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Abstract BackgroundSex-related differences in patients with aneurysmal subarachnoid hemorrhage (aSAH) exist. More females than males are affected. Aneurysm location is associated to sex. The relationship between sex and outcome, however, is unclear. Possible differences in management might influence the occurrence of primary and secondary brain injury and thus outcome. The study compares demographics, intensity of treatment, complications, and outcome among females and males with aSAH.MethodsAll consecutive patients with aSAH admitted to the neurocritical care unit, University Hospital Zurich over a 5-year period were eligible in this retrospective study. Patients’ characteristics, comorbidities, aSAH severity, frequency of vasospasm/delayed cerebral ischemia, frequency of invasive interventions, and 3-month outcome were compared by sex. Univariate analysis was performed with the data dichotomized by sex, and outcome. Multivariate analysis for prediction of outcomes was performed.ResultsThree hundred forty-eight patients were enrolled (64% females). Women were older than men. Comorbidities, scores at admission, and treatment modality were comparable among males and females. Vasospasm and DCI occurred similarly among females and males. Interventions and frequency of intraarterial spasmolysis were comparable between sexes. In the multivariate analysis, increasing age, female sex, increasing comorbidities, WFNS and Fisher grade, and presence of delayed cerebral ischemia were predictors of unfavorable outcome when considering all patients. However, after excluding death as a possible outcome, sex did not remain a predictor of unfavorable outcome.ConclusionsIn the study population, women with aSAH might have present a worse outcome at 3 months. However, no differences by sex that might explain this difference were found in intensity of treatment and management.

Quantum engineering of topological superconductors and of the ensuing Majorana zero modes might hold the key for realizing topological quantum computing and topology-based devices. Magnet-superconductor hybrid (MSH) systems have proven to be experimentally versatile platforms for the creation of topological superconductivity by custom-designing the complex structure of their magnetic layer. Here, we demonstrate that higher order topological superconductivity (HOTSC) can be realized in two-dimensional MSH systems by using stacked magnetic structures. We show that the sensitivity of the HOTSC to the particular magnetic stacking opens an intriguing ability to tune the system between trivial and topological phases using atomic manipulation techniques. We propose that the realization of HOTSC in MSH systems, and in particular the existence of the characteristic Majorana corner modes, allows for the implementation of a measurement-based protocols for topological quantum computing.

Monolayer 1 T′-WTe2 is a quantum spin Hall insulator with a gapped 2D-bulk and gapless helical edge states persisting to temperatures ~100 K. Despite the far-ranging interest, the magnitude of the bulk gap, the effect of gating on the 2D-band structure, as well the role interactions are not established. In this work we use STM spectroscopy to measure the intrinsic bulk gap of monolayer 1 T′-WTe2 and show that gate induced electric fields cause large changes of the gap magnitude. Our first-principles DFT-derived tight-binding model reveal that a combination of spatial localization of the conduction and valance bands and Rashba-like spin-orbit coupling leads to a gating induced spin-splitting of the 2D-bulk bands in the tens of meV, thereby reducing the band gap. Our work explains the large sensitivity of the band structure to electric fields and suggests a new avenue for realizing proximity induced non-trivial superconductivity in monolayer 1 T′-WTe2.

The xene family of topological insulators plays a key role in many proposals for topological electronic, spintronic, and valleytronic devices. These proposals rely on applying local perturbations, including electric fields and proximity magnetism, to induce topological phase transitions in xenes. However, these techniques lack control over the geometry of interfaces between topological regions, a critical aspect of engineering topological devices. We propose adatom decoration as a method for engineering atomically precise topological edge modes in xenes. Our first-principles calculations show that decorating stanene with Zn adatoms exclusively on one of two sublattices induces a topological phase transition from the quantum spin Hall (QSH) to quantum valley Hall (QVH) phase and confirm the existence of spin-valley polarized edge modes propagating at QSH/QVH interfaces. We conclude by discussing technological applications of these edge modes that are enabled by the atomic precision afforded by recent advances in adatom manipulation technology. The authors propose sublattice-selective decoration by Zn adatoms as a method to engineer precise topological edge modes in xenes. First-principles calculations on Zn decorated stanene reveal a quantum spin Hall (QSH) to quantum valley Hall (QVH) transition and spin-valley polarized modes propagating at the QSH/QVH interface.

Predicting pathogen emergence and spillover risk requires understanding the determinants of a pathogens’ host range and the traits involved in host competence. While host competence is often considered a fixed species-specific trait, it may be variable if pathogens diversify across hosts. Balancing selection can lead to maintenance of pathogen polymorphisms (multiple-niche-polymorphism; MNP). The causative agent of Lyme disease, Borrelia burgdorferi (Bb), provides a model to study the evolution of host adaptation, as some Bb strains defined by their outer surface protein C (ospC) genotype, are widespread in white-footed mice and others are associated with non-rodent vertebrates (e.g. birds). To identify the mechanisms underlying potential strain × host adaptation, we infected American robins and white-footed mice, with three Bb strains of different ospC genotypes. Bb burdens varied by strain in a host-dependent fashion, and strain persistence in hosts largely corresponded to Bb survival at early infection stages and with transmission to larvae (i.e. fitness). Early survival phenotypes are associated with cell adhesion, complement evasion and/or inflammatory and antibody-mediated removal of Bb, suggesting directional selective pressure for host adaptation and the potential role of MNP in maintaining OspC diversity. Our findings will guide future investigations to inform eco-evolutionary models of host adaptation for microparasites.

The Fe-based superconductor Fe (Se,Te) combines non-trivial topology with unconventional superconductivity and may be an ideal platform to realize exotic states such as high-order topological corner modes and Majorana modes. Thin films of Fe (Se,Te) are particularly important for device fabrication and phase sensitive transport measurements. While bulk Fe (Se,Te) has been extensively studied, the nature of the superconducting order parameter in the monolayer limit has not yet been explored. In this work, we study monolayer films of Fe (Se,Te) on Bi2Te3 with scanning tunneling spectroscopy. Monolayer Fe (Se,Te)/Bi2Te3 heterostructures host a multigap superconducting state that strongly resembles the bulk. Analysis of the phase-referenced quasiparticle interference signal reveals a sign-changing s-wave order parameter similar to the bulk as well as a unique pattern of sign changes which have not been observed in the bulk. Our work establishes monolayer Fe (Se,Te)/Bi2Te3 as a robust multi-band unconventional superconductor and sets the stage for explorations of non-trivial topology in this highly-tunable system.

Previous work has shown that time-reversal symmetric Weyl semimetals with a quadrupolar arrangement of first-order Weyl nodes exhibit a mixed crystalline-electromagnetic response. For systems with higher order Weyl nodes, which are attached to both surface and hinge Fermi arcs, additional phenomena appear on surfaces of codimension \\(n>1\\), such as electromagnetic responses of the hinges. Here we construct a model possessing a quadrupole of higher order Weyl nodes to study the interplay between higher order topology and mixed crystalline-electromagnetic responses. We show that the higher order nature of the Weyl nodes yields a dipole of Dirac nodes on certain surfaces, leading to a mixed crystalline-electromagnetic surface response that binds charge to dislocations and momentum-density to magnetic fields. In addition, we show that the model possesses a bulk quadrupole moment of crystal-momentum that provides a link between the bulk and surface responses of the system.

We introduce new classes of gapped topological phases characterized by quantized crystalline-electromagnetic responses, termed \"multipolar Chern insulators\". These systems are characterized by nonsymmorphic momentum-space symmetries and mirror symmetries, leading to quantization of momentum-weighted Berry curvature multipole moments. We construct lattice models for such phases and confirm their quantized responses through numerical calculations. These systems exhibit bound charge and momentum densities at lattice and magnetic defects, and currents induced by electric or time-varying strain fields. Our work extends the classification of topological matter by uncovering novel symmetry-protected topological phases with quantized responses.

Quantized responses are important tools for understanding and characterizing the universal features of topological phases of matter. In this work, we consider a class of topological crystalline insulators in \\(3\\)D with \\(C_n\\) lattice rotation symmetry along a fixed axis, in addition to either mirror symmetry or particle-hole symmetry. These insulators can realize quantized mixed geometry-charge responses. When the surface of these insulators is gapped, disclinations on the surface carry a fractional charge that is half the minimal amount that can occur in purely \\(2\\)D systems. Similarly, disclination lines in the bulk carry a fractionally quantized electric polarization. These effects, and other related phenomena, are captured by a \\(3\\)D topological response term that couples the lattice curvature to the electromagnetic field strength. Additionally, mirror symmetric insulators with this response can be smoothly deformed into a higher-order octopole insulator with quantized corner charges. We also construct a symmetry indicator form for the topological invariant that describes the quantized response of the mirror symmetric topological crystalline insulators, and discuss an unusual response quantization in time-reversal breaking systems.