656 research outputs found
A Coupled-Cluster Formulation of Hamiltonian Lattice Field Theory: The Non-Linear Sigma Model
We apply the coupled cluster method (CCM) to the Hamiltonian version of the
latticised O(4) non-linear sigma model. The method, which was initially
developed for the accurate description of quantum many-body systems, gives rise
to two distinct approximation schemes. These approaches are compared with each
other as well as with some other Hamiltonian approaches. Our study of both the
ground state and collective excitations leads to indications of a possible
chiral phase transition as the lattice spacing is varied.Comment: 44 Pages, 14 figures. Uses Latex2e, graphicx, amstex and geometry
package
Decision making from the experience of orthognathic surgery patients: a grounded theory approach
Introduction:
Patients’ decisions to undergo major surgery such as orthognathic treatment are not just about how the decision is made but what influences the decision.
Objectives:
The primary objective of the study was to identify the key processes involved in patients’ experience of decision making for orthognathic treatment.
Methods:
This study reports some of the findings of a larger grounded theory study. Data were collected through face-to-face interviews of patients who were seen for orthognathic treatment at a teaching hospital in the United Kingdom. Twenty-two participants were recruited (age range 18–66 y), of whom 12 (male = 2, female = 10) were 6 to 8 wk postsurgery, 6 (male = 2, female = 4) were in the decision-making stage, and 4 (male = 0, female = 4) were 1 to 2 y postsurgery. Additional data were also collected from online blogs and forums on jaw surgery. The data analysis stages of grounded theory methodology were undertaken, including open and selective coding.
Results:
The study identified the central role of dental care professionals (DCPs) in several underlying processes associated with decision making, including legitimating, mediating, scheduling, projecting, and supporting patients’ decisions. Six categories were related to key aspects of decision making. These were awareness about their underlying dentofacial problems and treatment options available, the information available about the treatment, the temporality of when surgery would be undertaken, the motivations and expectation of patients, social support, and fear of the surgery, hospitalization, and potentially disliking their new face.
Conclusion:
The decision-making process for orthognathic treatment is complex, multifactorial, and heavily influenced by the role of DCPs in patient care. Understanding the magnitude of this role will enable DCPs to more clearly participate in improving patients’ decision-making process. The findings of this study can inform future quantitative studies.
Knowledge Transfer Statement:
The results of this study can be used both for informing clinical practice around enabling decision making for orthognathic treatment and also for designing future research. The findings can better inform clinicians about the importance of their role in the patients’ decision-making process for orthognathic treatment and the means to improve the patient experience. It is suggested that further research could be conducted to measure some of the key constructs identified within our grounded theory and assess how these change during the treatment process
Residual cognitive deficits 50 years after lead poisoning during childhood
The long term neurobehavioural consequences of childhood lead poisoning are not known. In this study adult subjects with a documented history of lead poisoning before age 4 and matched controls were examined with an abbreviated battery of neuropsychological tests including measures of attention, reasoning, memory, motor speed, and current mood. The subjects exposed to lead were inferior to controls on almost all of the cognitive tasks. This pattern of widespread deficits resembles that found in children evaluated at the time of acute exposure to lead rather than the more circumscribed pattern typically seen in adults exposed to lead. Despite having completed as many years of schooling as controls, the subjects exposed to lead were lower in lifetime occupational status. Within the exposed group, performance on the neuropsychological battery and occupational status were related, consistent with the presumed impact of limitations in neuropsychological functioning on everyday life. The results suggest that many subjects exposed to lead suffered acute encephalopathy in childhood which resolved into a chronic subclinical encephalopathy with associated cognitive dysfunction still evident in adulthood. These findings lend support to efforts to limit exposure to lead in childhood
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A one-shot deviation principle for stability in matching problems
This paper considers marriage problems, roommate problems with nonempty core, and college admissions problems with responsive preferences. All stochastically stable matchings are shown to be contained in the set of matchings which are most robust to one-shot deviation
Antarctic ice sheet discharge driven by atmosphere-ocean feedbacks at the Last Glacial Termination
Reconstructing the dynamic response of the Antarctic ice sheets to warming during the Last Glacial Termination (LGT; 18,000–11,650 yrs ago) allows us to disentangle ice-climate feedbacks that are key to improving future projections. Whilst the sequence of events during this period is reasonably well-known, relatively poor chronological control has precluded precise alignment of ice, atmospheric and marine records, making it difficult to assess relationships between Antarctic ice-sheet (AIS) dynamics, climate change and sea level. Here we present results from a highly-resolved ‘horizontal ice core’ from the Weddell Sea Embayment, which records millennial-scale AIS dynamics across this extensive region. Counterintuitively, we find AIS mass-loss across the full duration of the Antarctic Cold Reversal (ACR; 14,600–12,700 yrs ago), with stabilisation during the subsequent millennia of atmospheric warming. Earth-system and ice-sheet modelling suggests these contrasting trends were likely Antarctic-wide, sustained by feedbacks amplified by the delivery of Circumpolar Deep Water onto the continental shelf. Given the anti-phase relationship between inter-hemispheric climate trends across the LGT our findings demonstrate that Southern Ocean-AIS feedbacks were controlled by global atmospheric teleconnections. With increasing stratification of the Southern Ocean and intensification of mid-latitude westerly winds today, such teleconnections could amplify AIS mass loss and accelerate global sea-level rise
Svestka's Research: Then and Now
Zdenek Svestka's research work influenced many fields of solar physics,
especially in the area of flare research. In this article I take five of the
areas that particularly interested him and assess them in a "then and now"
style. His insights in each case were quite sound, although of course in the
modern era we have learned things that he could not readily have envisioned.
His own views about his research life have been published recently in this
journal, to which he contributed so much, and his memoir contains much
additional scientific and personal information (Svestka, 2010).Comment: Invited review for "Solar and Stellar Flares," a conference in honour
of Prof. Zden\v{e}k \v{S}vestka, Prague, June 23-27, 2014. This is a
contribution to a Topical Issue in Solar Physics, based on the presentations
at this meeting (Editors Lyndsay Fletcher and Petr Heinzel
Metastability and Transient Effects in Vortex Matter Near a Decoupling Transition
We examine metastable and transient effects both above and below the
first-order decoupling line in a 3D simulation of magnetically interacting
pancake vortices. We observe pronounced transient and history effects as well
as supercooling and superheating between the 3D coupled, ordered and 2D
decoupled, disordered phases. In the disordered supercooled state as a function
of DC driving, reordering occurs through the formation of growing moving
channels of the ordered phase. No channels form in the superheated region;
instead the ordered state is homogeneously destroyed. When a sequence of
current pulses is applied we observe memory effects. We find a ramp rate
dependence of the V(I) curves on both sides of the decoupling transition. The
critical current that we obtain depends on how the system is prepared.Comment: 10 pages, 15 postscript figures, version to appear in PR
Whole genome sequencing of Shigella sonnei through PulseNet Latin America and Caribbean: advancing global surveillance of foodborne illnesses
Objectives Shigella sonnei is a globally important diarrhoeal pathogen tracked through the surveillance network PulseNet Latin America and Caribbean (PNLA&C), which participates in PulseNet International. PNLA&C laboratories use common molecular techniques to track pathogens causing foodborne illness. We aimed to demonstrate the possibility and advantages of transitioning to whole genome sequencing (WGS) for surveillance within existing networks across a continent where S. sonnei is endemic. Methods We applied WGS to representative archive isolates of S. sonnei (n = 323) from laboratories in nine PNLA&C countries to generate a regional phylogenomic reference for S. sonnei and put this in the global context. We used this reference to contextualise 16 S. sonnei from three Argentinian outbreaks, using locally generated sequence data. Assembled genome sequences were used to predict antimicrobial resistance (AMR) phenotypes and identify AMR determinants. Results S. sonnei isolates clustered in five Latin American sublineages in the global phylogeny, with many (46%, 149 of 323) belonging to previously undescribed sublineages. Predicted multidrug resistance was common (77%, 249 of 323), and clinically relevant differences in AMR were found among sublineages. The regional overview showed that Argentinian outbreak isolates belonged to distinct sublineages and had different epidemiologic origins. Conclusions Latin America contains novel genetic diversity of S. sonnei that is relevant on a global scale and commonly exhibits multidrug resistance. Retrospective passive surveillance with WGS has utility for informing treatment, identifying regionally epidemic sublineages and providing a framework for interpretation of prospective, locally sequenced outbreaks
Signatures of the slow solar wind streams from active regions in the inner corona
Some of local sources of the slow solar wind can be associated with
spectroscopically detected plasma outflows at edges of active regions
accompanied with specific signatures in the inner corona. The EUV telescopes
(e.g. SPIRIT/CORONAS-F, TESIS/CORONAS-Photon and SWAP/PROBA2) sometimes
observed extended ray-like structures seen at the limb above active regions in
1MK iron emission lines and described as "coronal rays". To verify the
relationship between coronal rays and plasma outflows, we analyze an isolated
active region (AR) adjacent to small coronal hole (CH) observed by different
EUV instruments in the end of July - beginning of August 2009. On August 1 EIS
revealed in the AR two compact outflows with the Doppler velocities V =10-30
km/s accompanied with fan loops diverging from their regions. At the limb the
ARCH interface region produced coronal rays observed by EUVI/STEREO-A on July
31 as well as by TESIS on August 7. The rays were co-aligned with open magnetic
field lines expanded to the streamer stalks. Using the DEM analysis, it was
found that the fan loops diverged from the outflow regions had the dominant
temperature of ~1 MK, which is similar to that of the outgoing plasma streams.
Parameters of the solar wind measured by STEREO-B, ACE, WIND, STEREO-A were
conformed with identification of the ARCH as a source region at the
Wang-Sheeley-Arge map of derived coronal holes for CR 2086. The results of the
study support the suggestion that coronal rays can represent signatures of
outflows from ARs propagating in the inner corona along open field lines into
the heliosphere.Comment: Accepted for publication in Solar Physics; 31 Pages; 13 Figure
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