14,093 research outputs found
Recommended from our members
Evaluating candidate reactions to selection practices using organisational justice theory
Objectives: This study aimed to examine candidate reactions to selection practices in postgraduate medical training using organisational justice theory.
Methods: We carried out three independent cross-sectional studies using samples from three consecutive annual recruitment rounds. Data were gathered from candidates applying for entry into UK general practice (GP) training during 2007, 2008 and 2009. Participants completed an evaluation questionnaire immediately after the short-listing stage and after the selection centre (interview) stage. Participants were doctors applying for GP training in the UK. Main outcome measures were participants’ evaluations of the selection methods and perceptions of the overall fairness of each selection stage (short-listing and selection centre).
Results: A total of 23 855 evaluation questionnaires were completed (6893 in 2007, 10 497 in 2008 and 6465 in 2009). Absolute levels of perceptions of fairness of all the selection methods at both the short-listing and selection centre stages were consistently high over the 3 years. Similarly, all selection methods were considered to be job-related by candidates. However, in general, candidates considered the selection centre stage to be significantly fairer than the short-listing stage. Of all the selection methods, the simulated patient consultation completed at the selection centre stage was rated as the most job-relevant.
Conclusions: This is the first study to use a model of organisational justice theory to evaluate candidate reactions during selection into postgraduate specialty training. The high-fidelity selection methods are consistently viewed as more job-relevant and fairer by candidates. This has important implications for the design of recruitment systems for all specialties and, potentially, for medical school admissions. Using this approach, recruiters can systematically compare perceptions of the fairness and job relevance of various selection methods
Dynamic airfoil stall investigations
Experimental and computational investigations of the dynamic stall phenomenon continue to attract the attention of various research groups in the major aeronautical research laboratories. There are two reasons for this continued research interest. First, the occurrence of dynamic stall on the retreating blade of helicopters imposes a severe performance limitation and thus suggests to search for ways to delay the onset of dynamic stall. Second, the lift enhancement prior to dynamic stall presents an opportunity to achieve enhanced maneuverability of fighter aircraft. A description of the major parameters affecting dynamic stall and lift and an evaluation of research efforts prior to 1988 has been given by Carr. In this paper the authors' recent progress in the development of experimental and computational methods to analyze the dynamic stall phenomena occurring on NACA 0112 airfoils is reviewed. First, the major experimental and computational approaches and results are summarized. This is followed by an assessment of our results and an outlook toward the future
Sensitivity studies for the cubic-kilometre deep-sea neutrino telescope KM3NeT
The observation of high-energy neutrinos from astrophysical sources would
substantially improve our knowledge and understanding of the non-thermal
processes in these sources, and would in particular pinpoint the accelerators
of cosmic rays. The sensitivity of different design options for a future
cubic-kilometre scale neutrino telescope in the Mediterranean Sea is
investigated for generic point sources and in particular for some of the
galactic objects from which TeV gamma emmission has recently been observed by
the H.E.S.S. atmospheric Cherenkov telescope. The effect of atmospheric
background on the source detection probabilities has been taken into account
through full simulation. The estimated event rates are compared to previous
results and limits from present neutrino telescopes.Comment: 4 pages, 1 figure, contribution of the 30th International Cosmic Ray
conferenc
A SUSY A4 model for fermion masses and mixings
We study a supersymmetric extension of the Standard Model based on discrete
A4xZ3xZ4 flavor symmetry. We obtain quark mixing angles as well as a realistic
fermion mass spectrum and we predict tribimaximal leptonic mixing by a
spontaneous breaking of A4. The top quark Yukawa interaction is present at the
renormalizable level in the superpotential while all the other Yukawa
interactions arise only at higher orders. We study the Higgs potential and show
that it can potentially solve the so called vacuum alignment problem. The
leading order predictions are not spoiled by subleading corrections.Comment: version accepted in JHEP, Z3xZ2 changed in Z3xZ4, typos in table
corrected, references adde
MACHOs, White Dwarfs, and the Age of the Universe
(Abridged Abstract) A favored interpretation of recent microlensing
measurements towards the Large Magellanic Cloud implies that a large fraction
(i.e. 10--50%) of the mass of the galactic halo is composed of white dwarfs. We
compare model white dwarf luminosity functions to the data from the
observational surveys in order to determine a lower bound on the age of any
substantial white dwarf halo population (and hence possibly on the age of the
Universe). We compare various theoretical white dwarf luminosity functions, in
which we vary hese three parameters, with the abovementioned survey results.
From this comparison, we conclude that if white dwarfs do indeed constitute
more than 10% of the local halo mass density, then the Universe must be at
least 10 Gyr old for our most extreme allowed values of the parameters. When we
use cooling curves that account for chemical fractionation and more likely
values of the IMF and the bolometric correction, we find tighter limits: a
white dwarf MACHO fraction of 10% (30%) requires a minimum age of 14 Gyr (15.5
Gyr). Our analysis also indicates that the halo white dwarfs almost certainly
have helium-dominated atmospheres.Comment: Final version accepted for publication, straight TeX formate, 6 figs,
22 page
Bose-Einstein condensates in standing waves: The cubic nonlinear Schroedinger equation with a periodic potential
We present a new family of stationary solutions to the cubic nonlinear
Schroedinger equation with a Jacobian elliptic function potential. In the limit
of a sinusoidal potential our solutions model a dilute gas Bose-Einstein
condensate trapped in a standing light wave. Provided the ratio of the height
of the variations of the condensate to its DC offset is small enough, both
trivial phase and nontrivial phase solutions are shown to be stable. Numerical
simulations suggest such stationary states are experimentally observable.Comment: 4 pages, 4 figure
Vacuum Breakdown near a Black Hole Charged by Hypercritical Accretion
We consider a black hole accreting spherically from the surrounding medium.
If accretion produces a luminosity close to the Eddington limit the hole
acquires a net charge so that electrons and ions can fall with the same
velocity. The condition for the electrostatic field to be large enough to break
the vacuum near the hole horizon translates into an upper limit for the hole
mass, The astrophysical conditions under
which this phaenomenon can take place are rather extreme, but in principle they
could be met by a mini black hole residing at the center of a star.Comment: 6 pages, accepted for publication in the Astrophysical Journa
Microbubble Cavitation Imaging
Ultrasound cavitation of microbubble contrast agents has a potential for therapeutic applications such as sonothrombolysis (STL) in acute ischemic stroke. For safety, efficacy, and reproducibility of treatment, it is critical to evaluate the cavitation state (moderate oscillations, stable cavitation, and inertial cavitation) and activity level in and around a treatment area. Acoustic passive cavitation detectors (PCDs) have been used to this end but do not provide spatial information. This paper presents a prototype of a 2-D cavitation imager capable of producing images of the dominant cavitation state and activity level in a region of interest. Similar to PCDs, the cavitation imaging described here is based on the spectral analysis of the acoustic signal radiated by the cavitating microbubbles: ultraharmonics of the excitation frequency indicate stable cavitation, whereas elevated noise bands indicate inertial cavitation; the absence of both indicates moderate oscillations. The prototype system is a modified commercially available ultrasound scanner with a sector imaging probe. The lateral resolution of the system is 1.5 mm at a focal depth of 3 cm, and the axial resolution is 3 cm for a therapy pulse length of 20 mu s. The maximum frame rate of the prototype is 2 Hz. The system has been used for assessing and mapping the relative importance of the different cavitation states of a microbubble contrast agent. In vitro (tissue-mimicking flow phantom) and in vivo (heart, liver, and brain of two swine) results for cavitation states and their changes as a function of acoustic amplitude are presented
Shear mechanical properties of repair grafts—how well do they match normal and torn human rotator cuff tendons?
Validation of an ICD code for accurately identifying emergency department patients who suffer an out-of-hospital cardiac arrest.
AIM: International classification of disease (ICD-9) code 427.5 (cardiac arrest) is utilized to identify cohorts of patients who suffer out-of-hospital cardiac arrest (OHCA), though the use of ICD codes for this purpose has never been formally validated. We sought to validate the utility of ICD-9 code 427.5 by identifying patients admitted from the emergency department (ED) after OHCA.
METHODS: Adult visits to a single ED between January 2007 and July 2012 were retrospectively examined and a keyword search of the electronic medical record (EMR) was used to identify patients. Cardiac arrest was confirmed; and ICD-9 information and location of return of spontaneous circulation (ROSC) were collected. Separately, the EMR was searched for patients who received ICD-9 code 427.5. The kappa coefficient (κ) was calculated, as was the sensitivity and specificity of the code for identifying OHCA.
RESULTS: The keyword search identified 1717 patients, of which 385 suffered OHCA and 333 were assigned the code 427.5. The agreement between ICD-9 code and cardiac arrest was excellent (κ = 0.895). The ICD-9 code 427.5 was both specific (99.4%) and sensitive (86.5%). Of the 52 cardiac arrests that were not identified by ICD-9 code, 33% had ROSC before arrival to the ED. When searching independently on ICD-9 code, 347 patients with ICD-9 code 427.5 were found, of which 320 were true arrests. This yielded a positive predictive value of 92% for ICD-9 code 427.5 in predicting OHCA.
CONCLUSIONS: ICD-9 code 427.5 is sensitive and specific for identifying ED patients who suffer OHCA with a positive predictive value of 92%
- …