1,225 research outputs found

    Patient centred diagnosis: sharing diagnostic decisions with patients in clinical practice.

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    Patient centred diagnosis is best practised through shared decision making; an iterative dialogue between doctor and patient, whichrespects a patient’s needs, values, preferences, and circumstances. Shared decision making for diagnostic situations differs fundamentally from that for treatment decisions. This has important implications when considering its practical application. The nature of dialogue should be tailored to the specific diagnostic decision; scenarios with higher stakes or uncertainty usually require more detailed conversation

    Radio science measurements of atmospheric refractivity with Mars Global Surveyor

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    Radio occultation experiments with Mars Global Surveyor measure the refractive index of the Martian atmosphere from the surface to ~250 km in geopotential height. Refractivity is proportional to neutral density at low altitudes and electron density at high altitudes, with a transition at ~75 km. We use weighted least squares to decompose zonal refractivity variations into amplitudes and phases for observed wave numbers k=1-4 over the entire altitude range and use the results to analyze atmospheric structure and dynamics. The data set consists of 147 refractivity profiles acquired in December 2000 at summer solstice in the Martian northern hemisphere. The measurements are at an essentially fixed local time (sunrise) and at latitudes from 67deg to 70degN. Thermal tides appear to be responsible for much of the observed ionospheric structure from 80 to 220 km. Tides modulate the neutral density, which in turn, controls the height at which the ionosphere forms. The resulting longitude-dependent vertical displacement of the ionosphere generates distinctive structure in the fitted amplitudes, particularly at k=3, within plusmn50 km of the electron density peak height. Our k=3 observations are consistent with an eastward propagating semidiurnal tide with zonal wave number 1. Relative to previous results, our analysis extends the characterization of tides to altitudes well above and below the electron density peak. In the neutral atmosphere, refractivity variations from the surface to 50 km appear to arise from stationary Rossby waves. Upon examining the full vertical range, stationary waves appear to dominate altitudes below ~75 km, and thermal tides dominate altitudes above this transition region

    Radio scintillations observed during atmospheric occultations of Voyager: Internal gravity waves at Titan and magnetic field orientations at Jupiter and Saturn

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    The refractive index of planetary atmospheres at microwave frequencies is discussed. Physical models proposed for the refractive irregularities in the ionosphere and neutral atmosphere serve to characterize the atmospheric scattering structures, and are used subsequently to compute theoretical scintillation spectra for comparison with the Voyager occultation measurements. A technique for systematically analyzing and interpreting the signal fluctuations observed during planetary occultations is presented and applied to process the dual-wavelength data from the Voyager radio occultations by Jupiter, Saturn, and Titan. Results concerning the plasma irregularities in the upper ionospheres of Jupiter and Saturn are reported. The measured orientation of the irregularities is used to infer the magnetic field direction at several locations in the ionospheres of these two planets; the occultation measurements conflict with the predictions of Jovian magnetic field models, but generally confirm current models of Saturn's field. Wave parameters, including the vertical fluxes of energy and momentum, are estimated, and the source of the internal gravity waves discovered in Titan's upper atmosphere is considered

    Observation of the Isospin-Violating Decay Ds+Ds+π0D_s^{*+}\to D_s^+\pi^0

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    Using data collected with the CLEO~II detector, we have observed the isospin-violating decay Ds+Ds+π0D_s^{*+}\to D_s^+\pi^0. The decay rate for this mode, relative to the dominant radiative decay, is found to be Γ(Ds+Ds+π0)/Γ(Ds+Ds+γ)=0.0620.018+0.020±0.022\Gamma(D_s^{*+}\to D_s^+\pi^0)/\Gamma(D_s^{*+}\to D_s^+\gamma)= 0.062^{+0.020}_{-0.018}\pm0.022.Comment: 8 page uuencoded postscript file, also available through http://w4.lns.cornell.edu/public/CLN

    Measurement of the Inclusive Semi-electronic D0D^0 Branching Fraction

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    Using the angular correlation between the π+\pi^+ emitted in a D+D0π+D^{*+} \rightarrow D^0 \pi^+ decay and the e+e^+ emitted in the subsequent D0Xe+νD^0 \rightarrow Xe^+\nu decay, we have measured the branching fraction for the inclusive semi-electronic decay of the D0D^0 meson to be: {\cal B}(D^0 \rightarrow X e^+ \nu) = [6.64 \pm 0.18 (stat.) \pm 0.29 (syst.)] \%. The result is based on 1.7 fb1^{-1} of e+ee^+e^- collisions recorded by the CLEO II detector located at the Cornell Electron Storage Ring (CESR). Combining the analysis presented in this paper with previous CLEO results we find, \frac{{\cal B} (D^0 \rightarrow X e^+ \nu)} {{\cal B} (D^0 \rightarrow K^- \pi^+)} = 1.684 \pm 0.056 (stat.) \pm 0.093(syst.) and \frac{{\cal B}(D\rightarrow K^-e^+\nu)} {{\cal B}(D\rightarrow Xe^+\nu)} = 0.581 \pm 0.023 (stat.) \pm 0.028(syst.). The difference between the inclusive rate and the sum of the measured exclusive branching fractions (measured at CLEO and other experiments) is (3.3±7.2)%(3.3 \pm 7.2) \% of the inclusive rate.Comment: Latex file, 33pages, 4 figures Submitted to PR

    Study of Gluon versus Quark Fragmentation in Υggγ\Upsilon\to gg\gamma and e+eqqˉγe^{+}e^{-}\to q\bar{q}\gamma Events at \sqrt{s}=10 GeV

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    Using data collected with the CLEO II detector at the Cornell Electron Storage Ring, we determine the ratio R(chrg) for the mean charged multiplicity observed in Upsilon(1S)->gggamma events, to the mean charged multiplicity observed in e+e- -> qqbar gamma events. We find R(chrg)=1.04+/-0.02+/-0.05 for jet-jet masses less than 7 GeV.Comment: 15 pages, postscript file also available through http://w4.lns.cornell.edu/public/CLN

    Observation of Two Narrow States Decaying into Ξc+γ\Xi_{c}^{+}\gamma and Ξc0γ\Xi_{c}^{0}\gamma

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    We report the first observation of two narrow charmed strange baryons decaying to Ξc+γ\Xi_c^+\gamma and Ξc0γ\Xi_c^0\gamma, respectively, using data from the CLEO II detector at CESR. We interpret the observed signals as the Ξc+(csu)\Xi_c^{+\prime}(c{su}) and Ξc0(csd)\Xi_c^{0\prime}(c{sd}), the symmetric partners of the well-established antisymmetric Ξc+(c[su])\Xi_c^+(c[su]) and Ξc0(c[sd])\Xi_c^0(c[sd]). The mass differences M(Ξc+)M(Ξc+)M(\Xi_c^{+\prime})-M(\Xi_c^+) and M(Ξc0)M(Ξc0)M(\Xi_c^{0\prime})-M(\Xi_c^0) are measured to be 107.8±1.7±2.5107.8\pm 1.7\pm 2.5 and 107.0±1.4±2.5MeV/c2107.0\pm 1.4\pm 2.5 MeV/c^2, respectively.Comment: 11 pages, postscript file also available through http://w4.lns.cornell.edu/public/CLN

    Branching Fractions of tau Leptons to Three Charged Hadrons

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    From electron-positron collision data collected with the CLEO detector operating at CESR near \sqrt{s}=10.6 GeV, improved measurements of the branching fractions for tau decays into three explicitly identified hadrons and a neutrino are presented as {\cal B}(\tau^-\to\pi^-\pi^+\pi^-\nu_\tau)=(9.13\pm0.05\pm0.46)%, {\cal B}(\tau^-\to K^-\pi^+\pi^-\nu_\tau)=(3.84\pm0.14\pm0.38)\times10^{-3}, {\cal B}(\tau^-\to K^-K^+\pi^-\nu_\tau)=(1.55\pm0.06\pm0.09)\times10^{-3}, and {\cal B}(\tau^-\to K^-K^+K^-\nu_\tau)<3.7\times10^{-5} at 90% C.L., where the uncertainties are statistical and systematic, respectively.Comment: 10 pages postscript, also available through http://w4.lns.cornell.edu/public/CLNS, to appear in Phys. Rev. Let
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