CGHS Black Hole Analog Moving Mirror and Its Relativistic Quantum Information as Radiation Reaction

The Callan–Giddings–Harvey–Strominger black hole has a spectrum and temperature that correspond to an accelerated reflecting boundary condition in flat spacetime. The beta coefficients are identical to a moving mirror model, where the acceleration is exponential in laboratory time. The center of the black hole is modeled by the perfectly reflecting regularity condition that red-shifts the field modes, which is the source of the particle creation. In addition to computing the energy flux, we find the corresponding moving mirror parameter associated with the black hole mass and the cosmological constant in the gravitational analog system. Generalized to any mirror trajectory, we derive the self-force (Lorentz–Abraham–Dirac), consistently, expressing it and the Larmor power in connection with entanglement entropy, inviting an interpretation of acceleration radiation in terms of information flow. The mirror self-force and radiative power are applied to the particular CGHS black hole analog moving mirror, which reveals the physics of information at the horizon during asymptotic approach to thermal equilibrium.

SUPERFACT: A Model Fuel for Studying the Evolution of the Microstructure of Spent Nuclear Fuel during Storage/Disposal

The transmutation of minor actinides (in particular, Np and Am), which are among the main contributors to spent fuel α-radiotoxicity, was studied in the SUPERFACT irradiation. Several types of transmutation UO2-based fuels were produced, differing by their minor actinide content (241Am, 237Np, Pu), and irradiated in the Phénix fast reactor. Due to the high content in rather short-lived alpha-decaying actinides, both the archive, but also the irradiated fuels, cumulated an alpha dose during a laboratory time scale, which is comparable to that of standard LWR fuels during centuries/millenaries of storage. Transmission Electron Microscopy was performed to assess the evolution of the microstructure of the SUPERFACT archive and irradiated fuel. This was compared to conventional irradiated spent fuel (i.e., after years of storage) and to other 238Pu-doped UO2 for which the equivalent storage time would span over centuries. It could be shown that the microstructure of these fluorites does not degrade significantly from low to very high alpha-damage doses, and that helium bubbles precipitate.

Фотопроводящий ТГц детектор на основе новых функциональных слоев в многослойных гетероструктурах

We report on the experimental study of the photoconductive antennas (PCAs) - detectors based on superlattice heterostructures (SLS) InGaAs/InAs/InAlAs with different types of elastic stresses in their functional layers. By using our laboratory time-domain THz spectrometer we measured and compared the detected THz signals, noise characteristics, and signal-to-noise ratios of the developed bow-tie PCA-detectors at different average probe power. We showed that the SLS-based PCA-detector with elastic stresses of both compression and tension in the layers demonstrates increased THz detection bandwidth compared to that for the SLS-based PCA-detector with only compression stresses in the SLS layers in the whole range of the optical probe power. We thus demonstrate that modification of the SLS via introduction of the elastic strain in the crystalline lattice of its layers could become an efficient approach to enhance the PCA-detectors performance leading to implementation of these PCAs to the spectroscopic THz setups.

Planejamento virtual utilizando software de livre acesso

The orthodontic setup is a tool used for tridimensional simulation for visual treatment planning. Its analysis allows to plan the mechanics to be used during the orthodontic treatment. For this purpose, it is necessary to duplicate the cast model, to cut the teeth and replace them in their respective cast bases. However, this process demands laboratory time and physical space for cast models storage. The traditional setup with cast models has been substituted by the 3D virtual version once it does not demand physical space for storage. Despite the learning curve, the 3D virtual computerized process has a reduced time when compared to the setup with cast models. But the software high cost is still the main point of disadvantage for its use. Thus, the aim of this study is to describe a step-by-step of 3D virtual orthodontic setup process, by using an open-source software.

The First Livebirth Using Warmed Oocytes by a Semi-Automated Vitrification Procedure

Background: The first successful livebirth using warmed oocytes (vitrified by the GAVITM system) is reported in this paper. Embryologists throughout the world have vitrified oocytes using a manual technique which is susceptible to error and variation. In this era of automated laboratory procedures, vitrification was made semi-automatic by using the GAVITM system. Case Presentation: Donor oocytes were initially vitrified using the GAVITM system. They remained in the clinic’s oocyte bank until they were allocated to the patient. Donor oocytes were warmed as per Genea BIOMEDX protocol and inseminated to create embryos. Resulting embryos for the 42-year-old patient were cultured to the blastocyst stage, biopsied to perform PGT-A, using next generation sequencing and subsequently vitrified. The patient underwent a single euploid transfer in a frozen embryo transfer cycle which resulted in a healthy livebirth. Conclusion: The introduction of a semi-automated system should minimize the risk to the oocytes, standardize the procedure worldwide and potentially reduce the laboratory time taken by the embryologists. This case report demonstrates the safety of the technology used for vitrification, but larger randomized studies need to be performed to demonstrate the safety and efficacy of newer technologies like the GAVITM system before adopting it as a standard laboratory procedure.

Effects of crowding in the emergency department on the diagnosis and management of suspected acute coronary syndrome using rapid algorithms: an observational study

ObjectivesFast diagnostic algorithms using high-sensitivity troponin (hsTn) in suspected acute coronary syndrome (ACS) are regarded as beneficial to expedite diagnosis and safe discharge of patients in crowded emergency departments (ED). This study investigates the effects of crowding on process times related to the diagnostic protocol itself or other time delays, and outcomes.DesignProspective single-centre observational study.SettingED (Germany).ParticipantsFinal study population of 2525 consecutive patients with suspected ACS within 12 months, after exclusion of patients with ST-elevation myocardial infarction, missing blood samples, referral from other hospitals or repeated visits.InterventionsUse of fast algorithms as per 2015 European Society of Cardiology guidelines.Main outcome measuresCrowding was defined as mismatch between patient numbers and monitoring capacities, or mean physician time per case, categorised as normal, high and very high crowding. Outcome measures were length of ED stay, direct discharge from ED, laboratory turn around times (TAT), utilisation of fast algorithms, absolute and relative non-laboratory time, as well as mortality.ResultsCrowding was associated with increased length of ED stay (3.75–4.89 hours, p<0.001). While median TAT of the first hsTnT increased (53–57 min, p<0.001), total TAT of serial hsTnT did not increase significantly with higher crowding (p=0.170). Lower utilisation of fast algorithms (p=0.009) and increase of additional hsTnT measurements after diagnosis (p=0.001) were observed in higher crowding. Most importantly, crowding was significantly associated with prolonged absolute (p<0.001), and particularly relative non-laboratory time (63.3%–71.3%, p<0.001). However, there was no significant effect of crowding on mortality, even after adjustment for relevant clinical variables.ConclusionsProcess times, and particularly non-laboratory times, are prolonged in a crowded ED diminishing some positive effects of fast diagnostic algorithms in suspected ACS. Higher crowding levels were not significantly associated with higher all-cause mortality rates.Trial registration numberNCT03111862.

P425Single procedure pace and ablate. evaluation of efficacy and safety comparing three different vascular routes

Funding Acknowledgements No financial support for this study Introduction Permanent pacemaker implantation combined with AVN ablation is a well-established treatment for rate control in patients with atrial fibrillation refractory to medical therapy. At the same sitting, this has been achieved in a single procedure via the subclavian vein (SCV) for both pacemaker implantation and AVN ablation, by pacemaker implantation via the SCV with femoral access for AVN ablation or by using the femoral vein (FV) for leadless pacemaker implantation and AVN ablation with a coaxial single-puncture technique. We evaluated all combined procedures (pacemaker implantation and AVN ablation at the same sitting) performed in a single centre over 9 years comparing clinical outcomes, complications rates and procedure times. Statistical methods: Continuous variables are described as mean ± standard deviation (SD), and statistical differences between groups were evaluated by one-way ANOVA. A X2 test was used for categorical variables, with Fisher’s exact test for any field where the expected frequency was ≤5 with pvalue &lt; 0.05 considered as statistically significant. The statistical analysis was performed using SPSS software package. Results 141 patients underwent AVN ablation at our institution as part of a ‘pace and ablate’ single procedure strategy between 14/2/11 and 10/6/19. 61 patients had a combined procedure via the SCV, 66 patients had pacemaker implanted via the SCV and AVN ablation via the FV in the same sitting and 14 patients had leadless pacemaker (Micra) implantation and AVN ablation via the FV. Our findings suggest that the fluoroscopy time as well as the total catheter laboratory time were much less in the Micra group compared to the other groups. In the conventional pacemaker groups (group 1 and 2), the fluoroscopy time was not statistically different between the two. There was a trend towards acute procedural failure, switching to another access as well as a higher complication rate in the SCV group, however this has not reached statistical significance. Conclusion Our early data suggests that pacemaker implantation and AVN ablation with a coaxial single femoral vein puncture technique is safe and takes less fluoroscopy time as well as total laboratory time. Procedural outcomes All (n = 141) Group 1: SCV (n = 61) Group 2: FV (n = 66) Group 3: Micra (n = 14) P-value Total cath-lab time (mins) 113.1 ± 40.4 106.2 ± 37.2 125.7 ± 42.5 86.9 ± 23.1 0.001 Total fluoroscopy time (mins) 8.8 ± 7.6 11 ± 7.8 7.7 ± 7.6 4.5 ± 3 0.0001 Acute procedural failure, n (%) 9 (6.4) 7 (11.5) 2 (3) 0 (0) **0.6 Complications, n (%) 7 (4.9) 5 (8.2) 2 (3) 0 (0) **0.62 **Fisher"s exact test applied to analysis of Micra VS Other methods

The Perception of Stress among the Final Year Students in Prosthodontics

Introduction: Prosthodontics is a challenging discipline for dental students. This study aims to identify the sources of stress amongst final year undergraduate dental students in prosthodontics at People’s Dental College and Hospital, Nepal. Identifying these potential sources of stress may provide faculties and administrators an opportunity to delineate areas of concern and approach student effectively. Materials and methods: A modified version of the Dental Environment Stress (DES) questionnaire with 22 items was used to assess levels of stress. Results: The major stressors included worry of not completing quotas with a mean score of 3.63 followed by examinations, shortage of allocated clinical and laboratory time, fear of failing a courser the year, overloaded feeling due to huge syllabus, late ending day, responsibility of getting suitable patients, fear of being unable to catch up if behind and patients being late or not showing for their appointments. Amongst these major stressors, the top two stressors were performance pressure related. Conclusions: Although perceived stress in prosthodontics was relatively less than expected, certain areas were highly stressful for majority of the students. There is a need for adopting new strategies by the university, institute, faculties and students themselves for stress management.

A Simplified Approach for Fabrication of One-Piece Hollow Interim Obturator for the Prosthodontic Treatment of Hemimaxillectomy Patient—A Clinical Report

Most common problems faced by a patient with resected maxilla are reduced retention, support, and stability. A successful prosthesis should meet the physiological, psychological, and aesthetic needs of the patient. This article describes the procedure for the rehabilitation of hemimaxillectomy patient with one-piece hollow obturator using simple technique, reducing laboratory time.