardiac imaging and at least 24 hours of cardiac rhythm monitoring.
The patients were aged from 17 to 73 (median 52) years. Of the 30 patients with a shunt investigation, 22 had a patent foramen ovale (73.3%; 95% confidence interval CI 56.5%-90.1%). AF was identified in 13 (25.5%; 95% CI 13.1%-37.9%) cases. AF was associated with increasing age (p = 0.018), interatrial conduction block (p = 0.02), left atrial volume (p = 0.025), and the occurrence of atrial premature contractions on preceding external monitoring (p = 0.004). The median (range) of monitoring prior to AF detection was 48 (0-154) days.
In patients with unexplained stroke, AF was detected by ILR in 25.5%. Predictors of AF were identified, which may help to target investigations. ILRs may have a central role in the future in the investigation of patients with unexplained stroke.
Chronic subdural hematoma is a common neurologic disorder that is especially prevalent among older people. The effect of dexamethasone on outcomes in patients with chronic subdural hematoma has not ...been well studied.
We conducted a multicenter, randomized trial in the United Kingdom that enrolled adult patients with symptomatic chronic subdural hematoma. The patients were assigned in a 1:1 ratio to receive a 2-week tapering course of oral dexamethasone, starting at 8 mg twice daily, or placebo. The decision to surgically evacuate the hematoma was made by the treating clinician. The primary outcome was a score of 0 to 3, representing a favorable outcome, on the modified Rankin scale at 6 months after randomization; scores range from 0 (no symptoms) to 6 (death).
From August 2015 through November 2019, a total of 748 patients were included in the trial after randomization - 375 were assigned to the dexamethasone group and 373 to the placebo group. The mean age of the patients was 74 years, and 94% underwent surgery to evacuate their hematomas during the index admission; 60% in both groups had a score of 1 to 3 on the modified Rankin scale at admission. In a modified intention-to-treat analysis that excluded the patients who withdrew consent for participation in the trial or who were lost to follow-up, leaving a total of 680 patients, a favorable outcome was reported in 286 of 341 patients (83.9%) in the dexamethasone group and in 306 of 339 patients (90.3%) in the placebo group (difference, -6.4 percentage points 95% confidence interval, -11.4 to -1.4 in favor of the placebo group; P = 0.01). Among the patients with available data, repeat surgery for recurrence of the hematoma was performed in 6 of 349 patients (1.7%) in the dexamethasone group and in 25 of 350 patients (7.1%) in the placebo group. More adverse events occurred in the dexamethasone group than in the placebo group.
Among adults with symptomatic chronic subdural hematoma, most of whom had undergone surgery to remove their hematomas during the index admission, treatment with dexamethasone resulted in fewer favorable outcomes and more adverse events than placebo at 6 months, but fewer repeat operations were performed in the dexamethasone group. (Funded by the National Institute for Health Research Health Technology Assessment Programme; Dex-CSDH ISRCTN number, ISRCTN80782810.).
Although variation in stroke service provision and outcomes have been previously investigated, it is less well known what service characteristics are associated with reduced short- and medium-term ...mortality.
Data from a prospective multicentre study (2009–12) in eight acute regional NHS trusts with a catchment population of about 2.6 million were used to examine the prognostic value of patient-related factors and service characteristics on stroke mortality outcome at 7, 30 and 365 days post stroke, and time to death within 1 year.
A total of 2,388 acute stroke patients (mean (standard deviation) 76.9 (12.7) years; 47.3% men, 87% ischaemic stroke) were included in the study. Among patients characteristics examined increasing age, haemorrhagic stroke, total anterior circulation stroke type, higher prestroke frailty, history of hypertension and ischaemic heart disease and admission hyperglycaemia predicted 1-year mortality. Additional inclusion of stroke service characteristics controlling for patient and service level characteristics showed varying prognostic impact of service characteristics on stroke mortality over the disease course during first year after stroke at different time points. The most consistent finding was the benefit of higher nursing levels; an increase in one trained nurses per 10 beds was associated with reductions in 30-day mortality of 11–28% (P < 0.0001) and in 1-year mortality of 8–12% (P < 0.001).
There appears to be consistent and robust evidence of direct clinical benefit on mortality up to 1 year after acute stroke of higher numbers of trained nursing staff over and above that of other recognised mortality risk factors.
We hypothesized that increasing or decreasing levels of control in an ostracized individual could moderate aggressive responding to ostracism. Participants were either ostracized or included in a ...spontaneous game of toss, and then exposed to a series of blasts of aversive noise, the onsets over which they had either control or no control. Aggression was defined as the amount of hot sauce participants allocated to a stranger, knowing the stranger did not like hot foods, but would have to consume the entire sample. Ostracized participants without control allocated more than four times as much sauce as any other group; ostracized participants who experienced restored control were no more aggressive than either of the groups who were included. Aggressive responding to ostracism may depend on the degree to which control needs are threatened in the target, and is discussed in terms of
Williams’s (2001) needs threat model of ostracism.
ZnO tetrapod nanocrystals Newton, Marcus C.; Warburton, Paul A.
Materials today (Kidlington, England),
20/May , Letnik:
10, Številka:
5
Journal Article
Recenzirano
Odprti dostop
ZnO has received considerable attention because of its unique optical, piezoelectric, and magnetic properties. It also readily self-assembles into a family of nanocrystalline structures. We review ...the current status of research into ZnO tetrapod nanocrystals. These crystals consist of a ZnO core in the zinc blende structure from which four ZnO arms in the wurtzite structure radiate. The arms are cylinders of hexagonal cross section, with each arm of equal length and diameter. Possible applications in optoelectronics, photovoltaics, spintronics, and piezoelectricity are discussed.
Abstract
Quantum annealing provides a way of solving optimization problems by encoding them as Ising spin models which are implemented using physical qubits. The solution of the optimization problem ...then corresponds to the ground state of the system. Quantum tunneling is harnessed to enable the system to move to the ground state in a potentially high non-convex energy landscape. A major difficulty in encoding optimization problems in physical quantum annealing devices is the fact that many real world optimization problems require interactions of higher connectivity, as well as multi-body terms beyond the limitations of the physical hardware. In this work we address the question of how to implement multi-body interactions using hardware which natively only provides two-body interactions. The main result is an efficient circuit design of such multi-body terms using superconducting flux qubits in which effective
N
-body interactions are implemented using
N
ancilla qubits and only two inductive couplers. It is then shown how this circuit can be used as the unit cell of a scalable architecture by applying it to a recently proposed embedding technique for constructing an architecture of logical qubits with arbitrary connectivity using physical qubits which have nearest-neighbor four-body interactions. It is further shown that this design is robust to non-linear effects in the coupling loops, as well as mismatches in some of the circuit parameters.
Circularly polarized light is incident on a nanostructured chiral meta‐surface. In the nanostructured unit cells whose chirality matches that of light, superchiral light is forming and strong optical ...second harmonic generation can be observed.
Cultural generality versus specificity of media violence effects on aggression was examined in seven countries (Australia, China, Croatia, Germany, Japan, Romania, the United States). Participants ...reported aggressive behaviors, media use habits, and several other known risk and protective factors for aggression. Across nations, exposure to violent screen media was positively associated with aggression. This effect was partially mediated by aggressive cognitions and empathy. The media violence effect on aggression remained significant even after statistically controlling a number of relevant risk and protective factors (e.g., abusive parenting, peer delinquency), and was similar in magnitude to effects of other risk factors. In support of the cumulative risk model, joint effects of different risk factors on aggressive behavior in each culture were larger than effects of any individual risk factor.
PDF
