The National Labor Relations Act Is Not Just for Unionized Employers Anymore

The National Labor Relations Act (NLRA) provides employees with the right to engage in “protected concerted activity,” including the right to discuss wages, hours, and terms and conditions of employment. It is often considered the “union law” in that it provides employees with the right to form a union and it regulates the union–management relationship. Because of this strong association with unions, non-union employers’ human resource directors rarely think of the act when making decisions on whom to hire, fire, promote, demote, or discipline. While it was true that in the past the National Labor Relations Board (NLRB, the agency that enforces the NLRA) rarely involved itself in disputes that did not include union organizing, collective bargaining, or any other union–management dispute, this is no longer case. The NLRB is now enforcing the NLRA’s protection of “concerted activity” to non-union employers, who indeed must understand and comply with the act

Dynamical System Approach to Cosmological Models with a Varying Speed of Light

Methods of dynamical systems have been used to study homogeneous and isotropic cosmological models with a varying speed of light (VSL). We propose two methods of reduction of dynamics to the form of planar Hamiltonian dynamical systems for models with a time dependent equation of state. The solutions are analyzed on two-dimensional phase space in the variables $(x, \dot{x})$ where $x$ is a function of a scale factor $a$. Then we show how the horizon problem may be solved on some evolutional paths. It is shown that the models with negative curvature overcome the horizon and flatness problems. The presented method of reduction can be adopted to the analysis of dynamics of the universe with the general form of the equation of state $p=\gamma(a)\epsilon$. This is demonstrated using as an example the dynamics of VSL models filled with a non-interacting fluid. We demonstrate a new type of evolution near the initial singularity caused by a varying speed of light. The singularity-free oscillating universes are also admitted for positive cosmological constant. We consider a quantum VSL FRW closed model with radiation and show that the highest tunnelling rate occurs for a constant velocity of light if $c(a) \propto a^n$ and $-1 < n \le 0$. It is also proved that the considered class of models is structurally unstable for the case of $n < 0$.Comment: 18 pages, 5 figures, RevTeX4; final version to appear in PR

Universal Features of Holographic Anomalies

We study the mechanism by which gravitational actions reproduce the trace anomalies of the holographically related conformal field theories. Two universal features emerge: a) the ratios of type B trace anomalies in any even dimension are independent of the gravitational action, being uniquely determined by the underlying algebraic structure b) the normalization of the type A and the overall normalization of the type B anomalies are given by action dependent expressions with the dimension dependence completely fixed.Comment: 17 pages, harvma

Prolonged enoxaparin therapy compared with standard-of-care antithrombotic therapy in opiate-treated patients undergoing primary percutaneous coronary intervention

A novel enoxaparin regimen consisting of intra-arterial bolus (0.75 mg/kg) followed by intravenous infusion (0.75 mg/kg/6 hours) has been developed as a possible solution to the delayed absorption of oral P2Y12 inhibitors in opiate-treated ST-elevation myocardial infarction (STEMI) patients undergoing primary angioplasty. We aimed to study the feasibility of this regimen as an alternative to standard-of-care treatment (SOC) with unfractionated heparin ± glycoprotein IIb/IIIa antagonist (GPI). One hundred opiate-treated patients presenting with STEMI and accepted for primary angioplasty were randomized (1:1) to either enoxaparin or SOC. Fifty patients were allocated enoxaparin (median age 61, 40% females) and 49 allocated SOC (median age 62, 22% females). One developed stroke before angiography and was withdrawn. One SOC patient had a gastrointestinal bleed resulting in 1 g drop in hemoglobin and early cessation of GPI infusion. Two enoxaparin patients had transient minor bleeding: one transient gingival bleed and one episode of coffee ground vomit with no hemoglobin drop or hemodynamic instability. Two SOC and no enoxaparin group patients had acute stent thrombosis. These preliminary data support further study of this novel 6-hour enoxaparin regimen in opiate-treated PPCI patients

An audit of the initial resuscitation of severely ill patients presenting with septic incomplete miscarriages at a tertiary hospital in South Africa

BACKGROUND : Septic incomplete miscarriages remain a cause of maternal deaths in South Africa. There was an initial decline in mortality when a strict protocol based approach and the Choice of Termination of Pregnancy Act in South Africa were implemented in this country. However, a recent unpublished audit at the Pretoria Academic Complex (Kalafong and Steve Biko Academic Hospitals) suggested that maternal mortality due to this condition is increasing. The objective of this investigation is to do a retrospective audit with the purpose of identifying the reasons for the deteriorating mortality index attributed to septic incomplete miscarriage at Steve Biko Academic Hospital. METHODS : A retrospective audit was performed on all patients who presented to Steve Biko Academic Hospital with a septic incomplete miscarriage from 1st January 2008 to 31st December 2010. Data regarding patient demographics, initial presentation, resuscitation and disease severity was collected from the “maternal near-miss”/ SAMM database and the patient’s medical record. The shock index was calculated for each patient retrospectively. RESULTS : There were 38 SAMM and 9 maternal deaths during the study period. In the SAMM group 86.8% and in the maternal death group 77.8% had 2 intravenous lines for resuscitation. There was no significant improvement in the mean blood pressure following resuscitation in the SAMM group (p 0.67), nor in the maternal death group (p 0.883). The shock index before resuscitation was similar in the two groups but improved significantly following resuscitation in the SAMM group (p 0.002). Only 31.6% in the SAMM group and 11.1% in the maternal death group had a complete clinical examination, including a speculum examination of the cervix on admission. No antibiotics were administered to 21.1% in the SAMM group and to 33.3% in the maternal death group. CONCLUSION : The strict protocol management for patients with septic incomplete miscarriage was not adhered to. Physicians should be trained to recognise and react to the seriously ill patient. The use of the shock index in the identification and management of the critically ill pregnant patient needs to be investigated.http://www.biomedcentral.com/bmcpregnancychildbirtham201

Glassiness and constrained dynamics of a short-range non-disordered spin model

We study the low temperature dynamics of a two dimensional short-range spin system with uniform ferromagnetic interactions, which displays glassiness at low temperatures despite the absence of disorder or frustration. The model has a dual description in terms of free defects subject to dynamical constraints, and is an explicit realization of the ``hierarchically constrained dynamics'' scenario for glassy systems. We give a number of exact results for the statics of the model, and study in detail the dynamical behaviour of one-time and two-time quantities. We also consider the role played by the configurational entropy, which can be computed exactly, in the relation between fluctuations and response.Comment: 10 pages, 9 figures; minor changes, references adde

Bounds from Primordial Black Holes with a Near Critical Collapse Initial Mass Function

Recent numerical evidence suggests that a mass spectrum of primordial black holes (PBHs) is produced as a consequence of near critical gravitational collapse. Assuming that these holes formed from the initial density perturbations seeded by inflation, we calculate model independent upper bounds on the mass variance at the reheating temperature by requiring the mass density not exceed the critical density and the photon emission not exceed current diffuse gamma-ray measurements. We then translate these results into bounds on the spectral index n by utilizing the COBE data to normalize the mass variance at large scales, assuming a constant power law, then scaling this result to the reheating temperature. We find that our bounds on n differ substantially (\delta n > 0.05) from those calculated using initial mass functions derived under the assumption that the black hole mass is proportional to the horizon mass at the collapse epoch. We also find a change in the shape of the diffuse gamma-ray spectrum which results from the Hawking radiation. Finally, we study the impact of a nonzero cosmological constant and find that the bounds on n are strengthened considerably if the universe is indeed vacuum-energy dominated today.Comment: 24 pages, REVTeX, 5 figures; minor typos fixed, two refs added, version to be published in PR

ICON 2019: International Scientific Tendinopathy Symposium Consensus: Clinical Terminology

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.Background Persistent tendon pain that impairs function has inconsistent medical terms that can influence choice of treatment.1 When a person is told they have tendinopathy by clinician A or tendinitis by clinician B, they might feel confused or be alarmed at receiving what they might perceive as two different diagnoses. This may lead to loss of confidence in their health professional and likely adds to uncertainty if they were to search for information about their condition. Clear and uniform terminology also assists inter-professional communication. Inconsistency in terminology for painful tendon disorders is a problem at numerous anatomical sites. Historically, the term ‘tendinitis’ was first used to describe tendon pain, thickening and impaired function (online supplementary figure S1). The term ‘tendinosis’ has also been used in a small number of publications, some of which were very influential.2 3 Subsequently, ‘tendinopathy’ emerged as the most common term for persistent tendon pain.4 5 To our knowledge, experts (clinicians and researchers) or patients have never engaged in a formal process to discuss the terminology we use. We believe that health professionals have not yet agreed on the appropriate terminology for painful tendon conditions.Peer reviewedFinal Accepted Versio

Second Order Power Corrections in the Heavy Quark Effective Theory I. Formalism and Meson Form Factors

In the heavy quark effective theory, hadronic matrix elements of currents between two hadrons containing a heavy quark are expanded in inverse powers of the heavy quark masses, with coefficients that are functions of the kinematic variable $v\cdot v'$. For the ground state pseudoscalar and vector mesons, this expansion is constructed at order $1/m_Q^2$. A minimal set of universal form factors is defined in terms of matrix elements of higher dimension operators in the effective theory. The zero recoil normalization conditions following from vector current conservation are derived. Several phenomenological applications of the general results are discussed in detail. It is argued that at zero recoil the semileptonic decay rates for $B\to D\,\ell\,\nu$ and $B\to D^*\ell\,\nu$ receive only small second order corrections, which are unlikely to exceed the level of a few percent. This supports the usefulness of the heavy quark expansion for a reliable determination of $V_{cb}$.Comment: (34 pages, REVTEX, two postscript figures available upon request), SLAC-PUB-589