The convivial and the pastoral in patient-doctor relationships : a multi-country study of patient stories of care, choice and medical authority in cancer diagnostic processes

Experiences of cancer diagnosis are changing in light of both the increasingly technological‐clinical diagnostic processes and the socio‐political context in which interpersonal relations take place. This has raised questions about how we might understand patient–doctor relationship marked by asymmetries of knowledge and social capital, but that emphasise patients’ empowered choices and individualised care. As part of an interview study of 155 participants with bowel or lung cancer across Denmark, England and Sweden, we explored participants’ stories of the decisions made during their cancer diagnostic process. By focusing on the intersections of care, choice and medical authority – a convivial pastoral dynamic – we provide a conceptual analysis of the normative ambivalences in people's stories of their cancer diagnosis. We found that participants drew from care, choice and medical authority to emphasise their relationality and interdependence with their doctors in their stories of their diagnosis. Importantly negotiations of an asymmetrical patient–doctor relationship were part of an on‐going realisation of the healthcare processes as a human endeavour. We were therefore able to draw attention to the limitations of dichotomising emancipatory‐empowerment discourses and argue for a theorisation of the patient–doctor relationship as a contextually bounded and relationally ambivalent humanity

The seismic response to Faroe basalts from integrated borehole and wide-angle seismic data

We study the seismic response of layered basalts in the Faroe Islands using borehole data and\ud vertical seismic profiles from the Vestmanna borehole, combined with reflection and wideangle\ud seismic data recorded into arrays of both borehole and land multicomponent receivers.\ud Imaging through the basalt cover in the Faroe-Shetland Basin is a challenge for conventional\ud seismic surveys: scattering caused by the high reflectivity of the basalt as well as intra-basalt\ud multiples and high attenuation from the layered sequence make it difficult to image within\ud and beneath the basalts. This project allows us to correlate ultrasonic-scale velocity and\ud density measurements from the borehole together with ground-truthing from borehole logs\ud and core samples with the seismic-scale velocities and reflection images derived from VSP\ud and surface data. We find a good match of observed travel-times of borehole and wide-angle\ud P-wave data with those predicted from the borehole measurements, suggesting lateral\ud homogeneity over horizontal distances on the kilometre scale, and restricted transverse\ud anisotropy of the layered basalts. A pronounced intra-basalt reflector identified on the\ud multichannel surface seismic can be correlated with lithostratigraphic interpretation of the\ud borehole logs as caused by thick flows near the top of the Lower Basalt formation

Top quark effects in composite vector pair production at the LHC

In the context of a strongly coupled Electroweak Symmetry Breaking, composite light scalar singlet and composite triplet of heavy vectors may arise from an unspecified strong dynamics and the interactions among themselves and with the Standard Model gauge bosons and fermions can be described by a $SU(2)_L\times SU(2)_R/SU(2)_{L+R}$ Effective Chiral Lagrangian. In this framework, the production of the $V^{+}V^{-}$ and $V^{0}V^{0}$ final states at the LHC by gluon fusion mechanism is studied in the region of parameter space consistent with the unitarity constraints in the elastic channel of longitudinal gauge boson scattering and in the inelastic scattering of two longitudinal Standard Model gauge bosons into Standard Model fermions pairs. The expected rates of same-sign di-lepton and tri-lepton events from the decay of the $V^{0}V^{0}$ final state are computed and their corresponding backgrounds are estimated. It is of remarkable relevance that the $V^{0}V^{0}$ final state can only be produced at the LHC via gluon fusion mechanism since this state is absent in the Drell-Yan process. It is also found that the $V^{+}V^{-}$ final state production cross section via gluon fusion mechanism is comparable with the $V^{+}V^{-}$ Drell-Yan production cross section. The comparison of the $V^{0}V^{0}$ and $V^{+}V^{-}$ total cross sections will be crucial for distinguishing the different models since the vector pair production is sensitive to many couplings. This will also be useful to determine if the heavy vectors are only composite vectors or are gauge vectors of a spontaneously broken gauge symmetry.Comment: 18 pages, 5 tables, 6 figures. Missing figures added. Matches published versio

Flux Phase as a Dynamic Jahn-Teller Phase: Berryonic Matter in the Cuprates?

There is considerable evidence for some form of charge ordering on the hole-doped stripes in the cuprates, mainly associated with the low-temperature tetragonal phase, but with some evidence for either charge density waves or a flux phase, which is a form of dynamic charge-density wave. These three states form a pseudospin triplet, demonstrating a close connection with the E X e dynamic Jahn-Teller effect, suggesting that the cuprates constitute a form of Berryonic matter. This in turn suggests a new model for the dynamic Jahn-Teller effect as a form of flux phase. A simple model of the Cu-O bond stretching phonons allows an estimate of electron-phonon coupling for these modes, explaining why the half breathing mode softens so much more than the full oxygen breathing mode. The anomalous properties of $O^{2-}$ provide a coupling (correlated hopping) which acts to stabilize density wave phases.Comment: Major Revisions: includes comparisons with specific cuprate phonon modes, 16 eps figures, revte

Interlayer tunneling spectroscopy of Bi2_2Sr2_2CaCu2_2O8+δ_{8+\delta}: a look from inside on the doping phase diagram of high TcT_c superconductors

A systematic, doping dependent interlayer tunneling spectroscopy of Bi2212 high $T_c$ superconductor is presented. An improved resolution made it possible to simultaneously trace the superconducting gap (SG) and the normal state pseudo-gap (PG) in a close vicinity of $T_c$ and to analyze closing of the PG at $T^*$. The obtained doping phase diagram exhibits a critical doping point for appearance of the PG and a characteristic crossing of the SG and the PG close to the optimal doping. This points towards coexistence of two different and competing order parameters in Bi2212. Experimental data indicate that the SG can form a combined (large) gap with the PG at $T<T_c$ and that the interlayer tunneling becomes progressively incoherent with decreasing doping.Comment: 5 pages, 5 figure

A multimedia educational module for the restoration of single-tooth implants

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Structure optimization effects on the electronic properties of Bi2_2Sr2_2CaCu2_2O8_8

We present detailed first-principles calculations for the normal state electronic properties of the high T$_C$ superconductor Bi$_2$Sr$_2$CaCu$_2$O$_8$, by means of the linearized augmented plane wave (LAPW) method within the framework of density functional theory (DFT). As a first step, the body centered tetragonal (BCT) cell has been adopted, and optimized regarding its volume, $c/a$ ratio and internal atomic positions by total energy and force minimizations. The full optimization of the BCT cell leads to small but visible changes in the topology of the Fermi surface, rounding the shape of CuO$_2$ barrels, and causing both the BiO bands, responsible for the pockets near the \textit{\=M} 2D symmetry point, to dip below the Fermi level. We have then studied the influence of the distortions in the BiO plane observed in nature by means of a $\sqrt{2}\times\sqrt{2}$ orthorhombic cell (AD-ORTH) with $Bbmb$ space group. Contrary to what has been observed for the Bi-2201 compound, we find that for Bi-2212 the distortion does not sensibly shift the BiO bands which retain their metallic character. As a severe test for the considered structures we present Raman-active phonon frequencies ($q = 0$) and eigenvectors calculated within the frozen-phonon approximation. Focussing on the totally symmetric A$_{g}$ modes, we observe that for a reliable attribution of the peaks observed in Raman experiments, both $c$- and a-axis vibrations must be taken into account, the latter being activated by the in-plane orthorhombic distortion.Comment: 22 pages, 4 figure

Strangeness Enhancement in p+Ap+A and S+AS+A Interactions at SPS Energies

The systematics of strangeness enhancement is calculated using the HIJING and VENUS models and compared to recent data on $\,pp\,$, $\,pA\,$ and $\,AA\,$ collisions at CERN/SPS energies ($200A\,\, GeV\,$). The HIJING model is used to perform a {\em linear} extrapolation from $pp$ to $AA$. VENUS is used to estimate the effects of final state cascading and possible non-conventional production mechanisms. This comparison shows that the large enhancement of strangeness observed in $S+Au$ collisions, interpreted previously as possible evidence for quark-gluon plasma formation, has its origins in non-equilibrium dynamics of few nucleon systems. % Strangeness enhancement %is therefore traced back to the change in the production dynamics %from $pp$ to minimum bias $pS$ and central $SS$ collisions. A factor of two enhancement of $\Lambda^{0}$ at mid-rapidity is indicated by recent $pS$ data, where on the average {\em one} projectile nucleon interacts with only {\em two} target nucleons. There appears to be another factor of two enhancement in the light ion reaction $SS$ relative to $pS$, when on the average only two projectile nucleons interact with two target ones.Comment: 29 pages, 8 figures in uuencoded postscript fil

Electroproduction of two light vector mesons in next-to-leading BFKL: study of systematic effects

The forward electroproduction of two light vector mesons is the first example of a collision process between strongly interacting colorless particles for which the amplitude can be written completely within perturbative QCD in the Regge limit with next-to-leading accuracy. In a previous paper we have given a numerical determination of the amplitude in the case of equal photon virtualities by using a definite representation for the amplitude and a definite optimization method for the perturbative series. Here we estimate the systematic uncertainty of our previous determination, by considering a different representation of the amplitude and different optimization methods of the perturbative series. Moreover, we compare our result for the differential cross section at the minimum momentum transfer with a different approach, based on collinear kernel improvement.Comment: 17 pages, 11 figures; journal version, new figures and discussion adde

Multiband model for tunneling in MgB2 junctions

A theoretical model for quasiparticle and Josephson tunneling in multiband superconductors is developed and applied to MgB2-based junctions. The gap functions in different bands in MgB2 are obtained from an extended Eliashberg formalism, using the results of band structure calculations. The temperature and angle dependencies of MgB2 tunneling spectra and the Josephson critical current are calculated. The conditions for observing one or two gaps are given. We argue that the model may help to settle the current debate concerning two-band superconductivity in MgB2.Comment: minor corrections, published in Phys. Rev. B 65, 180517(R) (2002