Controlling Chimeras

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.Coupled phase oscillators model a variety of dynamical phenomena in nature and technological applications. Non-local coupling gives rise to chimera states which are characterized by a distinct part of phase-synchronized oscillators while the remaining ones move incoherently. Here, we apply the idea of control to chimera states: using gradient dynamics to exploit drift of a chimera, it will attain any desired target position. Through control, chimera states become functionally relevant; for example, the controlled position of localized synchrony may encode information and perform computations. Since functional aspects are crucial in (neuro-)biology and technology, the localized synchronization of a chimera state becomes accessible to develop novel applications. Based on gradient dynamics, our control strategy applies to any suitable observable and can be generalized to arbitrary dimensions. Thus, the applicability of chimera control goes beyond chimera states in non-locally coupled systems.CB acknowledges support by NSF grant DMS– 1265253 and partially by BMBF grant 01GQ1005B. The research leading to these results has received funding from the People Programme (Marie Curie Actions) of the European Union’s Seventh Framework Programme (FP7/2007-2013) under REA grant agreement no. 626111 (CB). The work is part of the Dynamical Systems Interdisciplinary Network, University of Copenhagen (EAM)

Functional Asynchronous Networks: Factorization of Dynamics and Function

In this note we describe the theory of functional asynchronous networks and one of the main results, the Modularization of Dynamics Theorem, which for a large class of functional asynchronous networks gives a factorization of dynamics in terms of constituent subnetworks. For these networks we can give a complete description of the network function in terms of the function of the events comprising the network and thereby answer a question originally raised by Alon in the context of biological networks

State-dependent effective interactions in oscillator networks through coupling functions with dead zones

This is the final version. Available from The Royal Society via the DOI in this record. The dynamics of networks of interacting dynamical systems depend on the nature of the coupling between individual units. We explore networks of oscillatory units with coupling functions that have "dead zones", that is, the coupling functions are zero on sets with interior. For such networks, it is convenient to look at the effective interactions between units rather than the (fixed) structural connectivity to understand the network dynamics. For example, oscillators may effectively decouple in particular phase configurations. Along trajectories the effective interactions are not necessarily static, but the effective coupling may evolve in time. Here, we formalize the concepts of dead zones and effective interactions. We elucidate how the coupling function shapes the possible effective interaction schemes and how they evolve in time.Engineering and Physical Sciences Research Council (EPSRC

Chaos in Kuramoto Oscillator Networks

This is the author accepted manuscript. The final version is available from AIP Publishing via the DOI in this record.Kuramoto oscillators are widely used to explain collective phenomena in networks of coupled oscillatory units. We show that simple networks of two populations with a generic coupling scheme can exhibit chaotic dynamics as conjectured by Ott and Antonsen [Chaos, 18, 037113 (2008)]. These chaotic mean field dynamics arise universally across network size, from the continuum limit of infinitely many oscillators down to very small networks with just two oscillators per population. Hence, complicated dynamics are expected even in the simplest description of oscillator networks.The authors would like to thank J Engelbrecht, R Mirollo, A Politi, and M Wolfrum for helpful discussions and F Peter for careful reading of the manuscript. CB would like to acknowledge the warm hospitality at DTU. Research conducted by EAM is partially supported by the Dynamical Systems Interdisciplinary Network, University of Copenhagen. CB has received partial funding from the People Programme (Marie Curie Actions) of the European Union’s Seventh Framework Programme (FP7/2007–2013) under REA grant agreement no. 626111

Robust Weak Chimeras in Oscillator Networks with Delayed Linear and Quadratic Interactions

This is the author's accepted version. The final version is available from APS via the DOI in this recordWe present an approach to generate chimera dynamics (localized frequency synchrony) in oscillator networks with two groups of (at least) two elements using a general method based on delayed interaction with linear and quadratic terms. The coupling design yields robust chimeras through a phase-model based design of the delay and the ratio of linear and quadratic components of the interactions. We demonstrate the method in the Brusselator model and experiments with electrochemical oscillators. The technique opens the way to directly bridge theory for phase models and the dynamics of real-world oscillator networks.CB has received funding from the People Programme (Marie Curie Actions) of the European Union’s Seventh Framework Programme (FP7/2007–2013) under REA grant agreement no. 626111. IZK acknowledges support from National Science Foundation CHE-1465013 grant

Weak Chimeras in Modular Electrochemical Oscillator Networks

This is the final version. Available on open access from Frontiers Media via the DOI in this recordWe investigate the formation of weak chimera states in modular networks of electrochemical oscillations during the electrodissulution of nickel in sulfuric acid. In experiment and simulation, we consider two globally coupled populations of highly non-linear oscillators which are weakly coupled through a collective resistance. Without cross coupling, the system exhibits bistability between a one- and a two-cluster state, whose frequencies are distinct. For weak cross coupling and initial conditions for the one- and two-cluster states for populations 1 and 2, respectively, weak chimera dynamics are generated. The weak chimera state exhibits localized frequency synchrony: The oscillators in each population are frequency-synchronized while the two populations are not. The chimera state is very robust: The behavior is maintained for hundreds of cycles for the rather heterogeneous natural frequencies of the oscillators. The experimental results are confirmed with numerical simulations of a kinetic model for the chemical process. The features of the chimera states are compared to other previously observed chimeras with oscillators close to Hopf bifurcation, coupled with parallel resistances and capacitances or with a non-linear delayed feedback. The experimentally observed synchronization patterns could provide a mechanism for generation of chimeras in biological systems, where robust response is essential

Regional center for complex colonoscopy: yield of neoplasia in patients with prior incomplete colonoscopy

Background and Aims Incomplete colonoscopy increases the risk of incident proximal colon cancer postcolonoscopy. Incomplete colonoscopy is often followed by barium enema or CT colonography. We sought to describe the yield of completion colonoscopy in a regional center for complex colonoscopy. Methods This is a retrospective cohort study of 520 consecutive patients referred to a single colonoscopist over a 14-year period for completion colonoscopy after a previous incomplete examination. Results Colonoscopy was completed to the cecum in 506 of 520 patients (97.3%). A total of 913 conventional adenomas was removed in 277 patients (adenoma detection rate 53.3%). There were 184 adenomas ≥ 1 cm in size or with advanced pathology. There were 525 serrated-class lesions removed in 175 patients, including 54 sessile serrated polyps in 26 patients and 41 hyperplastic polyps greater than 1 cm in 26 patients. Nine colorectal cancers were found. We estimated that approximately 57% of the conventional adenomas, 58% of the sessile serrated polyps, 27% of the hyperplastic polyps, and all 9 cancers detected by the completion colonoscopy were beyond the extent of the previous examination. Conclusions The yield of completion colonoscopy in a cohort of patients with previous failed cecal intubation was substantial. Regional centers for complex colonoscopy can provide high rates of cecal intubation in cases of incomplete colonoscopy and high yields of lesions in these cases. The regional center for complex colonoscopy is an important medical service

Organisational interventions designed to reduce caesarean section rates: a systematic review protocol.

INTRODUCTION: There is a growing body of evidence to indicate that both primary and subsequent caesarean sections are associated with increased maternal and perinatal morbidity. Efforts to reduce the number of clinically unnecessary caesarean sections are urgently required. Our objective is to systematically review published evidence on the effectiveness of maternity service organisational interventions, such as models of maternity care, that aim to reduce caesarean section rates. METHODS AND ANALYSIS: Databases will be searched, including the Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Maternity and Infant Care, EMBASE and SCOPUS. Search terms related to caesarean section and organisational intervention will be used. Research published before 1980 will be excluded and only randomised controlled trials, cluster-randomised controlled trials, quasi-randomised controlled trials, controlled before and after studies and interrupted time series studies will be included. Data extraction and quality assessments will be undertaken by two authors. ETHICS AND DISSEMINATION: Ethics approval is not required for this systematic review. The results of this study will be disseminated via peer-reviewed publication and presentation at professional conferences. PROSPERO REGISTRATION NUMBER: CRD42016039458

NHS maternity care response to human trafficking in the UK: Views of women and clinicians

NHS clinicians have a key role in the identification, referral and care of people trafficked in the UK. However, little is known about clinicians’ response to trafficking or their training needs in this area. In addition the views and experiences of trafficked individuals who accessed NHS services or which NHS services they were likely to access were unknown. We aimed to provide evidence to inform the NHS response to human trafficking, specifically the identification and safe referral of trafficked people and provision of appropriate care to meet their health needs. Data relevant to maternity are presented

Revising acute care systems and processes to improve breastfeeding and maternal postnatal health: a pre and post intervention study in one English maternity unit

Background Most women in the UK give birth in a hospital labour ward, following which they are transferred to a postnatal ward and discharged home within 24 to 48 hours of the birth. Despite policy and guideline recommendations to support planned, effective postnatal care, national surveys of women’s views of maternity care have consistently found in-patient postnatal care, including support for breastfeeding, is poorly rated. Methods Using a Continuous Quality Improvement approach, routine antenatal, intrapartum and postnatal care systems and processes were revised to support implementation of evidence based postnatal practice. To identify if implementation of a multi-faceted QI intervention impacted on outcomes, data on breastfeeding initiation and duration, maternal health and women’s views of care, were collected in a pre and post intervention longitudinal survey. Primary outcomes included initiation, overall duration and duration of exclusive breastfeeding. Secondary outcomes included maternal morbidity, experiences and satisfaction with care. As most outcomes of interest were measured on a nominal scale, these were compared pre and post intervention using logistic regression. Results Data were obtained on 741/1160 (64%) women at 10 days post-birth and 616 (54%) at 3 months post-birth pre-intervention, and 725/1153 (63%) and 575 (50%) respectively postintervention. Post intervention there were statistically significant differences in the initiation (p = 0.050), duration of any breastfeeding (p = 0.020) and duration of exclusive breastfeeding to 10 days (p = 0.038) and duration of any breastfeeding to three months (p = 0.016). Post intervention, women were less likely to report physical morbidity within the first 10 days of birth, and were more positive about their in-patient care. Conclusions It is possible to improve outcomes of routine in-patient care within current resources through continuous quality improvement