通过电阻率-温度(temperature dependence of resistivity,ρ-T)曲线、磁化强度-温度(temperature depen-dence of magnetization,M-T)曲线、ESR谱线的测量,研究了La0.45Ca0.55MnO3样品的电磁特性。结果表明,样品在整个测量温区呈现绝...通过电阻率-温度(temperature dependence of resistivity,ρ-T)曲线、磁化强度-温度(temperature depen-dence of magnetization,M-T)曲线、ESR谱线的测量,研究了La0.45Ca0.55MnO3样品的电磁特性。结果表明,样品在整个测量温区呈现绝缘体行为,输运机制满足可变程跃迁模型。样品存在电荷有序(charge ordering,CO)相,相变温度TCO≈240K,并随温度降低发生顺磁(paramagnetism,PM)→电荷有序(CO)→反铁磁(antiferromagnetism,AFM)变化。值得注意的是,由于样品低温下存在多种复杂的磁相互作用,在40K发生自旋玻璃转变,表现为再入型自旋玻璃行为。展开更多
Background:Current guidelines recommend cholecystectomy for patients with mild acute biliary pancreatitis(MABP)during the index admission because it is associated with better outcomes.In this study,we aimed to assess ...Background:Current guidelines recommend cholecystectomy for patients with mild acute biliary pancreatitis(MABP)during the index admission because it is associated with better outcomes.In this study,we aimed to assess national trends in cholecystectomy during index admissions for MABP and to identify factors associated with cholecystectomy completion and 30-day readmission.Methods:Using diagnostic codes and the National Readmissions Database,we identified patients admitted with MABP between 2010 and 2014.Differences in cholecystectomy rates were computed on the basis of various characteristics.We conducted a multivariable analysis to identify factors associated with 30-day readmission and cholecystectomy during the same admission.Results:We identified 255,695 unique index MABP cases(41.3%male)and the 30-day readmission rate was 12.6%.Overall,43.8%underwent cholecystectomy and 25%underwent endoscopic retrograde cholangiopancreatography(ERCP)with sphincterotomy.We observed a decreasing trend in both procedures during the study period(P<0.001).In multivariate analysis,odds of 30-day readmission were reduced for patients undergoing ERCP with sphincterotomy(odds ratio,0.78;95%confidence interval,0.74–0.84)or cholecystectomy(odds ratio,0.37;95%confidence interval,0.35–0.39).Conclusions:For patients with MABP,cholecystectomy or ERCP with sphincterotomy during the index admission decreased the risk of 30-day readmission.Despite this benefit and national guidelines recommending cholecystectomy during the index MABP admission,the rate of cholecystectomies performed nationally decreased during the study period.Further research is needed to understand the implications and reasons underlying this deviation from guidelines.展开更多
文摘通过电阻率-温度(temperature dependence of resistivity,ρ-T)曲线、磁化强度-温度(temperature depen-dence of magnetization,M-T)曲线、ESR谱线的测量,研究了La0.45Ca0.55MnO3样品的电磁特性。结果表明,样品在整个测量温区呈现绝缘体行为,输运机制满足可变程跃迁模型。样品存在电荷有序(charge ordering,CO)相,相变温度TCO≈240K,并随温度降低发生顺磁(paramagnetism,PM)→电荷有序(CO)→反铁磁(antiferromagnetism,AFM)变化。值得注意的是,由于样品低温下存在多种复杂的磁相互作用,在40K发生自旋玻璃转变,表现为再入型自旋玻璃行为。
文摘Background:Current guidelines recommend cholecystectomy for patients with mild acute biliary pancreatitis(MABP)during the index admission because it is associated with better outcomes.In this study,we aimed to assess national trends in cholecystectomy during index admissions for MABP and to identify factors associated with cholecystectomy completion and 30-day readmission.Methods:Using diagnostic codes and the National Readmissions Database,we identified patients admitted with MABP between 2010 and 2014.Differences in cholecystectomy rates were computed on the basis of various characteristics.We conducted a multivariable analysis to identify factors associated with 30-day readmission and cholecystectomy during the same admission.Results:We identified 255,695 unique index MABP cases(41.3%male)and the 30-day readmission rate was 12.6%.Overall,43.8%underwent cholecystectomy and 25%underwent endoscopic retrograde cholangiopancreatography(ERCP)with sphincterotomy.We observed a decreasing trend in both procedures during the study period(P<0.001).In multivariate analysis,odds of 30-day readmission were reduced for patients undergoing ERCP with sphincterotomy(odds ratio,0.78;95%confidence interval,0.74–0.84)or cholecystectomy(odds ratio,0.37;95%confidence interval,0.35–0.39).Conclusions:For patients with MABP,cholecystectomy or ERCP with sphincterotomy during the index admission decreased the risk of 30-day readmission.Despite this benefit and national guidelines recommending cholecystectomy during the index MABP admission,the rate of cholecystectomies performed nationally decreased during the study period.Further research is needed to understand the implications and reasons underlying this deviation from guidelines.
