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== '''[[Evidence-based medicine]]''' ==
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'''Evidence-based medicine''' is ''"the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients."''<ref name="pmid8555924">{{cite journal |author=Sackett DL ''et al.''|title=Evidence based medicine: what it is and what it isn't |journal=BMJ |volume=312 |pages=71–2 |year=1996 |pmid=8555924 |doi=}}</ref> Alternative definitions are "''the process of systematically finding, appraising, and using contemporaneous research findings as the basis for clinical decisions''"<ref name="pmid1404801">{{cite journal |author= |title=Evidence-based medicine. A new approach to teaching the practice of medicine. Evidence-Based Medicine Working Group|author=Evidence-Based Medicine Working Group |journal=JAMA |volume=268 |pages=2420–5 |year=1992 |pmid=1404801 |doi=}}</ref> or "''evidence-based medicine (EBM) requires the integration of the best research evidence with our clinical expertise and our patient's unique values and circumstances''."<ref name="isbn0-443-07444-5">{{cite book |author=Glasziou, Paul; Strauss, Sharon Y. |title=Evidence-based medicine: how to practice and teach EBM |publisher=Elsevier/Churchill Livingstone |location= |year=2005 |pages= |isbn=0-443-07444-5 |oclc= |doi=}}</ref>  Better known as EBM, evidence based medicine has roots in clinical [[epidemiology]] and the [[scientific method]], and emerged in the early 1990's in response to discoveries about variations and deficiencies<ref name="pmid18361259">{{cite journal |author=Thier SL, Yu-Isenberg KS, Leas BF ''et al'' |title=In chronic disease, nationwide data show poor adherence by patients to medication and by physicians to guidelines |journal=Manag Care |volume=17  |pages=48-52, 55-7 |year=2008 |pmid=18361259 |doi= |issn=}}</ref> in medical care to help healthcare providers and policy makers evaluate the efficacy of different treatments.
==Footnotes==
 
''[[Evidence-based medicine|.... (read more)]]''
 
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Latest revision as of 10:19, 11 September 2020

In computational molecular physics and solid state physics, the Born-Oppenheimer approximation is used to separate the quantum mechanical motion of the electrons from the motion of the nuclei. The method relies on the large mass ratio of electrons and nuclei. For instance the lightest nucleus, the hydrogen nucleus, is already 1836 times heavier than an electron. The method is named after Max Born and Robert Oppenheimer[1], who proposed it in 1927.

Rationale

The computation of the energy and wave function of an average-size molecule is a formidable task that is alleviated by the Born-Oppenheimer (BO) approximation.The BO approximation makes it possible to compute the wave function in two less formidable, consecutive, steps. This approximation was proposed in the early days of quantum mechanics by Born and Oppenheimer (1927) and is indispensable in quantum chemistry and ubiquitous in large parts of computational physics.

In the first step of the BO approximation the electronic Schrödinger equation is solved, yielding a wave function depending on electrons only. For benzene this wave function depends on 126 electronic coordinates. During this solution the nuclei are fixed in a certain configuration, very often the equilibrium configuration. If the effects of the quantum mechanical nuclear motion are to be studied, for instance because a vibrational spectrum is required, this electronic computation must be repeated for many different nuclear configurations. The set of electronic energies thus computed becomes a function of the nuclear coordinates. In the second step of the BO approximation this function serves as a potential in a Schrödinger equation containing only the nuclei—for benzene an equation in 36 variables.

The success of the BO approximation is due to the high ratio between nuclear and electronic masses. The approximation is an important tool of quantum chemistry, without it only the lightest molecule, H2, could be handled; all computations of molecular wave functions for larger molecules make use of it. Even in the cases where the BO approximation breaks down, it is used as a point of departure for the computations.

Historical note

The Born-Oppenheimer approximation is named after M. Born and R. Oppenheimer who wrote a paper [Annalen der Physik, vol. 84, pp. 457-484 (1927)] entitled: Zur Quantentheorie der Molekeln (On the Quantum Theory of Molecules). This paper describes the separation of electronic motion, nuclear vibrations, and molecular rotation. A reader of this paper who expects to find clearly delineated the BO approximation—as it is explained above and in most modern textbooks—will be disappointed. The presentation of the BO approximation is well hidden in Taylor expansions (in terms of internal and external nuclear coordinates) of (i) electronic wave functions, (ii) potential energy surfaces and (iii) nuclear kinetic energy terms. Internal coordinates are the relative positions of the nuclei in the molecular equilibrium and their displacements (vibrations) from equilibrium. External coordinates are the position of the center of mass and the orientation of the molecule. The Taylor expansions complicate the theory tremendously and make the derivations very hard to follow. Moreover, knowing that the proper separation of vibrations and rotations was not achieved in this work, but only eight years later [by C. Eckart, Physical Review, vol. 46, pp. 383-387 (1935)] (see Eckart conditions), chemists and molecular physicists are not very much motivated to invest much effort into understanding the work by Born and Oppenheimer, however famous it may be. Although the article still collects many citations each year, it is safe to say that it is not read anymore, except maybe by historians of science.

Footnotes

  1. Wikipedia has an article about Robert Oppenheimer.