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The analysis presented in this paper applies to experimental situations where observers or objects to be studied, all at stationary positions, are located in environments the optical thickness of which is strongly different. Non-transparent media comprise thin metallic films, packed or fluidised beds, superconductors, the Earth’s crust, and even dark clouds and other cosmological objects. The analysis applies mapping functions that correlate physical events, e, in non-transparent media, with their images, f(e), tentatively located on standard physical time scale. The analysis demonstrates, however, that physical time, in its rigorous sense, does not exist under non-transparency conditions. A proof of this conclusion is attempted in three steps: i) the theorem “there is no time without space and events” is accepted, (ii) images f[e(s,t)] do not constitute a dense, uncountably infinite set, and (iii) sets of images that are not uncountably infinite do not create physical time but only time-like sequences. As a consequence, mapping f[e(s,t)] in non-transparent space does not create physical analogues to the mathematical structure of the ordered, dense half-set R+ of real numbers, and reverse mapping, f-1f[e(s,t)], the mathematical inverse problem, would not allow unique identification and reconstruction of original events from their images. In these cases, causality as well as invariance of physical processes under time reversal, might be violated. An interesting problem is whether temporal cloaking (a time hole) in a transparent medium, as very recently reported in the literature, can be explained by the present analysis. Existence of time holes could perhaps be possible, not in transparent but in non-transparent media, as follows from the sequence of images, f[e(s,t)], that is not uncountably infinite, in contrast to R+. Impacts are expected for understanding physical diffusion-like, radiative transfer processes and stability models to protect superconductors against quenchs. There might be impacts also in relativity, quantum mechanics, nuclear decay, or in systems close to their phase transitions. The analysis is not restricted to objects of laboratory dimensions.
The analysis presented in this paper applies to experimental situations where observers or objects to be studied (both stationary, with respect to each other) are located in environments the optical thickness of which is strongly different. By their large optical thickness, non-transparent media are clearly distinguished from their transparent counterparts. Non-transparent media comprise thin metallic films, packed or fluidised beds, the Earth’s crust, and even dark clouds and other cosmological objects. As a representative example, a non-transparent slab is subjected to transient disturbances, and a rigorous analysis is presented whether physical time reasonably could be constructed under such condition. The analysis incorporates mapping functions that correlate physical events, e, in non-transparent media, with their images, f(e), tentatively located on a standard physical time scale. The analysis demonstrates, however, that physical time, in its rigorous sense, does not exist under non-transparency conditions. A proof of this conclusion is attempted in three steps: i) the theorem “there is no time without space and events” is accepted, (ii) images f[e(s,t)] do not constitute a dense, uncountably infinite set, and (iii) sets of images that are not uncountably infinite do not create physical time but only time-like sequences. As a consequence, mapping f[e(s,t)] in non-transparent space does not create physical analogues to the mathematical structure of the ordered, dense half-set R+ of real numbers, and reverse mapping, f-1f[e(s,t)] would not allow unique identification and reconstruction of original events from their images. In these cases, causality and determinism, as well as invariance of physical processes under time reversal, might be violated. Existence of time holes could be possible, as follows from the sequence of images, f[e(s,t)], that is not uncountably infinite, in contrast to R+. Practical impacts are expected for understanding physical diffusion-like, radiative transfer processes, stability models to protect superconductors against quenchs or for description of their transient local pair density and critical currents. Impacts would be expected also in mathematical formulations (differential equations) of classical physics, in relativity and perhaps in quantum mechanics, all as far as transient processes in non-transparent space would be concerned. An interesting problem is whether temporal cloaking (a time hole) in a transparent medium, as very recently reported in the literature, can be explained by the present analysis. The analysis is not restricted to objects of laboratory dimensions: Because of obviously existing radiation transfer analogues, it is tempting to discuss consequences also for much larger structures in particular if an origin of time is postulated.
Background: Although cardiovascular rehabilitation (CR) is well accepted in general, CR-attendance and delivery still considerably vary between the European countries. Moreover, clinical and prognostic effects of CR are not well established for a variety of cardiovascular diseases. Methods: The guidelines address all aspects of CR including indications, contents and delivery. By processing the guidelines, every step was externally supervised and moderated by independent members of the “Association of the Scientific Medical Societies in Germany” (AWMF). Four meta-analyses were performed to evaluate the prognostic effect of CR after acute coronary syndrome (ACS), after coronary bypass grafting (CABG), in patients with severe chronic systolic heart failure (HFrEF), and to define the effect of psychological interventions during CR. All other indications for CR-delivery were based on a predefined semi-structured literature search and recommendations were established by a formal consenting process including all medical societies involved in guideline generation. Results: Multidisciplinary CR is associated with a significant reduction in all-cause mortality in patients after ACS and after CABG, whereas HFrEF-patients (left ventricular ejection fraction <40%) especially benefit in terms of exercise capacity and health-related quality of life. Patients with other cardiovascular diseases also benefit from CR-participation, but the scientific evidence is less clear. There is increasing evidence that the beneficial effect of CR strongly depends on “treatment intensity” including medical supervision, treatment of cardiovascular risk factors, information and education, and a minimum of individually adapted exercise volume. Additional psychologic interventions should be performed on the basis of individual needs. Conclusions: These guidelines reinforce the substantial benefit of CR in specific clinical indications, but also describe remaining deficits in CR-delivery in clinical practice as well as in CR-science with respect to methodology and presentation.