2,815 research outputs found
The School Improvement Partnership Programme: Using Collaboration and Enquiry to tackle Educational Inequity
No abstract available
A feasibility study of signed consent for the collection of patient identifiable information for a national paediatric clinical audit database
Objectives: To investigate the feasibility of obtaining signed consent
for submission of patient identifiable data to a national clinical
audit database and to identify factors influencing the consent process
and its success.
Design: Feasibility study.
Setting: Seven paediatric intensive care units in England.
Participants: Parents/guardians of patients, or patients aged 12-16
years old, approached consecutively over three months for signed
consent for submission of patient identifiable data to the national
clinical audit database the Paediatric Intensive Care Audit Network
(PICANet).
Main outcome measures: The numbers and proportions of admissions for
which signed consent was given, refused, or not obtained (form not
returned or form partially completed but not signed), by age, sex,
level of deprivation, ethnicity (South Asian or not), paediatric index
of mortality score, length of hospital stay (days in paediatric
intensive care).
Results: One unit did not start and one did not fully implement the
protocol, so analysis excluded these two units. Consent was obtained
for 182 of 422 admissions (43%) (range by unit 9% to 84%). Most
(101/182; 55%) consents were taken by staff nurses. One refusal (0.2%)
was received. Consent rates were significantly better for children who
were more severely ill on admission and for hospital stays of six days
or more, and significantly poorer for children aged 10-14 years. Long
hospital stays and children aged 10-14 years remained significant in a
stepwise regression model of the factors that were significant in the
univariate model.
Conclusion: Systematically obtaining individual signed consent for
sharing patient identifiable information with an externally located
clinical audit database is difficult. Obtaining such consent is
unlikely to be successful unless additional resources are specifically
allocated to training, staff time, and administrative support
Hot Accretion With Conduction: Spontaneous Thermal Outflows
Motivated by the low-collisionality of gas accreted onto black holes in Sgr
A* and other nearby galactic nuclei, we study a family of 2D advective
accretion solutions with thermal conduction. While we only impose global
inflow, the accretion flow spontaneously develops bipolar outflows. The role of
conduction is key in providing the extra degree of freedom (latitudinal energy
transport) necessary to launch these rotating thermal outflows. The sign of the
Bernoulli constant does not discriminate between inflowing and outflowing
regions. Our parameter survey covers mass outflow rates from ~ 0 to 13% of the
net inflow rate, outflow velocities from ~0 to 11% of the local Keplerian
velocity and outflow opening angles from ~ 0 to 60 degs. As the magnitude of
conduction is increased, outflows can adopt a conical geometry, pure inflow
solutions emerge, and the limit of 2D non-rotating Bondi-like solutions is
eventually reached. These results confirm that radiatively-inefficient, hot
accretion flows have a hydrodynamical propensity to generate bipolar thermal
outflows.Comment: 38 pages, 10 figures, accepted for publication in Ap
A Note on the Slim Accretion Disk Model
We show that when the gravitational force is correctly calculated in dealing
with the vertical hydrostatic equilibrium of black hole accretion disks, the
relationship that is valid for geometrically thin disks, i.e., constant, where is the sound speed, is the Keplerian
angular velocity, and is the half-thickness of the disk, does not hold for
slim disks. More importantly, by adopting the correct vertical gravitational
force in studies of thermal equilibrium solutions, we find that there exists a
maximally possible accretion rate for each radius in the outer region of
optically thick accretion flows, so that only the inner region of these flows
can possibly take the form of slim disks, and strong outflows from the outer
region are required to reduce the accretion rate in order for slim disks to be
realized.Comment: 14 pages, 5 figures, accepted by Ap
Predicting Malawian womenâs intention to adhere to antiretroviral therapy
Background. With the increase in scaling up of antiretroviral therapy (ART), knowledge of the need for adherence to ART is pivotal for successful treatment outcomes. Design and Methods. A cross-sectional study was carried out between October and December 2013. We administered theory of planned behaviour (TPB) and adherence questionnaires to 358 women aged 18-49 years, from a rural and urban ART-clinics in southern Malawi. Hierarchical linear regression models were used to predict intentions to adhere to ART. Results. Regression models showed that attitude (ÎČ=0.47), subjective norm (ÎČ=0.31), and perceived behavioral control (ÎČ=0.12) explain 55% of the variance in intentions to adhere to ART. The relationship between both food insecurity and perceived side effects with intentions to adhere to ART is mediated by attitude, subjective norm, and perceived behavioural control. Household (r=0.20) and individual (r=0.21) food insecurity were positively and significantly correlated with perceived behavioural control. Household food insecurity had a negative correlation with perceived side effects (r=-0.11). Perceived side effects were positively correlated with attitude (r=0.25). There was no statistically significant relationship between intentions to adhere to ART in the future and one month self-report of past month adherence. These interactions suggest that attitude predicted adherence only when food insecurity is high or perception of side effects is strong.Conclusions. This study shows that modification might be needed when using TPB constructs in resource constraint environment
Numerical Models of Viscous Accretion Flows Near Black Holes
We report on a numerical study of viscous fluid accretion onto a black hole.
The flow is axisymmetric and uses a pseudo-Newtonian potential to model
relativistic effects near the event horizon. The numerical method is a variant
of the ZEUS code. As a test of our numerical scheme, we are able to reproduce
results from earlier, similar work by Igumenshchev and Abramowicz and Stone et
al. We consider models in which mass is injected onto the grid as well as
models in which an initial equilibrium torus is accreted. In each model we
measure three ``eigenvalues'' of the flow: the accretion rate of mass, angular
momentum, and energy. We find that the eigenvalues are sensitive to r_{in}, the
location of the inner radial boundary. Only when the flow is always supersonic
on the inner boundary are the eigenvalues insensitive to small changes in
r_{in}. We also report on the sensitivity of the results to other numerical
parameters.Comment: 14 pages, 4 figures, 2 tables, to appear in v573 n2 pt1 ApJ July 10,
200
Inferring hidden Markov models from noisy time sequences: a method to alleviate degeneracy in molecular dynamics
We present a new method for inferring hidden Markov models from noisy time
sequences without the necessity of assuming a model architecture, thus allowing
for the detection of degenerate states. This is based on the statistical
prediction techniques developed by Crutchfield et al., and generates so called
causal state models, equivalent to hidden Markov models. This method is
applicable to any continuous data which clusters around discrete values and
exhibits multiple transitions between these values such as tethered particle
motion data or Fluorescence Resonance Energy Transfer (FRET) spectra. The
algorithms developed have been shown to perform well on simulated data,
demonstrating the ability to recover the model used to generate the data under
high noise, sparse data conditions and the ability to infer the existence of
degenerate states. They have also been applied to new experimental FRET data of
Holliday Junction dynamics, extracting the expected two state model and
providing values for the transition rates in good agreement with previous
results and with results obtained using existing maximum likelihood based
methods.Comment: 19 pages, 9 figure
Symmetry-breaking and chaos in electron transport in semiconductor superlattices
We study the motion of electrons in a single miniband of a semiconductor
superlattice driven by THz electric field polarized along the growth direction.
We work in the semiclassical balance-equation model, including different
elastic and inelastic scattering rates, and incorporating the self-consistent
electric field generated by electron motion. We explore regions of complex
dynamics, which can include chaotic behaviour and symmetry-breaking. We
estimate the magnitudes of dc current and dc voltage that spontaneously appear
in regions of broken-symmetry for parameters characteristic of modern
semiconductor superlattices. This work complements PRL 80(1998)2669 [
cond-mat/9709026 ].Comment: 4 pages, 3 figures, RevTEX, EPS
A PC parallel port button box provides millisecond response time accuracy under Linux
For psychologists, it is sometimes necessary to measure people's reaction times to the nearest millisecond. This article describes how to use the PC parallel port to receive signals from a button box to achieve millisecond response time accuracy. The workings of the parallel port, the corresponding port addresses, and a simple Linux program for controlling the port are described. A test of the speed and reliability of button box signal detection is reported. If the reader is moderately familiar with Linux, this article should provide sufficient instruction for him or her to build and test his or her own parallel port button box. This article also describes how the parallel port could be used to control an external apparatus
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