Towards a physical interpretation for the Stephani Universes

A physicaly reasonable interpretation is provided for the perfect fluid, sphericaly symmetric, conformally flat ``Stephani Universes''. The free parameters of this class of exact solutions are determined so that the ideal gas relation $p=n k T$ is identicaly fulfiled, while the full equation of state of a classical monatomic ideal gas and a matter-radiation mixture holds up to a good approximation in a near dust, matter dominated regime. Only the models having spacelike slices with positive curvature admit a regular evolution domain that avoids an unphysical singularity. In the matter dominated regime these models are dynamicaly and observationaly indistinguishable from ``standard'' FLRW cosmology with a dust source.Comment: 17 pages, 2 figures, LaTeX with revtex style, submitted to General Relativity and Gravitatio

On the Thermodynamics of Simple Non-Isentropic Perfect Fluids in General Relativity

We examine the consistency of the thermodynamics of irrotational and non-isentropic perfect fluids complying with matter conservation by looking at the integrability conditions of the Gibbs-Duhem relation. We show that the latter is always integrable for fluids of the following types: (a) static, (b) isentropic (admits a barotropic equation of state), (c) the source of a spacetime for which $r\ge 2$, where $r$ is the dimension of the orbit of the isometry group. This consistency scheme is tested also in two large classes of known exact solutions for which $r< 2$, in general: perfect fluid Szekeres solutions (classes I and II). In none of these cases, the Gibbs-Duhem relation is integrable, in general, though specific particular cases of Szekeres class II (all complying with $r<2$) are identified for which the integrability of this relation can be achieved. We show that Szekeres class I solutions satisfy the integrability conditions only in two trivial cases, namely the spherically symmetric limiting case and the Friedman-Roberson-Walker (FRW) cosmology. Explicit forms of the state variables and equations of state linking them are given explicitly and discussed in relation to the FRW limits of the solutions. We show that fixing free parameters in these solutions by a formal identification with FRW parameters leads, in all cases examined, to unphysical temperature evolution laws, quite unrelated to those of their FRW limiting cosmologies.Comment: 29 pages, Plain.Te

Evolution of radial profiles in regular Lemaitre-Tolman-Bondi dust models

We undertake a comprehensive and rigorous analytic study of the evolution of radial profiles of covariant scalars in regular Lemaitre-Tolman-Bondi dust models. We consider specifically the phenomenon of "profile inversions" in which an initial clump profile of density, spatial curvature or the expansion scalar, might evolve into a void profile (and vice versa). Previous work in the literature on models with density void profiles and/or allowing for density profile inversions is given full generalization, with some erroneous results corrected. We prove rigorously that if an evolution without shell crossings is assumed, then only the 'clump to void' inversion can occur in density profiles, and only in hyperbolic models or regions with negative spatial curvature. The profiles of spatial curvature follow similar patterns as those of the density, with 'clump to void' inversions only possible for hyperbolic models or regions. However, profiles of the expansion scalar are less restrictive, with profile inversions necessarily taking place in elliptic models. We also examine radial profiles in special LTB configurations: closed elliptic models, models with a simultaneous big bang singularity, as well as a locally collapsing elliptic region surrounded by an expanding hyperbolic background. The general analytic statements that we obtain allow for setting up the right initial conditions to construct fully regular LTB models with any specific qualitative requirements for the profiles of all scalars and their time evolution. The results presented can be very useful in guiding future numerical work on these models and in revising previous analytic work on all their applications.Comment: Final version to appear in Classical and Quantum Gravity. Readers eager to know the results and implications without having to go through the technical detail are recommended to go directly to the summary and discussion in the final section (section 11). Typos have been corrected and an important reference has been adde

An IV for the RCT: using instrumental variables to adjust for treatment contamination in randomised controlled trials

Although the randomised controlled trial is the “gold standard” for studying the efficacy and safety of medical treatments, it is not necessarily free from bias. When patients do not follow the protocol for their assigned treatment, the resultant “treatment contamination” can produce misleading findings. The methods used historically to deal with this problem, the “as treated” and “per protocol” analysis techniques, are flawed and inaccurate. Intention to treat analysis is the solution most often used to analyse randomised controlled trials, but this approach ignores this issue of treatment contamination. Intention to treat analysis estimates the effect of recommending a treatment to study participants, not the effect of the treatment on those study participants who actually received it. In this article, we describe a simple yet rarely used analytical technique, the “contamination adjusted intention to treat analysis,” which complements the intention to treat approach by producing a better estimate of the benefits and harms of receiving a treatment. This method uses the statistical technique of instrumental variable analysis to address contamination. We discuss the strengths and limitations of the current methods of addressing treatment contamination and the contamination adjusted intention to treat technique, provide examples of effective uses, and discuss how using estimates generated by contamination adjusted intention to treat analysis can improve clinical decision making and patient care

Local thermal equilibrium and ideal gas Stephani universes

The Stephani universes that can be interpreted as an ideal gas evolving in local thermal equilibrium are determined. Five classes of thermodynamic schemes are admissible, which give rise to five classes of regular models and three classes of singular models. No Stephani universes exist representing an exact solution to a classical ideal gas (one for which the internal energy is proportional to the temperature). But some Stephani universes may approximate a classical ideal gas at first order in the temperature: all of them are obtained. Finally, some features about the physical behavior of the models are pointed out.Comment: 20 page

Inlet flow field investigation. Part 1: Transonic flow field survey

A wind tunnel investigation was conducted to determine the local inlet flow field characteristics of an advanced tactical supersonic cruise airplane. A data base for the development and validation of analytical codes directed at the analysis of inlet flow fields for advanced supersonic airplanes was established. Testing was conducted at the NASA-Langley 16-foot Transonic Tunnel at freestream Mach numbers of 0.6 to 1.20 and angles of attack from 0.0 to 10.0 degrees. Inlet flow field surveys were made at locations representative of wing (upper and lower surface) and forebody mounted inlet concepts. Results are presented in the form of local inlet flow field angle of attack, sideflow angle, and Mach number contours. Wing surface pressure distributions supplement the flow field data

Providing clinicians with a patient’s 10-year cardiovascular risk improves their statin prescribing: a true experiment using clinical vignettes

Abstract Background Statins are effective for primary prevention of cardiovascular (CV) disease, the leading cause of death in the world. Multinational guidelines emphasize CV risk as an important factor for optimal statin prescribing. However, it’s not clear how primary care providers (PCPs) use this information. The objective of this study was to determine how primary care providers use information about global CV risk for primary prevention of CV disease. Methods A double-blinded, randomized experiment using clinical vignettes mailed to office-based PCPs in the United States who were identified through the American Medical Association Physician Masterfile in June 2012. PCPs in the control group received clinical vignettes with all information on the risk factors needed to calculate CV risk. The experimental group received the same vignettes in addition to the subject’s 10-year calculated CV risk (Framingham risk score). The primary study outcome was the decision to prescribe a statin. Results Providing calculated CV risk to providers increased statin prescribing in the two high-risk cases (CV risk > 20%) by 32 percentage points (41% v. 73%; 95% CI = 23-40, p <0.001; relative risk [RR] = 1.78) and 16 percentage points (12% v. 27%, 95% CI 8.5-22.5%, p <0.001; RR = 2.25), and decreased statin prescribing in the lowest risk case (CV risk = 2% risk) by 9 percentage points [95% CI = 1.00-16.7%, p = 0.003, RR = 0.88]. Fewer than 20% of participants in each group reported routinely calculating 10-year CV risk in their patients. Conclusions Providers do not routinely calculate 10-year CV risk for their patients. In this vignette experiment, PCPs undertreated low LDL, high CV risk patients. Giving providers a patient’s calculated CV risk improved statin prescribing. Providing PCPs with accurate estimates of patient CV risk at the point of service has the potential to improve the efficiency of statin prescribing.http://deepblue.lib.umich.edu/bitstream/2027.42/134534/1/12872_2013_Article_871.pd

Multimode Memories in Atomic Ensembles

The ability to store multiple optical modes in a quantum memory allows for increased efficiency of quantum communication and computation. Here we compute the multimode capacity of a variety of quantum memory protocols based on light storage in ensembles of atoms. We find that adding a controlled inhomogeneous broadening improves this capacity significantly.Comment: Published version. Many thanks are due to Christoph Simon for his help and suggestions. (This acknowledgement is missing from the final draft: apologies!

Weighed scalar averaging in LTB dust models, part I: statistical fluctuations and gravitational entropy

We introduce a weighed scalar average formalism ("q-average") for the study of the theoretical properties and the dynamics of spherically symmetric Lemaitre-Tolman-Bondi (LTB) dust models models. The "q-scalars" that emerge by applying the q-averages to the density, Hubble expansion and spatial curvature (which are common to FLRW models) are directly expressible in terms of curvature and kinematic invariants and identically satisfy FLRW evolution laws without the back-reaction terms that characterize Buchert's average. The local and non-local fluctuations and perturbations with respect to the q-average convey the effects of inhomogeneity through the ratio of curvature and kinematic invariants and the magnitude of radial gradients. All curvature and kinematic proper tensors that characterize the models are expressible as irreducible algebraic expansions on the metric and 4-velocity, whose coefficients are the q-scalars and their linear and quadratic local fluctuations. All invariant contractions of these tensors are quadratic fluctuations, whose q-averages are directly and exactly related to statistical correlation moments of the density and Hubble expansion scalar. We explore the application of this formalism to a definition of a gravitational entropy functional proposed by Hosoya et al (2004 Phys. Rev. Lett. 92 141302). We show that a positive entropy production follows from a negative correlation between fluctuations of the density and Hubble scalar, providing a brief outline on its fulfillment in various LTB models and regions. While the q-average formalism is specially suited for LTB and Szekeres models, it may provide a valuable theoretical insight on the properties of scalar averaging in inhomogeneous spacetimes in general.Comment: 27 pages in IOP format, 1 figure. Matches version accepted for publication in Classical and Quantum Gravit

Back-reaction and effective acceleration in generic LTB dust models

We provide a thorough examination of the conditions for the existence of back-reaction and an "effective" acceleration (in the context of Buchert's averaging formalism) in regular generic spherically symmetric Lemaitre-Tolman-Bondi (LTB) dust models. By considering arbitrary spherical comoving domains, we verify rigorously the fulfillment of these conditions expressed in terms of suitable scalar variables that are evaluated at the boundary of every domain. Effective deceleration necessarily occurs in all domains in: (a) the asymptotic radial range of models converging to a FLRW background, (b) the asymptotic time range of non-vacuum hyperbolic models, (c) LTB self-similar solutions and (d) near a simultaneous big bang. Accelerating domains are proven to exist in the following scenarios: (i) central vacuum regions, (ii) central (non-vacuum) density voids, (iii) the intermediate radial range of models converging to a FLRW background, (iv) the asymptotic radial range of models converging to a Minkowski vacuum and (v) domains near and/or intersecting a non-simultaneous big bang. All these scenarios occur in hyperbolic models with negative averaged and local spatial curvature, though scenarios (iv) and (v) are also possible in low density regions of a class of elliptic models in which local spatial curvature is negative but its average is positive. Rough numerical estimates between -0.003 and -0.5 were found for the effective deceleration parameter. While the existence of accelerating domains cannot be ruled out in models converging to an Einstein de Sitter background and in domains undergoing gravitational collapse, the conditions for this are very restrictive. The results obtained may provide important theoretical clues on the effects of back-reaction and averaging in more general non-spherical models.Comment: Final version accepted for publication in Classical and Quantum Gravity. 47 pages in IOP LaTeX macros, 12 pdf figure