Human resource management at the intensive care unit:A pragmatic review and future research agenda for building a learning health system

Recently, the importance of efficient and effective health care has been recognized, especially during the acute phase of the Coronavirus Disease-2019 (COVID-19) pandemic. Intensive care units (ICUs) have faced an immense workload, with massive numbers of patients being treated in a very short period of time. In general, ICUs are required to deliver high-quality care at all times during the year. At the same time, high-quality organizational goals may not be aligned with the interests, motivation, and development of individual staff members (eg, nurses, and doctors). For management of the ICU, it is important to balance the organizational goals and development of the staff members (“their human capital”), usually referred to as human resource management. Although many studies have considered this area, no holistic view of the topic has been presented. Such a holistic view may help leadership and/or other stakeholders at the ICU to design a better learning health system. This pragmatic review aims to provide a conceptual model for the management of ICUs. Future research may also use this conceptual model for studying important factors for designing and understanding human resources in an ICU.</p

Generalized particle dynamics in anti de Sitter spaces: A source for dark energy

We consider the generalized particle dynamics, proposed by us, in brane world formalisms for an asymptotically anti de Sitter background. The present framework results in a new model that accounts for the late acceleration of the universe. An effective Dark Energy equation of state, exhibiting a phantom like behaviour, is generated. The model is derived by embedding the physical FRW universe in a $(4+1)$-dimensional effective space-time, induced by the generalized particle dynamics. We corroborate our results with present day observed cosmological parameters.Comment: 18 pages, 6 figures. Final version to appear in IJMP

Quantum Mechanics of Yano tensors: Dirac equation in curved spacetime

In spacetimes admitting Yano tensors the classical theory of the spinning particle possesses enhanced worldline supersymmetry. Quantum mechanically generators of extra supersymmetries correspond to operators that in the classical limit commute with the Dirac operator and generate conserved quantities. We show that the result is preserved in the full quantum theory, that is, Yano symmetries are not anomalous. This was known for Yano tensors of rank two, but our main result is to show that it extends to Yano tensors of arbitrary rank. We also describe the conformal Yano equation and show that is invariant under Hodge duality. There is a natural relationship between Yano tensors and supergravity theories. As the simplest possible example, we show that when the spacetime admits a Killing spinor then this generates Yano and conformal Yano tensors. As an application, we construct Yano tensors on maximally symmetric spaces: they are spanned by tensor products of Killing vectors.Comment: 1+32 pages, no figures. Accepted for publication on Classical and Quantum Gravity. New title and abstract. Some material has been moved to the Appendix. Concrete formulas for Yano tensors on some special holonomy manifolds have been provided. Some corrections included, bibliography enlarge

Motions and world-line deviations in Einstein-Maxwell theory

We examine the motion of charged particles in gravitational and electro-magnetic background fields. We study in particular the deviation of world lines, describing the relative acceleration between particles on different space-time trajectories. Two special cases of background fields are considered in detail: (a) pp-waves, a combination of gravitational and electro-magnetic polarized plane waves travelling in the same direction; (b) the Reissner-Nordstr{\o}m solution. We perform a non-trivial check by computing the precession of the periastron for a charged particle in the Reissner-Nordstr{\o}m geometry both directly by solving the geodesic equation, and using the world-line deviation equation. The results agree to the order of approximation considered.Comment: 23 pages, no figure

Symmetries of the Dirac operators associated with covariantly constant Killing-Yano tensors

The continuous and discrete symmetries of the Dirac-type operators produced by particular Killing-Yano tensors are studied in manifolds of arbitrary dimensions. The Killing-Yano tensors considered are covariantly constant and realize certain square roots of the metric tensor. Such a Killing-Yano tensor produces simultaneously a Dirac-type operator and the generator of a one-parameter Lie group connecting this operator with the standard Dirac one. The Dirac operators are related among themselves through continuous or discrete transformations. It is shown that the groups of the continuous symmetry can be only U(1) and SU(2), specific to (hyper-)Kahler spaces, but arising even in cases when the requirements for these special geometries are not fulfilled. The discrete symmetries are also studied obtaining the discrete groups Z_4 and Q. The briefly presented examples are the Euclidean Taub-NUT space and the Minkowski spacetime.Comment: 27 pages, latex, no figures, final version to be published in Class. Quantum Gravit

Mathisson-Papapetrou-Dixon equations in the Schwarzschild and Kerr backgrounds

A new representation, which does not contain the third-order derivatives of the coordinates, of the exact Mathisson-Papapetrou-Dixon equations, describing the motion of a spinning test particle, is obtained under the assumption of the Mathisson-Pirani condition in a Kerr background. For this purpose the integrals of energy and angular momentum of the spinning particle as well as a differential relationship following from the Mathisson-Papapetrou-Dixon equations are used. The form of these equations is adapted for their computer integration with the aim to investigate the influence of the spin-curvature interaction on the particle's behavior in the gravitational field without restrictions on its velocity and spin orientation. Some numerical examples for a Schwarzschild background are presented.Comment: 21 pages, 11 figures. arXiv admin note: substantial text overlap with arXiv:1105.240

Generalized Killing equations and Taub-NUT spinning space

The generalized Killing equations for the configuration space of spinning particles (spinning space) are analysed. Simple solutions of the homogeneous part of these equations are expressed in terms of Killing-Yano tensors. The general results are applied to the case of the four-dimensional euclidean Taub-NUT manifold.Comment: 10 pages, late

Equations of Motion of Spinning Relativistic Particle in Electromagnetic and Gravitational Fields

We consider the motion of a spinning relativistic particle in external electromagnetic and gravitational fields, to first order in the external field, but to an arbitrary order in spin. The noncovariant spin formalism is crucial for the correct description of the influence of the spin on the particle trajectory. We show that the true coordinate of a relativistic spinning particle is its naive, common coordinate \r. Concrete calculations are performed up to second order in spin included. A simple derivation is presented for the gravitational spin-orbit and spin-spin interactions of a relativistic particle. We discuss the gravimagnetic moment (GM), a specific spin effect in general relativity. It is shown that for the Kerr black hole the gravimagnetic ratio, i.e., the coefficient at the GM, equals unity (just as for the charged Kerr hole the gyromagnetic ratio equals two). The equations of motion obtained for relativistic spinning particle in external gravitational field differ essentially from the Papapetrou equations.Comment: 32 pages, latex, Plenary talk at the Fairbank Meeting on the Lense--Thirring Effect, Rome-Pescara, 29/6-4/7 199