1,176 research outputs found
In Situ Characterisation of Permanent Magnetic Quadrupoles for focussing proton beams
High intensity laser driven proton beams are at present receiving much
attention. The reasons for this are many but high on the list is the potential
to produce compact accelerators. However two of the limitations of this
technology is that unlike conventional nuclear RF accelerators lasers produce
diverging beams with an exponential energy distribution. A number of different
approaches have been attempted to monochromise these beams but it has become
obvious that magnetic spectrometer technology developed over many years by
nuclear physicists to transport and focus proton beams could play an important
role for this purpose. This paper deals with the design and characterisation of
a magnetic quadrupole system which will attempt to focus and transport
laser-accelerated proton beams.Comment: 20 pages, 42 figure
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An electronic family health history tool to identify and manage patients at increased risk for colorectal cancer: protocol for a randomized controlled trial.
BackgroundColorectal cancer is the fourth most commonly diagnosed cancer in the United States. Approximately 3-10% of the population has an increased risk for colorectal cancer due to family history and warrants more frequent or intensive screening. Yet, < 50% of that high-risk population receives guideline-concordant care. Systematic collection of family health history and decision support may improve guideline-concordant screening for patients at increased risk of colorectal cancer. We seek to test the effectiveness of a web-based, systematic family health history collection tool and decision support platform (MeTree) to improve risk assessment and appropriate management of colorectal cancer risk among patients in the Department of Veterans Affairs primary care practices.MethodsIn this ongoing randomized controlled trial, primary care providers at the Durham Veterans Affairs Health Care System and the Madison VA Medical Center are randomized to immediate intervention or wait-list control. Veterans are eligible if assigned to enrolled providers, have an upcoming primary care appointment, and have no conditions that would place them at increased risk for colorectal cancer (such as personal history, adenomatous polyps, or inflammatory bowel disease). Those with a recent lower endoscopy (e.g. colonoscopy, sigmoidoscopy) are excluded. Immediate intervention patients put their family health history information into a web-based platform, MeTree, which provides both patient- and provider-facing decision support reports. Wait-list control patients access MeTree 12 months post-consent. The primary outcome is the risk-concordant colorectal cancer screening referral rate obtained via chart review. Secondary outcomes include patient completion of risk management recommendations (e.g. colonoscopy) and referral for genetic consultation. We will also conduct an economic analysis and an assessment of providers' experience with MeTree clinical decision support recommendations to inform future implementation efforts if the intervention is found to be effective.DiscussionThis trial will assess the feasibility and effectiveness of patient-collected family health history linked to decision support to promote risk-appropriate screening in a large healthcare system such as the Department of Veterans Affairs.Trial registrationClinicalTrials.gov, NCT02247336 . Registered on 25 September 2014
The algebra of adjacency patterns: Rees matrix semigroups with reversion
We establish a surprisingly close relationship between universal Horn classes
of directed graphs and varieties generated by so-called adjacency semigroups
which are Rees matrix semigroups over the trivial group with the unary
operation of reversion. In particular, the lattice of subvarieties of the
variety generated by adjacency semigroups that are regular unary semigroups is
essentially the same as the lattice of universal Horn classes of reflexive
directed graphs. A number of examples follow, including a limit variety of
regular unary semigroups and finite unary semigroups with NP-hard variety
membership problems.Comment: 30 pages, 9 figure
Proof Theory and Ordered Groups
Ordering theorems, characterizing when partial orders of a group extend to
total orders, are used to generate hypersequent calculi for varieties of
lattice-ordered groups (l-groups). These calculi are then used to provide new
proofs of theorems arising in the theory of ordered groups. More precisely: an
analytic calculus for abelian l-groups is generated using an ordering theorem
for abelian groups; a calculus is generated for l-groups and new decidability
proofs are obtained for the equational theory of this variety and extending
finite subsets of free groups to right orders; and a calculus for representable
l-groups is generated and a new proof is obtained that free groups are
orderable
Comparative analysis between condom use clusters and risk behaviours among portuguese university students
The research on condom use has been focused on high-risk individuals, paying less attention to those who have moderate risk or safe sexual conducts. In order to design accurate interventions, potential differences among the condom use behavior groups must be considered. The goal was to assess possible differences in individuals presenting different types of risk behavior. 140 heterosexual university students answered a self-reported questionnaire about their sexual history, condom use habits, sexual self-esteem, sexual satisfaction, sexual control, attitudes towards condoms, self-efficacy to condom use, and emotions and feelings during sexual intercourse. A cluster analysis was conducted using the results about condom use and risk behaviors. Three groups with different risk levels emerged, presenting differences over sexual self-efficacy, attitudes towards condoms, socio-demographic variables, and sexual history. The results suggest the condom use inconsistency is highly associated with other risk behaviors but the contrary does not necessarily happens. Condom use consistent users also presented risk behaviors as smoking and drinking. The group differences suggest the risks were more affected by the combination of lack of skills with a negative attitude toward condoms than by contextual or personal variables. These differences sustain the need of an intervention adjusted to the individual's risk levels, since they differ on skills and beliefs that may hinder or promote the adoption of health behaviors.Foundation for Science and Technology/Fundacao para a Ciencia e Tecnologia (Portugal)info:eu-repo/semantics/publishedVersio
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