8,604 research outputs found
A Model of Basic Surgical Skills Course to Supplement the Training of Foundation-Year Doctors by Efficient Use of Local Resources
INTRODUCTION: This study investigates the efficiency of teaching basic surgical skills to foundation-year doctors and medical students by using local resources. METHODS: A course comprising 4 workshops, once a week, of 3 hours duration per session was delivered using local education center facilities and using the local faculty of consultants and surgical trainees. Teaching methods include practical skill stations supplemented with short didactic lectures and group discussion. Precourse and postcourse assessments were completed by candidates and analyzed to measure outcomes of the course both subjectively and objectively. RESULTS: A total number of 20 participants completed the course. On completion of the course, (1) participants' theoretical knowledge improved significantly (p < 0.0001), as measured by multiple-choice questions, and scores improved by 35% (mean 44%, standard deviation = 16%) before the course compared to (mean = 79%, standard deviation = 13) after the course; (2) the level of confidence in knowledge and skills was measured by a questionnaire on a scale of 1 to 5, and there was a significant (p < 0.0001) improvement on postcourse assessment (mean difference = 1.5, 95% CI: 0.7-2.4); and (3) practical skills such as suture position, knot tying, and wound apposition significantly improved after the course, χ(2) (2) = 16, p < 0.001; χ(2) (2) = 18, p < 0.001; and χ(2) (2) = 22, p < 0.0001, respectively. CONCLUSION: Effective delivery of basic surgical skills to foundation-year doctors by using local resources can be achieved at low cost
The return trip effect: Why the return trip often seems to take less time
Three studies confirm the existence of the return trip effect: The return trip often seems shorter than the initial trip, even though the distance traveled and the actual time spent traveling are identical. A pretest shows that people indeed experience a return trip effect regularly, and the effect was found on a bus trip (Study 1), a bicycle trip (Study 2), and when participants watched a video of someone else traveling (Study 3). The return trip effect also existed when another, equidistant route was taken on the return trip, showing that it is not familiarity with the route that causes this effect. Rather, it seems that a violation of expectations causes this effect
Automorphisms of graphs of cyclic splittings of free groups
We prove that any isometry of the graph of cyclic splittings of a finitely
generated free group of rank is induced by an outer automorphism
of . The same statement also applies to the graphs of maximally-cyclic
splittings, and of very small splittings.Comment: 22 pages, 5 figures. Small modifications. To appear in Geometriae
Dedicat
Very special relativity as relativity of dark matter: the Elko connection
In the very special relativity (VSR) proposal by Cohen and Glashow, it was
pointed out that invariance under HOM(2) is both necessary and sufficient to
explain the null result of the Michelson-Morely experiment. It is the quantum
field theoretic demand of locality, or the requirement of P, T, CP, or CT
invariance, that makes invariance under the Lorentz group a necessity.
Originally it was conjectured that VSR operates at the Planck scale; we propose
that the natural arena for VSR is at energies similar to the standard model,
but in the dark sector. To this end we provide an ab initio spinor
representation invariant under the SIM(2) avatar of VSR and construct a mass
dimension one fermionic quantum field of spin one half. This field turns out to
be a very close sibling of Elko and it exhibits the same striking property of
intrinsic darkness with respect to the standard model fields. In the new
construct, the tension between Elko and Lorentz symmetries is fully resolved.
We thus entertain the possibility that the symmetries underlying the standard
model matter and gauge fields are those of Lorentz, while the event space
underlying the dark matter and the dark gauge fields supports the algebraic
structure underlying VSR.Comment: 19 pages. Section 5 is new. Published version (modulo a footnote, and
a corrected typo
Kerr-AdS and its Near-horizon Geometry: Perturbations and the Kerr/CFT Correspondence
We investigate linear perturbations of spin-s fields in the Kerr-AdS black
hole and in its near-horizon geometry (NHEK-AdS), using the Teukolsky master
equation and the Hertz potential. In the NHEK-AdS geometry we solve the
associated angular equation numerically and the radial equation exactly. Having
these explicit solutions at hand, we search for linear mode instabilities. We
do not find any (non-)axisymmetric instabilities with outgoing boundary
conditions. This is in agreement with a recent conjecture relating the
linearized stability properties of the full geometry with those of its
near-horizon geometry. Moreover, we find that the asymptotic behaviour of the
metric perturbations in NHEK-AdS violates the fall-off conditions imposed in
the formulation of the Kerr/CFT correspondence (the only exception being the
axisymmetric sector of perturbations).Comment: 26 pages. 4 figures. v2: references added. matches published versio
Tooth wear in children with Down syndrome
The document attached has been archived with permission from the Australian Dental Association (8th Jan 2008). An external link to the publisher’s copy is included.Background: Several studies have described the impact that dental caries and periodontitis may have on the dentitions of individuals with Down syndrome, but there are few reports about the effects of tooth wear. This investigation aimed to compare the aetiology, prevalence and severity of tooth wear in 49 cytogenetically confirmed Down syndrome children with 49 non-Down syndrome controls. Methods: This study involved three aspects: an oral examination, including obtaining dental impressions; a dietary analysis spanning three days; and a questionnaire seeking information about habits, medical problems and medications. Tooth wear severity was scored on a 4-grade scale (none-to-little; moderate; severe; very severe), while aetiology was classified as being due to attrition mainly, erosion mainly, or a combination of both. Double determinations established scoring method reliability and chi-square tests assessed associations between samples. Results: Tooth wear was significantly more frequent (p<0.01) in the Down syndrome than the non-Down syndrome sample (67.4 per cent cf 34.7 per cent), with more of the Down syndrome children showing severe to very severe wear (59.2 per cent cf 8.2 per cent). Significantly more Down syndrome children (p<0.05) displayed a multifactorial aetiology of tooth wear, i.e., both attrition and erosion (46.7 per cent cf 28.6 per cent), although no particular dietary link was established. Gastric reflux and vomiting were reported in over 20 per cent of the Down syndrome sample. Conclusions: Given the potential consequences of high levels of tooth wear, associated with tooth grinding and an acidic oral environment in Down syndrome children, educational programmes aimed at increasing awareness of carers and health professionals are needed urgently.EJ Bell, J Kaidonis, GC Townsen
Safety evaluation of substituted thiophenes used as flavoring ingredients.
This publication is the second in a series by the Expert Panel of the Flavor and Extract Manufacturers Association summarizing the conclusions of its third systematic re-evaluation of the safety of flavorings previously considered to be generally recognized as safe (GRAS) under conditions of intended use. Re-evaluation of GRAS status for flavorings is based on updated considerations of exposure, structural analogy, metabolism, pharmacokinetics and toxicology and includes a comprehensive review of the scientific information on the flavorings and structurally related substances. Of the 12 substituted thiophenes reviewed here, 11 were reaffirmed as GRAS based on their rapid absorption, metabolism and excretion in humans and animals; the low estimated dietary exposure from flavor use; the wide margins of safety between the conservative estimates of intake and the no-observed-adverse effect levels; and the lack of significant genotoxic and mutagenic potential. For one of the substituted thiophenes, 3-acetyl-2,5-dimethylthiophene, it was concluded that more detailed exposure information, comparative metabolism studies and comprehensive toxicity data, including an in-depth evaluation of the mechanism of action for any adverse effects observed, are required for continuation of its FEMA GRAS™ status. In the absence of these data, the compound was removed from the FEMA GRAS list
Strong quantum memory at resonant Fermi edges revealed by shot noise
Studies of non-equilibrium current fluctuations enable assessing correlations
involved in quantum transport through nanoscale conductors. They provide
additional information to the mean current on charge statistics and the
presence of coherence, dissipation, disorder, or entanglement. Shot noise,
being a temporal integral of the current autocorrelation function, reveals
dynamical information. In particular, it detects presence of non-Markovian
dynamics, i.e., memory, within open systems, which has been subject of many
current theoretical studies. We report on low-temperature shot noise
measurements of electronic transport through InAs quantum dots in the
Fermi-edge singularity regime and show that it exhibits strong memory effects
caused by quantum correlations between the dot and fermionic reservoirs. Our
work, apart from addressing noise in archetypical strongly correlated system of
prime interest, discloses generic quantum dynamical mechanism occurring at
interacting resonant Fermi edges.Comment: 6 pages, 3 figure
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