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Abstract Objective Deep vein thrombosis (DVT) is discussed as a source of embolism for cerebral ischemia in the presence of patent foramen ovale (PFO). However, previous studies reported varying rates of DVT in stroke patients, and recommendations for screening are lacking. This study aimed to characterize patients with stroke or transient ischemic attack (TIA) and concomitant PFO and explore the rate of DVT and associated parameters. Methods Medical records were screened for patients with stroke or TIA and echocardiographic evidence of PFO. Concomitant DVT was identified according to compression ultrasonography of the lower limbs. A variety of demographic, clinical, and laboratory parameters, the RoPE and Wells scores were compared between patients with and without DVT. Results Three-hundred-thirty-nine patients (mean age 61.2 ± 15.4 years, 61.1% male) with stroke or TIA and PFO, treated between 01/2015 and 12/2020, were identified. Stroke and TIA patients did not differ for demographic and vascular risk factors. DVT was found in 17 cases out of 217 (7.8%) with compression ultrasonography. DVT was associated with a history of DVT, cancer, previous immobilization, calf compression pain, calf circumference difference, and a few laboratory abnormalities, e.g., increased D-dimer. A multivariate regression model with stepwise backward selection identified the Wells score (odds ratio 35.46, 95%-confidence interval 4.71–519.92) as a significant predictor for DVT. Conclusion DVT is present in a relevant proportion of patients with cerebral ischemia and PFO, which needs to be considered for the individual diagnostic workup. The Wells score seems suitable for guiding additional examinations, i.e., compression ultrasonography.

Abstract Background To assess quality of life and unmet needs after stroke, patient-reported outcome measures (PROMs) have gained increasing attention. However, patients’ perspectives on assessing PROMs remain unclear, potentially hindering implementation into clinical practice. Therefore, this study explored patients’ preferences on assessing PROMs after ischemic stroke. Methods A paper-based questionnaire was sent to stroke survivors treated at the Department of Neurology, University of Leipzig, Germany. Health-related quality of life (HRQoL, EQ-5D-5L) and preferences regarding different aspects of data collection to assess PROMs were investigated and linked to socio-demographic and medical characteristics. Results 158 persons were contacted and 80 replies were subsequently analyzed. Mean age was 70.16 years and mean HRQoL was 68.79 (visual analogue scale with a theoretical maximum of 100). Participants showed positive attitudes towards PROMs as they saw potential to improve care of other patients (n = 66/79; 83.54%) or to improve their own situation (n = 53/74; 71.62%). Participants preferred an annual interview after stroke (n = 39/80; 48.75%) and would preferably spend 15–30 min (n = 41/79; 51.90%) to answer a written survey (n = 69/80; 86.25%). The initially treating clinic was preferred as initiator of such surveys (n = 43/79; 54.43%). Stratification revealed that participants with more than 1 h of daily digital media usage preferred email as way of communication. Conclusions For the first time, this study showed individual preferences on assessing PROMs after ischemic stroke, focusing on the way, time interval, duration, and initiation site of surveys. These insights might help to successfully implement PROMs after stroke and subsequently detect unmet needs and deficits in stroke care.

The interaction between a mobile quantum impurity and a bosonic bath leads to the formation of quasiparticles, termed Bose polarons. The elementary properties of Bose polarons, such as their mutual interactions, can differ drastically from those of the bare impurities. Here, we explore Bose polaron physics in a two-dimensional nonequilibrium setting by injecting σ^{-} polarized exciton-polariton impurities into a bath of coherent σ^{+} polarized polaritons generated by resonant laser excitation of monolayer MoSe_{2} embedded in an optical cavity. By exploiting a biexciton Feshbach resonance between the impurity and the bath polaritons, we tune the interacting system to the strong-coupling regime and demonstrate the coexistence of two new quasiparticle branches. Using time-resolved pump-probe measurements, we observe how polaron dressing modifies the interaction between impurity polaritons. Remarkably, we find that the interactions between high-energy polaron quasiparticles, which are repulsive for small bath occupancy, can become attractive in the strong impurity-bath coupling regime. Our experiments provide the first direct measurement of Bose polaron-polaron interaction strength in any physical system and pave the way for exploration and control of many-body correlations in driven-dissipative settings.

An impurity introduced to a many-body quantum environment gets dressed by excitations and it is of a particular interest to understand the limits of the quasi-particle description. The authors theoretically and numerically study an ionic impurity immersed in a weakly interacting gas of bosonic atoms and demonstrate the existence of two main phases of a polaronic regime for weak interactions, and a strongly correlated state with many bosons bound to the ion.

By understanding stroke as a chronic disease, aftercare becomes increasingly important. For developing aftercare programs, the patients’ perspective regarding, for example, stroke-related symptoms and interactions with the healthcare system is necessary. Records from a local stroke pilot program were used to extract relevant topics from the patients’ perspective, as mentioned during a phone call two months after hospital discharge. Data from 157 patients with ischemic stroke or transient ischemic attack (TIA) were included. “Rehabilitation” was mentioned by 67.5% of patients, followed by “specialist physician”, “symptoms”, and “medication”. Compared with severely disabled patients, those with no relevant disability at hospital discharge mentioned “symptoms” significantly more often. Regarding rehabilitation, “outpatient care” was mentioned more often by patients in an inpatient setting, and 11.8% without rehabilitation mentioned “depression”. Patients in single-compared to multi-person households differed, for example, in the frequency of mentioning “specialist physicians” and gradually “outpatient care”. A multivariate model yielded associations between the disability at discharge and the probability of mentioning relevant topics afterward. This study provided insights into the patients’ perspective and identified topics that need attention while accompanying stroke and TIA patients after discharge. Further, the degree of disability at discharge might be helpful for planning individual aftercare.

The mobile impurity in a Bose-Einstein condensate (BEC) is a paradigmatic many-body problem. For weak interaction between the impurity and the BEC, the impurity deforms the BEC only slightly and it is well described within the Fröhlich model and the Bogoliubov approximation. For strong local attraction this standard approach, however, fails to balance the local attraction with the weak repulsion between the BEC particles and predicts an instability where an infinite number of bosons is attracted toward the impurity. Here we present a solution of the Bose polaron problem beyond the Bogoliubov approximation which includes the local repulsion between bosons and thereby stabilizes the Bose polaron even near and beyond the scattering resonance. We show that the Bose polaron energy remains bounded from below across the resonance and the size of the polaron dressing cloud stays finite. Our results demonstrate how the dressing cloud replaces the attractive impurity potential with an effective many-body potential that excludes binding. We find that at resonance, including the effects of boson repulsion, the polaron energy depends universally on the effective range. Moreover, while the impurity contact is strongly peaked at positive scattering length, it remains always finite. Our solution highlights how Bose polarons are self-stabilized by repulsion, providing a mechanism to understand quench dynamics and nonequilibrium time evolution at strong coupling.

Kasuistische Lehr-Lern-Formate als ‚Methode‘ der Professionalisierung von angehenden Lehrpersonen finden momentan zunehmende Verbreitung – auch im Zuge der Qualitätsoffensive Lehrerbildung (QLB). Solche Formate variieren in ihrer Ausgestaltung stark, weswegen (an den Standorten) unterschiedlichste Ziele mit ihnen verbunden sind. Dabei sind diese Ziele, die entsprechenden Formate, Handlungsschritte und damit auch die unterschiedlichen Verständnisse von Kasuistik bisher unzureichend systematisiert, wenngleich elaborierte Unterscheidungen kasuistischer Formate vorliegen. Einigkeit scheint jedoch darin zu bestehen, dass die Anbahnung eines reflexiven Habitus das Ziel von Kasuistik ist. Zudem darüber, dass Kasuistik dazu beitragen kann, Theorie und Praxis in der Lehrer_innenbildung zu relationieren, indem Fälle aus der schulischen Praxis zum Gegenstand kasuistischen Arbeitens gemacht werden. Insofern kann Kasuistik als ‚Setting der Reflexion‘ über Praxis verstanden werden. Der Beitrag befasst sich mit einem kasuistischen Format: rekonstruktiver Kasuistik. Es wird systematisiert, was konkret Reflexion im Zuge kasuistischen Arbeitens bedeutet und welche ‚Arten‘ von Reflexion dieses Format von Kasuistik anbahnen kann. Dafür wird vorgeschlagen, das Ziel des reflexiven Habitus in drei Dimensionen einzuteilen: Selbst-Reflexion, Praxis-Reflexion und Meta-Praxis-Reflexion. Daraus lässt sich abschließend ableiten, inwiefern ein Zusammenhang zwischen Kasuistik und Reflexion einerseits und pädagogischer Professionalisierung andererseits besteht.

The elementary optical excitations in two-dimensional semiconductors hosting itinerant electrons are attractive and repulsive polarons—excitons that are dynamically screened by electrons. Exciton polarons have hitherto been studied in translationally invariant degenerate Fermi systems. Here, we show that periodic distribution of electrons breaks the excitonic translational invariance and leads to a direct optical signature in the exciton-polaron spectrum. Specifically, we demonstrate that new optical resonances appear due to spatially modulated interactions between excitons and electrons in an incompressible Mott-like correlated state. Our observations demonstrate that resonant optical spectroscopy provides an invaluable tool for studying strongly correlated states, such as Wigner crystals and density waves, where exciton-electron interactions are modified by the emergence of charge order.

The interplay between measurement and quantum correlations in many-body systems can lead to novel types of collective phenomena which are not accessible in isolated systems. In this work, we merge the Zeno paradigm of quantum measurement theory with the concept of polarons in condensed-matter physics. The resulting quantum-Zeno Fermi polaron is a quasiparticle which emerges for lossy impurities interacting with a quantum-degenerate bath of fermions. For loss rates of the order of the impurity-fermion binding energy, the quasiparticle is short lived. However, we show that in the strongly dissipative regime of large loss rates a long-lived polaron branch reemerges. This quantum-Zeno Fermi polaron originates from the nontrivial interplay between the Fermi surface and the surface of the momentum region forbidden by the quantum-Zeno projection. The situation we consider here is realized naturally for polaritonic impurities in charge-tunable semiconductors and can be also implemented using dressed atomic states in ultracold gases.

Understanding the behavior of an impurity strongly interacting with a Fermi sea is a long-standing challenge in many-body physics. When the interactions are short ranged, two vastly different ground states exist: a polaron quasiparticle and a molecule dressed by the majority atoms. In the single-impurity limit, it is predicted that at a critical interaction strength, a first-order transition occurs between these two states. Experiments, however, are always conducted in the finite temperature and impurity density regime. The fate of the polaron-to-molecule transition under these conditions, where the statistics of quantum impurities and thermal effects become relevant, is still unknown. Here, we address this question experimentally and theoretically. Our experiments are performed with a spin-imbalanced ultracold Fermi gas with tunable interactions. Utilizing a novel Raman spectroscopy combined with a high-sensitivity fluorescence detection technique, we isolate the quasiparticle contribution and extract the polaron energy, spectral weight, and the contact parameter. As the interaction strength is increased, we observe a continuous variation of all observables, in particular a smooth reduction of the quasiparticle weight as it goes to zero beyond the transition point. Our observation is in good agreement with a theoretical model where polaron and molecule quasiparticle states are thermally occupied according to their quantum statistics. At the experimental conditions, polaron states are hence populated even at interactions where the molecule is the ground state and vice versa. The emerging physical picture is thus that of a smooth transition between polarons and molecules and a coexistence of both in the region around the expected transition. Our findings establish Raman spectroscopy as a powerful experimental tool for probing the physics of mobile quantum impurities and shed new light on the competition between emerging fermionic and bosonic quasiparticles in non-Fermi-liquid phases.

We consider the quench of an atomic impurity via a single Rydberg excitation in a degenerate Fermi gas. The Rydberg interaction with the background gas particles induces an ultralong-range potential that binds particles to form dimers, trimers, tetramers, etc. Such oligomeric molecules were recently observed in atomic Bose-Einstein condensates. Understanding the effects of a correlated background on molecule formation, absent in bosonic baths, is crucial to explain ongoing experiments with Fermi gases. In this work we demonstrate with a functional determinant approach that quantum statistics and fluctuations have clear observable consequences. We show that the occupation of molecular states is predicated on the Fermi statistics, which suppresses molecular formation in an emergent molecular shell structure. At high gas densities this leads to spectral narrowing, which can serve as a probe of the quantum gas thermodynamic properties. Rydberg excitations in Fermi gases go beyond traditional impurity problems, creating an opportunity for studies of mesoscopic interactions in synthetic quantum matter.

Two-dimensional semiconductors provide an ideal platform for exploration of linear exciton and polariton physics, primarily due to large exciton binding energy and strong light-matter coupling. These features, however, generically imply reduced exciton-exciton interactions, hindering the realization of active optical devices such as lasers or parametric oscillators. Here, we show that electrical injection of itinerant electrons into monolayer molybdenum diselenide allows us to overcome this limitation: dynamical screening of exciton-polaritons by electrons leads to the formation of new quasiparticles termed polaron-polaritons that exhibit unexpectedly strong interactions as well as optical amplification by Bose-enhanced polaron-electron scattering. To measure the nonlinear optical response, we carry out time-resolved pump-probe measurements and observe polaron-polariton interaction enhancement by a factor of 50 (0.5 μeV μm^{2}) as compared to exciton-polaritons. Concurrently, we measure a spectrally integrated transmission gain of the probe field of ≳2 stemming from stimulated scattering of polaron-polaritons. We show theoretically that the nonequilibrium nature of optically excited quasiparticles favors a previously unexplored interaction mechanism stemming from a phase-space filling in the screening cloud, which provides an accurate explanation of the strong repulsive interactions observed experimentally. Our findings show that itinerant electron-exciton interactions provide an invaluable tool for electronic manipulation of optical properties, demonstrate a new mechanism for dramatically enhancing polariton-polariton interactions, and pave the way for realization of nonequilibrium polariton condensates.

This paper presents our implementation of a harmonized data model for noise simulations in the European Union (EU). Different noise assessment methods are used by different EU member states (MS) for estimating noise at local, regional, and national scales. These methods, along with the input data extracted from the national registers and databases, as well as other open and/or commercially available data, differ in several aspects and it is difficult to obtain comparable results across the EU. To address this issue, a common framework for noise assessment methods (CNOSSOS-EU) was developed by the European Commission’s (EC) Joint Research Centre (JRC). However, apart from the software implementations for CNOSSOS, very little has been done for the practical guidelines outlining the specifications for the required input data, metadata, and the schema design to test the real-world situations with CNOSSOS. We describe our approach for modeling input and output data for noise simulations and also generate a real world dataset of an area in the Netherlands based on our data model for simulating urban noise using CNOSSOS.

Mobile quantum impurities interacting with a fermionic bath form quasiparticles known as Fermi polarons. We demonstrate that a force applied to the bath particles can generate a drag force of similar magnitude acting on the impurities, realizing a novel, nonperturbative Coulomb drag effect. To prove this, we calculate the fully self-consistent, frequency-dependent transconductivity at zero temperature in the Baym-Kadanoff conserving approximation. We apply our theory to excitons and exciton polaritons interacting with a bath of charge carriers in a doped semiconductor embedded in a microcavity. In external electric and magnetic fields, the drag effect enables electrical control of excitons and may pave the way for the implementation of gauge fields for excitons and polaritons. Moreover, a reciprocal effect may facilitate optical manipulation of electron transport. Our findings establish transport measurements as a novel, powerful tool for probing the many-body physics of mobile quantum impurities.

Background: Electromyographic (EMG) and mechanomyographic (MMG) studies of fatigue have generally utilized maximal isometric or dynamic muscle actions, but sport- and work-related activities involve predominately submaximal movements. Therefore, the purpose of the present investigation was to examine the torque, EMG, and MMG responses as a result of submaximal, concentric, isokinetic, forearm flexion muscle actions. Methods: Twelve men performed concentric peak torque (PT) and isometric PT trials before (pretest) and after (posttest) performing 50 submaximal (65% of concentric PT), concentric, isokinetic (60°·s−1), forearm flexion muscle actions. Surface EMG and MMG signals were simultaneously recorded from the biceps brachii and brachioradialis muscles. Results: The results of the present study indicated similar decreases during both the concentric PT and isometric PT measurements for torque, EMG mean power frequency (MPF), and MMG MPF following the fatiguing workbout, but no changes in EMG amplitude (AMP) or MMG AMP. Conclusions: These findings suggest that decreases in torque as a result of fatiguing, dynamic muscle actions may have been due to the effects of metabolic byproducts on excitation–contraction coupling as indicated by the decreases in EMG MPF and MMG MPF, but lack of changes in EMG AMP and MMG AMP from both the biceps brachii and brachioradialis muscles.

During the past 70 years, the quantum theory of angular momentum has been successfully applied to describing the properties of nuclei, atoms, and molecules, and their interactions with each other as well as with external fields. Because of the properties of quantum rotations, the angular-momentum algebra can be of tremendous complexity even for a few interacting particles, such as valence electrons of an atom, not to mention larger many-particle systems. In this work, we study an example of the latter: a rotating quantum impurity coupled to a many-body bosonic bath. In the regime of strong impurity-bath couplings, the problem involves the addition of an infinite number of angular momenta, which renders it intractable using currently available techniques. Here, we introduce a novel canonical transformation that allows us to eliminate the complex angular-momentum algebra from such a class of many-body problems. In addition, the transformation exposes the problem’s constants of motion, and renders it solvable exactly in the limit of a slowly rotating impurity. We exemplify the technique by showing that there exists a critical rotational speed at which the impurity suddenly acquires one quantum of angular momentum from the many-particle bath. Such an instability is accompanied by the deformation of the phonon density in the frame rotating along with the impurity.

Dieses Jahr legen die Arbeitsgruppen der UN zum internationalen Recht im digitalen Raum, die Group of Governmental Experts sowie die Open-Ended Working Group ihre Abschlussberichte vor. Dazu veröffentlichte die Bundesregierung Anfang März ein Positionspapier zur Anwendung des Völkerrechts im Cyberspace. Auffällig an dieser Stellungnahme ist besonders der weite Anwendungsbereich, den die Bundesrepublik für die Staatensouveränität im Internet vorsieht. Die Menschenrechte und weitere Grenzen der Souveränität tauchen in dem Papier kaum auf.