2,059 research outputs found
Shaped nozzles for cryogenic buffer gas beam sources
Cryogenic buffer gas beams are important sources of cold molecules. In this
work we explore the use of a converging-diverging nozzle with a buffer-gas
beam. We find that, under appropriate circumstances, the use of a nozzle can
produce a beam with improved collimation, lower transverse temperatures, and
higher fluxes per solid angle
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Urban form, infrastructure, and spatial organization in the Roman Empire
Although there has been considerable interest in the nature of ancient cities, it has been difficult to identify and explore quantitative patterns in their design and amenities. In this article, we offer a model for the relationship between the size and infrastructure of settlements, before testing it against measures of the urban form of cities in the Roman
Empire. This allows us to advocate a more consistent approach to investigating settlements that is capable of not only incorporating sites with divergent experiences into the same model, but also exposing their similarities and differences
Evaluating Shared Decision Making in Trial of Labor After Cesarean Counseling Using Objective Structured Clinical Examinations
Introduction
Although shared decision making (SDM) is optimal for trial of labor after cesarean (TOLAC) counseling, resources to assess residents' clinical competency and communication skills are lacking. We addressed this gap by developing and testing an objective structured clinical examination (OSCE) to evaluate whether learners were able to use SDM in TOLAC counseling.
Methods
We created three simulation scenarios with increasing complexity to assess the skills of residents in their first, second, or third postgraduate year in using SDM in TOLAC counseling. All cases involved a standardized patient requesting a TOLAC consultation. Residents were provided with a medical history and instructed to counsel and develop a care plan. A 10-item scoring rubric was used, and each item was rated 0 (absent), 1 (partial), or 2 (complete). Three coders independently rated the encounters; discrepancies were resolved by consensus.
Results
Over 3 years, 39 residents participated in 60 OSCE encounters. The majority provided complete discussions of the clinical issue (93%), chances of success (72%), and maternal and fetal risks (100% and 85%, respectively) but obtained partial assessments of understanding (78%). Discussions of benefits were typically absent, with the exception of the maternal benefits (47%). More than 40% of residents did not discuss the patient's goals, 53% lacked discussion of uncertainties related to TOLAC, and half failed to explore the patient's preference, with most deferring a decision to a future encounter.
Discussion
Residents consistently discussed diagnosis, prognosis, and maternal risks yet infrequently addressed goals and preferences—two critical elements of SDM
The role of information arrival for the Australian dollar trading volume and volatility
This study investigates the impact of scheduled and unscheduled information arrival on realized volatility and volume in the USD/AUD exchange rate. The authors find that trading outside of Australian business hours dominates and this is mostly due to the higher frequency of information arrivals during the offshore trading period. Where the different sources of information are considered, our findings reveal that it is offshore money market news that is the most important determinant of AUD volatility. Fixed income and, to a lesser extent, foreign exchange related news however, were found to be the most important determinants of AUD volume. Finally, while Australian macroeconomic announcements were found to have a more consistent impact on AUD volatility, US macroeconomic news had a considerably larger impact.17 page(s
Money and mental wellbeing : a longitudinal study of medium-sized lottery wins
One of the famous questions in social science is whether money makes people happy. We offer new evidence by using longitudinal data on a random sample of Britons who receive medium-sized lottery wins of between £1000 and £120,000 (that is, up to approximately US$ 200,000). When compared to two control groups – one with no wins and the other with small wins – these individuals go on eventually to exhibit significantly better psychological health. Two years after a lottery win, the average measured improvement in mental wellbeing is 1.4 GHQ points
Electrostatic guiding of the methylidyne radical at cryogenic temperatures
We have produced a cryogenic buffer-gas cooled beam of the diatomic molecular
radical CH (methylidyne). This molecule is of interest for studying cold
chemical reactions and fundamental physics measurements. Its light mass and
ground-state structure make it a promising candidate for electrostatic guiding
and Stark deceleration, which allows for control over its kinetic energy. This
control can facilitate studies of reactions with tuneable collision energies
and trapping for precise spectroscopic studies. Here, we have demonstrated
electrostatic guiding of CH with fluxes up to molecules per steradian
per pulseComment: 10 pages, 10 figure
The food choice at work study: effectiveness of complex workplace dietary interventions on dietary behaviours and diet-related disease risk - study protocol for a clustered controlled trial
Background: Dietary behaviour interventions have the potential to reduce diet-related disease. Ample opportunity exists to implement these interventions in the workplace. The overall aim is to assess the effectiveness and cost-effectiveness of complex dietary interventions focused on environmental dietary modification alone or in combination with nutrition education in large manufacturing workplace settings. Methods/design: A clustered controlled trial involving four large multinational manufacturing workplaces in Cork will be conducted. The complex intervention design has been developed using the Medical Research Council's framework and the National Institute for Health and Clinical Excellence (NICE) guidelines and will be reported using the TREND statement for the transparent reporting of evaluations with non-randomized designs. It will draw on a soft paternalistic 'nudge' theoretical perspective. It will draw on a soft paternalistic "nudge" theoretical perspective. Nutrition education will include three elements: group presentations, individual nutrition consultations and detailed nutrition information. Environmental dietary modification will consist of five elements: (a) restriction of fat, saturated fat, sugar and salt, (b) increase in fibre, fruit and vegetables, (c) price discounts for whole fresh fruit, (d) strategic positioning of healthier alternatives and (e) portion size control. No intervention will be offered in workplace A (control). Workplace B will receive nutrition education. Workplace C will receive nutrition education and environmental dietary modification. Workplace D will receive environmental dietary modification alone. A total of 448 participants aged 18 to 64 years will be selected randomly. All permanent, full-time employees, purchasing at least one main meal in the workplace daily, will be eligible. Changes in dietary behaviours, nutrition knowledge, health status with measurements obtained at baseline and at intervals of 3 to 4 months, 7 to 9 months and 13 to 16 months will be recorded. A process evaluation and cost-effectiveness economic evaluation will be undertaken. Discussion: A 'Food Choice at Work' toolbox (concise teaching kit to replicate the intervention) will be developed to inform and guide future researchers, workplace stakeholders, policy makers and the food industry. Trial registration: Current Controlled Trials, ISRCTN35108237
Rotational master equation for cold laser-driven molecules
The equations of motion for the molecular rotation are derived for
vibrationally cold dimers that are polarized by off-resonant laser light. It is
shown that, by eliminating electronic and vibrational degrees of freedom, a
quantum master equation for the reduced rotational density operator can be
obtained. The coherent rotational dynamics is caused by stimulated Raman
transitions, whereas spontaneous Raman transitions lead to decoherence in the
motion of the quantized angular momentum. As an example the molecular dynamics
for the optical Kerr effect is chosen, revealing decoherence and heating of the
molecular rotation.Comment: 11 pages, 5 figures, to appear in Phys. Rev.
Evidence of Asymmetry in SN 2007rt, a Type IIn Supernova
An optical photometric and spectroscopic analysis of the slowly-evolving Type
IIn SN2007rt is presented, covering a duration of 481 days after discovery. Its
earliest spectrum, taken approximately 100 days after the explosion epoch,
indicates the presence of a dense circumstellar medium, with which the
supernova ejecta is interacting. This is supported by the slowly-evolving light
curve. A notable feature in the spectrum of SN 2007rt is the presence of a
broad He I 5875 line, not usually detected in Type IIn supernovae. This may
imply that the progenitor star has a high He/H ratio, having shed a significant
portion of its hydrogen shell via mass-loss. An intermediate resolution
spectrum reveals a narrow Halpha P-Cygni profile, the absorption component of
which has a width of 128 km/s. This slow velocity suggests that the progenitor
of SN 2007rt recently underwent mass-loss with wind speeds comparable to the
lower limits of those detected in luminous blue variables. Asymmetries in the
line profiles of H and He at early phases bears some resemblance to
double-peaked features observed in a number of Ib/c spectra. These asymmetries
may be indicative of an asymmetric or bipolar outflow or alternatively dust
formation in the fast expanding ejecta. In addition, the late time spectrum, at
over 240 days post-explosion, shows clear evidence for the presence of newly
formed dust.Comment: Submitted to A&A on 4/2/2009. Accepted by A&A on 17/5/2009.15 pages
plus 3 pages of online materia
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