On Hexagonal Structures in Higher Dimensional Theories

We analyze the geometrical background under which many Lie groups relevant to particle physics are endowed with a (possibly multiple) hexagonal structure. There are several groups appearing, either as special holonomy groups on the compactification process from higher dimensions, or as dynamical string gauge groups; this includes groups like SU(2),SU(3), G_2, Spin(7), SO(8) as well as E_8 and SO(32). We emphasize also the relation of these hexagonal structures with the octonion division algebra, as we expect as well eventually some role for octonions in the interpretation of symmetries in High Energy Physics.Comment: 9 pages, Latex, 3 figures. Accepted for publication in International Journal of Theoretical Physic

The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set

Background Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables. Methods Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set. Results Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001). Conclusions The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy

To be mortal is human: Professional consensus around the need for more psychology in palliative care

LetterUrsula M. Sansom-Daly, Elizabeth A. Lobb, Holly E. Evans, Lauren J. Breen, Anna Ugalde, Megan Best, Nienke Zomerdijk, Elizabeth A. Beasley, Keryn L. Taylor, Josephine Clayton, Louise Sharpe, Iris Bartula, and Ian Olver, PoCoG End of Life Care Special Interest Grou