Effect of public education aimed at early diagnosis of malignant melanoma: cohort comparison study

No abstract available

Observational study of type of surgical training and outcome of definitive surgery for primary malignant melanoma

No abstract available

The Jang equation reduction of the spacetime positive energy theorem in dimensions less than eight

We extend the Jang equation proof of the positive energy theorem due to R. Schoen and S.-T. Yau from dimension $n=3$ to dimensions $3 \leq n <8$. This requires us to address several technical difficulties that are not present when $n=3$. The regularity and decay assumptions for the initial data sets to which our argument applies are weaker than those of R. Schoen and S.-T. Yau. In recent joint work with L.-H. Huang, D. Lee, and R. Schoen we have given a different proof of the full positive mass theorem in dimensions $3 \leq n < 8$. We pointed out that this theorem can alternatively be derived from our density argument and the positive energy theorem of the present paper.Comment: All comments welcome! Final version to appear in Comm. Math. Phy

Damped finite-time-singularity driven by noise

We consider the combined influence of linear damping and noise on a dynamical finite-time-singularity model for a single degree of freedom. We find that the noise effectively resolves the finite-time-singularity and replaces it by a first-passage-time or absorbing state distribution with a peak at the singularity and a long time tail. The damping introduces a characteristic cross-over time. In the early time regime the probability distribution and first-passage-time distribution show a power law behavior with scaling exponent depending on the ratio of the non linear coupling strength to the noise strength. In the late time regime the behavior is controlled by the damping. The study might be of relevance in the context of hydrodynamics on a nanometer scale, in material physics, and in biophysics.Comment: 9 pages, 4 eps-figures, revtex4 fil

Power laws and stretched exponentials in a noisy finite-time-singularity model

We discuss the influence of white noise on a generic dynamical finite-time-singularity model for a single degree of freedom. We find that the noise effectively resolves the finite-time-singularity and replaces it by a first-passage-time or absorbing state distribution with a peak at the singularity and a long time tail exhibiting power law or stretched exponential behavior. The study might be of relevance in the context of hydrodynamics on a nanometer scale, in material physics, and in biophysics.Comment: 10 pages revtex file, including 4 postscript-figures. References added and a few typos correcte

Dynamical Horizons and their Properties

A detailed description of how black holes grow in full, non-linear general relativity is presented. The starting point is the notion of dynamical horizons. Expressions of fluxes of energy and angular momentum carried by gravitational waves across these horizons are obtained. Fluxes are local and the energy flux is positive. Change in the horizon area is related to these fluxes. A notion of angular momentum and energy is associated with cross-sections of the horizon and balance equations, analogous to those obtained by Bondi and Sachs at null infinity, are derived. These in turn lead to generalizations of the first and second laws of black hole mechanics. The relation between dynamical horizons and their asymptotic states --the isolated horizons-- is discussed briefly. The framework has potential applications to numerical, mathematical, astrophysical and quantum general relativity.Comment: 44 pages, 2 figures, RevTeX4. Minor typos corrected. Final PRD versio

A proof of the Geroch-Horowitz-Penrose formulation of the strong cosmic censor conjecture motivated by computability theory

In this paper we present a proof of a mathematical version of the strong cosmic censor conjecture attributed to Geroch-Horowitz and Penrose but formulated explicitly by Wald. The proof is based on the existence of future-inextendible causal curves in causal pasts of events on the future Cauchy horizon in a non-globally hyperbolic space-time. By examining explicit non-globally hyperbolic space-times we find that in case of several physically relevant solutions these future-inextendible curves have in fact infinite length. This way we recognize a close relationship between asymptotically flat or anti-de Sitter, physically relevant extendible space-times and the so-called Malament-Hogarth space-times which play a central role in recent investigations in the theory of "gravitational computers". This motivates us to exhibit a more sharp, more geometric formulation of the strong cosmic censor conjecture, namely "all physically relevant, asymptotically flat or anti-de Sitter but non-globally hyperbolic space-times are Malament-Hogarth ones". Our observations may indicate a natural but hidden connection between the strong cosmic censorship scenario and the Church-Turing thesis revealing an unexpected conceptual depth beneath both conjectures.Comment: 16pp, LaTeX, no figures. Final published versio

The Impact of the Implementation of the Dutch Combined Meeting Centres Support Programme for Family Caregivers of People with Dementia in Italy, Poland and UK

Objectives: The MEETINGDEM research project aimed to implement the combined Dutch Meeting Centre Support Programme (MCSP) for community-dwelling people with dementia and caregivers within Italy, Poland and UK and to assess whether comparable benefits were found in these countries as in the Netherlands. Method: Nine pilot Meeting Centres (MCs) participated (Italy-5, Poland-2, UK-2). Effectiveness of MCSP was compared to usual care (UC) on caregiver outcomes measuring competence (SSCQ), mental health (GHQ-12), emotional distress (NPI-Q) and loneliness (UCLA) analysed by ANCOVAs in a 6-month pre-test/post-test controlled trial. Interviews using standardised measures were completed with caregivers. Results: Pre/post data were collected for 93 caregivers receiving MCSP and 74 receiving UC. No statistically significant differences on the outcome measures were found overall. At a country level MC caregivers in Italy showed significant better general mental health (p=0.04, d=0.55) and less caregiver distress (p=0.02, d=0.62) at post-test than the UC group. Caregiver satisfaction was rated on a sample at 3 months (n=81) and 6 months (n=84). The majority of caregivers reported feeling less burdened and more supported by participating in MCSP. Conclusion: The moderate positive effect on sense of competence and the greater mental health benefit for lonely caregivers using the MCSP compared to UC as found in the original Dutch studies were not replicated. However, subject to study limitations, caregivers in Italy using MCSP benefitted more regarding their mental health and emotional distress than caregivers using UC. Further evaluation of the benefits of MCSP within these countries in larger study samples is recommended

Level Set Method for the Evolution of Defect and Brane Networks

A theory for studying the dynamic scaling properties of branes and relativistic topological defect networks is presented. The theory, based on a relativistic version of the level set method, well-known in other contexts, possesses self-similar ``scaling'' solutions, for which one can calculate many quantities of interest. Here, the length and area densities of cosmic strings and domain walls are calculated in Minkowski space, and radiation, matter, and curvature-dominated FRW cosmologies with 2 and 3 space dimensions. The scaling exponents agree the naive ones based on dimensional analysis, except for cosmic strings in 3-dimensional Minkowski space, which are predicted to have a logarithmic correction to the naive scaling form. The scaling amplitudes of the length and area densities are a factor of approximately 2 lower than results from numerical simulations of classical field theories. An expression for the length density of strings in the condensed matter literature is corrected.Comment: 46pp LaTeX, revtex4(preprint), 1 eps figure, revised for publication. Note title chang