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We study the influence and interplay of initial state and final state effects in the dynamics of small systems, focusing on azimuthal correlations at different multiplicities. To this end we introduce a new model, matching the classical Yang-Mills dynamics of pre-equilibrium gluon fields (IP-GLASMA) to a perturbative QCD based parton cascade for the final state evolution (BAMPS) on an event-by-event basis. Depending on multiplicity of the event, we see transverse momentum dependent signatures of the initial, but also the final state in azimuthal correlation observables, such as v2 {2PC}(pT). In low-multiplicity events, initial state correlations dominate for transverse momenta pT > 2 GeV, whereas in high-multiplicity events and at low momenta final state interactions dominate and initial state correlations strongly affect v2 {2PC}(pT) for pT > 2 GeV as well as the pT integrated v2 {2PC}. Nearly half of the final pT integrated v2 {2PC} is contributed by the initial state in low-multiplicity events, whereas in high-multiplicity the share is much less. Based on Ref. [M. Greif, C. Greiner, B. Schenke, S. Schlichting, Z. Xu, Phys. Rev. D96 (9) (2017) 091504], we are now able to carry out a systematic multiplicity scan, probing the dynamics on the border of initial state dominated to final state dominated – but not yet hydrodynamic regime.
Introduction: Clinically complex patients often require multiple medications. Polypharmacy is associated with inappropriate prescriptions, which may lead to negative outcomes. Few effective tools are available to help physicians optimise patient medication. This study assesses whether an electronic medication management support system (eMMa) reduces hospitalisation and mortality and improves prescription quality/safety in patients with polypharmacy. Methods and analysis: Planned design: pragmatic, parallel cluster-randomised controlled trial; general practices as randomisation unit; patients as analysis unit. As practice recruitment was poor, we included additional data to our primary endpoint analysis for practices and quarters from October 2017 to March 2021. Since randomisation was performed in waves, final study design corresponds to a stepped-wedge design with open cohort and step-length of one quarter. Scope: general practices, Westphalia-Lippe (Germany), caring for BARMER health fund-covered patients. Population: patients (≥18 years) with polypharmacy (≥5 prescriptions). Sample size: initially, 32 patients from each of 539 practices were required for each study arm (17 200 patients/arm), but only 688 practices were randomised after 2 years of recruitment. Design change ensures that 80% power is nonetheless achieved. Intervention: complex intervention eMMa. Follow-up: at least five quarters/cluster (practice). recruitment: practices recruited/randomised at different times; after follow-up, control group practices may access eMMa. Outcomes: primary endpoint is all-cause mortality and hospitalisation; secondary endpoints are number of potentially inappropriate medications, cause-specific hospitalisation preceded by high-risk prescribing and medication underuse. Statistical analysis: primary and secondary outcomes are measured quarterly at patient level. A generalised linear mixed-effect model and repeated patient measurements are used to consider patient clusters within practices. Time and intervention group are considered fixed factors; variation between practices and patients is fitted as random effects. Intention-to-treat principle is used to analyse primary and key secondary endpoints.
Strong indirect evidence exists for the existence of attractive forces between nuclei making surface contact. Experimentally, the recent observations of spontaneous positron production in heavy-ion collisions can only be understood if nuclei stick together for times long compared to the collision time. We show that any such tendency for nuclei to attract implies the existence of nuclear molecules with entirely new kinds of collective modes. We present a simple model for these modes and apply it to 238U-238U.
Different collective deformation coordinates for neutrons and protons are introduced to allow for both stretching and γ transitions consistent with experiments. The rotational actinide nuclei 234-238U and 232Th are successfully analyzed in this model. NUCLEAR STRUCTURE 232Th, 234-238U calculated B (E2) values, collective model.