Information sheets for patients with acute chest pain: randomised controlled trial

Objectives: To determine whether providing an information sheet to patients with acute chest pain reduces anxiety, improves health related quality of life, improves satisfaction with care, or alters subsequent symptoms or actions. Design: Single centre, non-blinded, randomised controlled trial. Setting: Chest pain unit of an emergency department. Participants: 700 consecutive patients with acute chest pain and no clear diagnosis at initial presentation. Interventions: After a diagnostic assessment patients were randomised to receive either standard verbal advice or verbal advice followed by an information sheet. Main outcome measures: The primary outcome was anxiety (hospital anxiety and depression scale). Secondary outcomes were depression (hospital anxiety and depression scale), health related quality of life (SF-36), patient satisfaction, presentation with further chest pain within one month, lifestyle change (smoking cessation, diet, exercise), further information sought from other sources, and planned healthcare seeeking behaviour in response to further pain. Results 494 of 700 (70.6%) patients responded. Compared with those receiving standard verbal advice those receiving advice and an information sheet had lower mean hospital anxiety and depression scale scores for anxiety (7.61v8.63, difference 1.02, 95% confidence interval 0.20 to 1.84) and depression (4.14 v 5.28, difference 1.14, 0.41 to 1.86) and higher scores for mental health and perception of general health on the SF-36. The information sheet had no significant effect on satisfaction with care, subsequent symptoms, lifestyle change, information seeking, or planned actions in the event of further pain. Conclusions: Provision of an information sheet to patients with acute chest pain can reduce anxiety and depression and improve mental health and perception of general health but does not alter satisfaction with care or other outcomes. Trial registration Current Controlled Trials ISRCTN85248020

A simple extended-cavity diode laser

Operating a laser diode in an extended cavity which provides frequency-selective feedback is a very effective method of reducing the laser's linewidth and improving its tunability. We have developed an extremely simple laser of this type, built from inexpensive commercial components with only a few minor modifications, A 780 nm laser built to this design has an output power of 80 mW, a Linewidth of 350 kHz, and it has been continuously locked to a Doppler-free rubidium transition for several days

Investigation of double beta decay with the NEMO-3 detector

The double beta decay experiment NEMO~3 has been taking data since February 2003. The aim of this experiment is to search for neutrinoless ($0\nu\beta\beta$) decay and investigate two neutrino double beta decay in seven different isotopically enriched samples ($^{100}$Mo, $^{82}$Se, $^{48}$Ca, $^{96}$Zr, $^{116}$Cd, $^{130}$Te and $^{150}$Nd). After analysis of the data corresponding to 3.75 y, no evidence for $0\nu\beta\beta$ decay in the $^{100}$Mo and $^{82}$Se samples was found. The half-life limits at the 90% C.L. are $1.1\cdot 10^{24}$ y and $3.6\cdot 10^{23}$ y, respectively. Additionally for $0\nu\beta\beta$ decay the following limits at the 90% C.L. were obtained, $> 1.3 \cdot 10^{22}$ y for $^{48}$Ca, $> 9.2 \cdot 10^{21}$ y for $^{96}$Zr and $> 1.8 \cdot 10^{22}$ y for $^{150}$Nd. The $2\nu\beta\beta$ decay half-life values were precisely measured for all investigated isotopes.Comment: 12 pages, 4 figures, 5 tables; talk at conference on "Fundamental Interactions Physics" (ITEP, Moscow, November 23-27, 2009

Uranium(III) coordination chemistry and oxidation in a flexible small-cavity macrocycle

U(III) complexes of the conformationally flexible, small-cavity macrocycle trans-calix[2]benzene[2]pyrrolide (L)2–, [U(L)X] (X = O-2,6-tBu2C6H3, N(SiMe3)2), have been synthesized from [U(L)BH4] and structurally characterized. These complexes show binding of the U(III) center in the bis(arene) pocket of the macrocycle, which flexes to accommodate the increase in the steric bulk of X, resulting in long U–X bonds to the ancillary ligands. Oxidation to the cationic U(IV) complex [U(L)X][B(C6F5)4] (X = BH4) results in ligand rearrangement to bind the smaller, harder cation in the bis(pyrrolide) pocket, in a conformation that has not been previously observed for (L)2–, with X located between the two ligand arene rings

Satellite Precipitation and Cloud Experiment (SPACE)

An experiment plan was formulated to support an investigation of the precipitation processes associated with mesoscale systems and the interaction of rain producing cloud complexes with the meso and macro-scale environment. The field program necessary to accomplish the scientific goals is designed to incorporate satellite information (VIS and IR as well as VAS data), special radiosonde and surface observing capabilities, radar observations of storms development, special observations from aircraft and ground based lightning measurements. The observing network comprises rawinsonde stations located in northern Alabama and eastern Tennessee. A high density raingauge network and the MSFC lightning location network also cover the area. Coordination with NASA U2 and ER2 aircraft programs and with the operational requirements of the microburst severe thunderstorm program can assure the most efficient utilization of the observing resources

Perturbative and Nonperturbative Kolmogorov Turbulence in a Gluon Plasma

In numerical simulations of nonabelian plasma instabilities in the hard-loop approximation, a turbulent spectrum has been observed that is characterized by a phase-space density of particles $n(p)\sim p^{-\nu}$ with exponent $\nu\simeq 2$, which is larger than expected from relativistic $2\leftrightarrow 2$ scatterings. Using the approach of Zakharov, L'vov and Falkovich, we analyse possible Kolmogorov coefficients for relativistic $(m \ge 4)$-particle processes, which give at most $\nu=5/3$ perturbatively for an energy cascade. We discuss nonperturbative scenarios which lead to larger values. As an extreme limit we find the result $\nu=5$ generically in an inherently nonperturbative effective field theory situation, which coincides with results obtained by Berges et al.\ in large-$N$ scalar field theory. If we instead assume that scaling behavior is determined by Schwinger-Dyson resummations such that the different scaling of bare and dressed vertices matters, we find that intermediate values are possible. We present one simple scenario which would single out $\nu=2$.Comment: published versio

Violation of Leggett inequalities in orbital angular momentum subspaces

We report an experimental test of Leggett's non-local hidden variable theory in an orbital angular momentum (OAM) state space of light. We show that the correlations we observe are in conflict with Leggett's model, thus excluding a particular class of non-local hidden variable theories for the first time in a non-polarization state space. It is known that the violation of the Leggett inequality becomes stronger as more detection settings are used. The required measurements become feasible in an OAM subspace, and we demonstrate this by testing the inequality using three and four settings. We observe excellent agreement with quantum predictions and a violation of five and six standard deviations, respectively, compared to Leggett's non-local hidden variable theory

Revisiting the ABC flow dynamo

The ABC flow is a prototype for fast dynamo action, essential to the origin of magnetic field in large astrophysical objects. Probably the most studied configuration is the classical 1:1:1 flow. We investigate its dynamo properties varying the magnetic Reynolds number Rm. We identify two kinks in the growth rate, which correspond respectively to an eigenvalue crossing and to an eigenvalue coalescence. The dominant eigenvalue becomes purely real for a finite value of the control parameter. Finally we show that even for Rm = 25000, the dominant eigenvalue has not yet reached an asymptotic behaviour. Its still varies very significantly with the controlling parameter. Even at these very large values of Rm the fast dynamo property of this flow cannot yet be established