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This article provides a discussion on the construction of conformal Gaussian gauge systems to study the evolution of solutions to the Einstein field equations with positive Cosmological constant. This is done by means of a gauge based on the properties of conformal geodesics. The use of this gauge, combined with the extended conformal Einstein field equations, yields evolution equations in the form of a symmetric hyperbolic system for which standard Cauchy stability results can be employed. This strategy is used to study the global properties of de Sitter-like spacetimes with constant negative scalar curvature. It is then adapted to study the evolution of the Schwarzschild-de Sitter spacetime in the static region near the conformal boundary. This review is based on Minucci et al. 2021 Class. Quantum Grav. 38, 145026. (doi:10.1088/1361-6382/ac0356) and Minucci et al. 2023 Class. Quantum Grav. 40, 145005. (doi:10.1088/1361-6382/acdb3f). This article is part of a discussion meeting issue 'At the interface of asymptotics, conformal methods and analysis in general relativity'.
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The Kerr and Kerr-de Sitter metrics share remarkable local geometric properties in four dimensions. Gibbons et al. found a generalization of the Kerr-de Sitter metric to higher dimensions, to which the local characterization above cannot be applied. One viable approach to characterize this family is to understand the behaviour of these metrics at future null infinity. We review Friedrich's and Fefferman-Graham formalisms to discuss the asymptotic initial value problem of ([Formula: see text])-vacuum spacetimes in arbitrary dimensions and study their properties: geometric identification and conformal equivalence of data, Killing initial data and conformal equivalence of boundary conformal Killing vectors (CKV). These results are used to review a recent characterization of Kerr-de Sitter in terms of its asymptotic data, namely conformal flatness at [Formula: see text] together with a canonical TT tensor constructed from specific CKV at [Formula: see text]. Allowing for arbitrary CKV defines the (larger) Kerr-de Sitter-like class. All these metrics can be obtained explicitly as limits or analytic extensions of Kerr-de Sitter. The Kerr-de Sitter-like class is also characterized by the property of being Kerr-Schild and fulfilling a certain falloff condition. In addition, in five dimensions, this class corresponds to all algebraically special metrics with non-degenerate optical matrix. This article is part of a discussion meeting issue 'At the interface of asymptotics, conformal methods and analysis in general relativity'.
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In space-time dimensions [Formula: see text], we show the existence of solutions of the Einstein vacuum equations which describe asymptotically de Sitter space-times with prescribed smooth data at the conformal boundary. This provides a short alternative proof of a special case of a result by Shlapentokh-Rothman and Rodnianski, and generalizes earlier results of Friedrich and Anderson to all dimensions. This article is part of a discussion meeting issue 'At the interface of asymptotics, conformal methods and analysis in general relativity'.
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We evaluate here the quantum gravity partition function that counts the dimension of the Hilbert space of a simply connected spatial region of a fixed proper volume in the context of Lovelock gravity, generalizing the results for Einstein gravity. It is found that there are sphere saddle metrics for a partition function at a fixed spatial volume in Lovelock theory. Those stationary points take exactly the same forms as in Einstein gravity. The logarithm of Z corresponding to a zero effective cosmological constant indicates that the Bekenstein-Hawking entropy of the boundary area and that corresponding to a positive effective cosmological constant points to the Wald entropy of the boundary area. We also show the existence of zeroth-order phase transitions between different vacua, a phenomenon distinct from Einstein gravity.
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We study Einstein's gravity coupled to nonlinear electrodynamics with two parameters in anti-de Sitter spacetime. Magnetically charged black holes in an extended phase space are investigated. We obtain the mass and metric functions and the asymptotic and corrections to the Reissner-Nordström metric function when the cosmological constant vanishes. The first law of black hole thermodynamics in an extended phase space is formulated and the magnetic potential and the thermodynamic conjugate to the coupling are obtained. We prove the generalized Smarr relation. The heat capacity and the Gibbs free energy are computed and the phase transitions are studied. It is shown that the electric fields of charged objects at the origin and the electrostatic self-energy are finite within the nonlinear electrodynamics proposed.
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Currently, there is no widely accepted consensus regarding a consistent thermodynamic framework within the special relativity paradigm. However, by postulating that the inverse temperature 4-vector, denoted as ß, is future-directed and time-like, intriguing insights emerge. Specifically, it is demonstrated that the q-dependent Tsallis distribution can be conceptualized as a de Sitterian deformation of the relativistic Maxwell-Jüttner distribution. In this context, the curvature of the de Sitter space-time is characterized by Λ/3, where Λ represents the cosmological constant within the ΛCDM standard model for cosmology. For a simple gas composed of particles with proper mass m, and within the framework of quantum statistical de Sitterian considerations, the Tsallis parameter q exhibits a dependence on the cosmological constant given by q=1+âcΛ/n, where âc=â/mc is the Compton length of the particle and n is a positive numerical factor, the determination of which awaits observational confirmation. This formulation establishes a novel connection between the Tsallis distribution, quantum statistics, and the cosmological constant, shedding light on the intricate interplay between relativistic thermodynamics and fundamental cosmological parameters.
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INTRODUCTION/AIMS: Risdiplam has been approved for the treatment of patients with 5q spinal muscular atrophy (SMA), but data from type 2 non-sitter patients are lacking. In this study we describe our experience regarding the use of risdiplam in a series of type 2 non-sitter patients. METHODS: Type 2 SMA patients over 16 years of age were administered risdiplam through the expanded access program (NCT04256265). Patients were followed-up with a battery of scales and clinical measures. RESULTS: Six non-sitter patients (17 to 46 years old) were treated with risdiplam. One patient reported mild adverse events (dyspepsia and headache). After 1 year of treatment, all patients showed clinically meaningful improvements in at least one scale and none of them showed any clinically meaningful deterioration. Two patients showed a clinically meaningful increase in body mass index (>5%) and two others scored higher on the Revised Upper Limb Module (>2 points). Moreover, five patients had clinically meaningful improvements on the Egen Klassifikation 2 scale (>2 points), including the motor (axial and upper limbs), bulbar (speech and swallowing), and respiratory (coughing) domains. Four subjects achieved at least one of the goals set with the Goal Attainment Scale (GAS). DISCUSSION: This series suggests that risdiplam is safe and may be effective in non-sitter SMA patients older than 16 years of age. In these patients, functional scales and the GAS would be more sensitive than motor scales to detect changes, because they include axial, bulbar, and respiratory domains. Larger studies are needed to confirm these results.
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Atrofia Muscular Espinal , Atrofias Musculares Espinais da Infância , Adolescente , Adulto , Humanos , Pessoa de Meia-Idade , Adulto Jovem , Compostos Azo , Atrofia Muscular Espinal/tratamento farmacológico , Pirimidinas , Atrofias Musculares Espinais da Infância/tratamento farmacológico , Extremidade SuperiorRESUMO
This paper puts forward a novel design for an airspeed instrument aimed at small fixed-wing tail-sitter unmanned aerial vehicles. The working principle is to relate the power spectra of the wall-pressure fluctuations beneath the turbulent boundary layer present over the vehicle's body in flight to its airspeed. The instrument consists of two microphones; one flush-mounted on the vehicle's nose cone, which captures the pseudo-sound caused by the turbulent boundary layer, and a micro-controller that processes the signals and computes the airspeed. A feed-forward single-layer neural network is used to predict the airspeed based on the power spectra of the microphones' signals. The neural network is trained using data obtained from wind tunnel and flight experiments. Several neural networks were trained and validated using only flight data, with the best one achieving a mean approximation error of 0.043 m/s and having a standard deviation of 1.039 m/s. The angle of attack has a significant impact on the measurement, but if the angle of attack is known, the airspeed could still be successfully predicted for a wide range of angles of attack.
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A model of spacetime is presented. It has an extension to five dimensions, and in five dimensions the geometry is the dual of the Euclidean geometry w.r.t. an arbitrary positive-definite metric. Dually flat geometries are well-known in the context of information geometry. The present work explores their role in describing the geometry of spacetime. It is shown that the positive-definite metric with its flat 5-d connection can coexist with a pseudometric for which the connection is that of Levi-Civita. The 4-d geodesics are characterized by five conserved quantities, one of which can be chosen freely and is taken equal to zero in the present work. An explicit expression for the parallel transport operators is obtained. It is used to construct a pseudometric for spacetime by choosing an arbitrary possibly degenerate inner product in the tangent space of a reference point, for instance, that of Minkowski. By parallel transport, one obtains a pseudometric for spacetime, the metric connection of which extends to a 5-d connection with vanishing curvature tensor. The de Sitter space is considered as an example.
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Fixed-wing vertical take-off and landing (VTOL) UAVs have received more and more attention in recent years, because they have the advantages of both fixed-wing UAVs and rotary-wing UAVs. To meet its large flight envelope, the VTOL UAV needs accurate measurement of airflow parameters, including angle of attack, sideslip angle and speed of incoming flow, in a larger range of angle of attack. However, the traditional devices for the measurement of airflow parameters are unsuitable for large-angle measurement. In addition, their performance is unsatisfactory when the UAV is at low speed. Therefore, for tail-sitter VTOL UAVs, we used a 5-hole pressure probe to measure the pressure of these holes and transformed the pressure data into the airflow parameters required in the flight process using an artificial neural network (ANN) method. Through a series of comparative experiments, we achieved a high-performance neural network. Through the processing and analysis of wind-tunnel-experiment data, we verified the feasibility of the method proposed in this paper, which can make more accurate estimates of airflow parameters within a certain range.
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BACKGROUND: There are few evidence-informed guidelines and findings to show that the use of sitters improves patient safety; overall, it is a costly intervention to address patients with disruptive behaviors. OBJECTIVE: The purpose of this article is to demonstrate that the creation of a multidisciplinary consultation-liaison (C-L) team, integrated with a psychiatric C-L team, together can decrease sitter use and improve outcomes using nonpharmacologic interventions. METHODS: This retrospective study describes the planning, implementation, and data collection using in creating an multidisciplinary C-L team to collaborate with the psychiatric C-L team and outcomes to support the approach. The multidisciplinary C-L team was composed of advanced practice registered nurses and creative art therapists. The teams worked closely with the medical units to develop and monitor criteria for sitter use. The key outcomes of the intervention improved patient safety and reduced overall cost. RESULTS: In the first year of implementation of a multidisciplinary C-L approach, sitter use decreased by 72%. Nonpharmacologic interventions improved patient outcomes by providing education to medical staff that enhanced the assessment and implementation of enhanced observer use across all the medical units. Subsequent data also reflect a sustained reduction in cost over the next 2-year period, saving the institution nearly $70K a month. CONCLUSION: An multidisciplinary C-L and psychiatric C-L team collaborated on the need for psychiatric medications, or nonpharmacologic interventions to address behaviors and decrease the need for an enhanced observer. The teams worked together to make policy revisions and algorithms and provide education, the result of which was significant financial savings and improved patient safety.
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Equipe de Assistência ao Paciente , Encaminhamento e Consulta , Humanos , Estudos RetrospectivosRESUMO
The stochastic character of the cosmological constant arising from the non-linear quantum-vacuum Bohm interaction in the framework of the manifestly-covariant theory of quantum gravity (CQG theory) is pointed out. This feature is shown to be consistent with the axiomatic formulation of quantum gravity based on the hydrodynamic representation of the same CQG theory developed recently. The conclusion follows by investigating the indeterminacy properties of the probability density function and its representation associated with the quantum gravity state, which corresponds to a hydrodynamic continuity equation that satisfies the unitarity principle. As a result, the corresponding form of stochastic quantum-modified Einstein field equations is obtained and shown to admit a stochastic cosmological de Sitter solution for the space-time metric tensor. The analytical calculation of the stochastic averages of relevant physical observables is obtained. These include in particular the radius of the de Sitter sphere fixing the location of the event horizon and the expression of the Hawking temperature associated with the related particle tunneling effect. Theoretical implications for cosmology and field theories are pointed out.
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This paper presents a model predictive controller (MPC) for position control of a vertical take-off and landing (VTOL) tail-sitter unmanned aerial vehicle (UAV) in hover flight. A 'cross' configuration quad-rotor tail-sitter UAV is designed with the capabilities for both hover and high efficiency level flight. The six-degree-of-freedom (DOF) nonlinear dynamic model of the UAV is built based on aerodynamic data obtained from wind tunnel experiments. The model predictive position controller is then developed with the augmented linearized state-space model. Measured and unmeasured disturbance model are introduced into the modeling and optimization process to improve disturbance rejection ability. The MPC controller is first verified and tuned in the hardware-in-loop (HIL) simulation environment and then implemented in an on-board flight computer for real-time indoor experiments. The simulation and experimental results show that the proposed MPC position controller has good trajectory tracking performance and robust position holding capability under the conditions of prevailing and gusty winds.
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The seroprevalence of human toxoplasmosis has been increasing in Korea, and it is controversial whether cats are an important infection source or not. This study was performed to evaluate the seroprevalence of Toxoplasma gondii infection in a high risk group (cat sitters) and to determine the possible importance of cats as an infection source in Korea. Risk factors, including the age, sex, and diet of cat sitters, their contact experience and contact frequency with stray cats, and origin, number, and outdoor activity of their pet cats, were analyzed using structured questionnaires. A total of 673 serum samples from people who have frequent contact with cats (high risk group) and 1,114 samples from general people (low risk group) were examined for specific IgG antibodies against T. gondii by ELISA. The results revealed that the overall seroprevalence of T. gondii infection was 7.4% (n=1,787). The seroprevalence among low risk group was 8.0% (89/1,114), whereas that among high risk group was rather lower 6.4% (43/673), though this difference was statistically not significant (P=0.211). Among the risk factors, only the outdoor activity of pet cats was important; people having cats with outdoor activities revealed 2 times higher seroprevalence than people having cats with only indoor activities (P=0.027). In conclusion, the seroprevalence of T. gondii was not significantly different between the high risk group and low risk group, and the importance of cats as a source of infection in Korea is questionable.
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Gatos/parasitologia , Toxoplasmose/epidemiologia , Toxoplasmose/transmissão , Adolescente , Adulto , Fatores Etários , Animais , Anticorpos Antiprotozoários/sangue , Biomarcadores/sangue , Criança , Dieta , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Imunoglobulina G/sangue , Masculino , Pessoa de Meia-Idade , República da Coreia/epidemiologia , Fatores de Risco , Estudos Soroepidemiológicos , Fatores Sexuais , Inquéritos e Questionários , Toxoplasma/imunologia , Toxoplasmose/diagnóstico , Adulto JovemRESUMO
PROBLEM: Communication has been found to be central to patient safety and colleague engagement. Poor communication was identified in a Level III trauma hospital in the midwestern US between "sitters" (staff members assigned to monitor patients identified as having safety concerns) and the nurses assigned to care for those patients, including lack of a formal handoff process. APPROACH: A Patient/Problem, Intervention, Comparison, Outcome (PICO) statement guided an evidence-based project and identification of an intervention to improve the handoff process. Using the evidence-based format of Situation/Background/Assessment/Recommendation (SBAR), a Patient Safety Attendant Handoff Form was developed and implemented. RESULTS: Initially, Registered Nurses (RNs), Licensed Practical Nurses (LPNs), or Certified Nursing Assistants (CNAs) were used as sitters, taking them away from other responsibilities. A formal position, Patient Safety Attendant (PSA), was created to perform the sitter role. The Patient Safety Attendant Handoff tool was made an official hospital form and implemented as a new standard of practice. Analysis of data from completed forms identified the top reasons for assigning a sitter were mental health and behavioral concerns. In a six-month post-implementation survey, most PSAs reported receiving adequate information about the patients during handoffs using the new form. CONCLUSION: Using SBAR for the Patient Safety Attendant Handoff Form improved communication between RNs and PSAs and also enhanced communication between PSAs. A key safety feature of the form is the Recommendation section which includes "triggers to avoid," de-escalation techniques, and things the patient enjoys. Developing a structural model from the aggregated data on the completed forms helped in analyzing the information.
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Transferência da Responsabilidade pelo Paciente , Humanos , Melhoria de Qualidade , Comunicação , Inquéritos e Questionários , Prática Clínica Baseada em EvidênciasRESUMO
BACKGROUND: The development and approval of disease modifying treatments have dramatically changed disease progression in patients with spinal muscular atrophy (SMA). Nusinersen was approved in Europe in 2017 for the treatment of SMA patients irrespective of age and disease severity. Most data on therapeutic efficacy are available for the infantile-onset SMA. For patients with SMA type 2 and type 3, there is still a lack of sufficient evidence and long-term experience for nusinersen treatment. Here, we report data from the SMArtCARE registry of non-ambulant children with SMA type 2 and typen 3 under nusinersen treatment with a follow-up period of up to 38 months. METHODS: SMArtCARE is a disease-specific registry with data on patients with SMA irrespective of age, treatment regime or disease severity. Data are collected during routine patient visits as real-world outcome data. This analysis included all non-ambulant patients with SMA type 2 or 3 below 18 years of age before initiation of treatment. Primary outcomes were changes in motor function evaluated with the Hammersmith Functional Motor Scale Expanded (HFMSE) and the Revised Upper Limb Module (RULM). RESULTS: Data from 256 non-ambulant, pediatric patients with SMA were included in the data analysis. Improvements in motor function were more prominent in upper limb: 32.4% of patients experienced clinically meaningful improvements in RULM and 24.6% in HFMSE. 8.6% of patients gained a new motor milestone, whereas no motor milestones were lost. Only 4.3% of patients showed a clinically meaningful worsening in HFMSE and 1.2% in RULM score. CONCLUSION: Our results demonstrate clinically meaningful improvements or stabilization of disease progression in non-ambulant, pediatric patients with SMA under nusinersen treatment. Changes were most evident in upper limb function and were observed continuously over the follow-up period. Our data confirm clinical trial data, while providing longer follow-up, an increased number of treated patients, and a wider range of age and disease severity.
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Atrofia Muscular Espinal , Atrofias Musculares Espinais da Infância , Criança , Humanos , Estudos Prospectivos , Atrofias Musculares Espinais da Infância/tratamento farmacológico , Sistema de Registros , Progressão da Doença , Extremidade SuperiorRESUMO
Senile gluteal dermatosis (SGD) is a common but seldom recognized condition. It is characterized clinically by unilateral or bilateral hyperkeratotic, lichenified plaques on the gluteal area, being attributed to prolonged sitting, particularly in the elderly. SGD also encompasses the recently proposed entity of prurigiform angiomatosis. Histologically, there are features of lichenification, such as epidermal hyperplasia and a preserved granular layer, with prominent dermal angioproliferation. We report 4 cases of this condition as well as novel findings of variably increased mast cells and superficial lymphatic vessels in addition to the proliferation of dermal blood vessels. We propose a unifying name for Reactive Epidermal hyperplasia and Angiogenesis of the Rear (REAR) to encapsulate the characteristic clinical and histological features of this distinct entity.
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Impulsive gravitational waves in Minkowski space were introduced by Roger Penrose at the end of the 1960s, and have been widely studied over the decades. Here we focus on nonexpanding waves which later have been generalized to impulses traveling in all constant-curvature backgrounds, i.e., the (anti-)de Sitter universe. While Penrose's original construction was based on his vivid geometric "scissors-and-paste" approach in a flat background, until recently a comparably powerful visualization and understanding has been missing in the case with a cosmological constant Λ ≠ 0 . Here we review the original Penrose construction and its generalization to non-vanishing Λ in a pedagogical way, as well as the recently established visualization: A special family of global null geodesics defines an appropriate comoving coordinate system that allows to relate the distributional to the continuous form of the metric.
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Background and purpose Mediumship is the ostensible phenomenon of human-mediated communication between deceased and living persons. In this paper, we perform a meta-analysis of all available modern experimental evidence, specifically from 2001 to December 2019, investigating the accuracy of apparently anomalously received information provided by mediums about deceased individuals. Methods 14 papers passed our selection criteria, for a total of 18 experiments. Both Bayesian and frequentist random effects models were used to estimate the aggregate effect size across studies. Results The overall standardized effect size (proportion index), estimated with a frequentist and a Bayesian random effects model, yielded a value of .18 (95% C.I. = .12 - .25) above the chance level. Furthermore, these estimates passed the control of two publication bias tests. Conclusions The results of this meta-analysis support the hypothesis that some mediums can retrieve information about deceased persons through unknown means.
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Comunicação , Teorema de Bayes , HumanosRESUMO
Understanding de Sitter space in supergravity-and string theory-has led to an intense amount of work for more than two decades, largely motivated by the discovery of the accelerated expansion of the Universe in 1998. In this paper, we consider a non-trivial generalization of unimodular gravity to minimal N = 1 supergravity, which allows for de Sitter solutions without the need of introducing any matter. We formulate a superspace version of the Stückelberg procedure, which restores diffeomorphism and local supersymmetry invariance. This introduces the goldstino associated with spontaneous breaking of supersymmetry in a natural way. The cosmological constant and gravitino mass are related to the vacuum expectation value of the components of a Lagrange multiplier imposing a super-unimodularity condition.