1,478 research outputs found
Supergravity Higgs Inflation and Shift Symmetry in Electroweak Theory
We present a model of inflation in a supergravity framework in the Einstein
frame where the Higgs field of the next to minimal supersymmetric standard
model (NMSSM) plays the role of the inflaton. Previous attempts which assumed
non-minimal coupling to gravity failed due to a tachyonic instability of the
singlet field during inflation. A canonical K\"{a}hler potential with
\textit{minimal coupling} to gravity can resolve the tachyonic instability but
runs into the -problem. We suggest a model which is free of the
-problem due to an additional coupling in the K\"{a}hler potential which
is allowed by the Standard Model gauge group. This induces directions in the
potential which we call K-flat. For a certain value of the new coupling in the
(N)MSSM, the K\"{a}hler potential is special, because it can be associated with
a certain shift symmetry for the Higgs doublets, a generalization of the shift
symmetry for singlets in earlier models. We find that K-flat direction has
This shift symmetry is broken by interactions coming from
the superpotential and gauge fields. This direction fails to produce successful
inflation in the MSSM but produces a viable model in the NMSSM. The model is
specifically interesting in the Peccei-Quinn (PQ) limit of the NMSSM. In this
limit the model can be confirmed or ruled-out not just by cosmic microwave
background observations but also by axion searches.Comment: matches the published version at JCA
Factors influencing patient loyalty to outpatient medical services: an empirical analysis of the UAEās government healthcare system
Purpose
The aim of this research is to uncover issues that inhibit patients' satisfaction and loyalty and identify factors that could enhance customer retention by government hospitals in the United Arab Emirates (UAE). The mediating impact of outpatient satisfaction on service quality, word of mouth (WoM), hospital image, outpatientāphysician relationship and outpatient loyalty were tested.
Design/methodology/approach
The sample data used to test the hypotheses were drawn from a pool of patients served by a government healthcare agency in Abu Dhabi. Questionnaires were provided to 418 participants using methods such as short message service, e-mail and face-to-face delivery. The data were analyzed using SmartPLS 3.3.2 software.
Findings
The results indicate that service quality, WoM and outpatientāphysician relationship positively impact outpatient satisfaction and indirectly effect outpatient loyalty; that hospital image positively impacts outpatient satisfaction and loyalty and has a partially mediating effect on loyalty; that waiting time satisfaction has no effect on outpatient satisfaction and no moderating effect on the outpatient satisfactionāloyalty relationship and that switching cost has a positive effect on loyalty but no moderating effect on the outpatient satisfactionāloyalty relationship.
Research limitations/implications
The first limitation of this study concerns the fact that only patients who had previously been served by these hospitals' outpatient units were included. Furthermore, the research was not able to obtain extensive findings related to the various factors that negatively impacted patient satisfaction and loyalty among all of the departments of government hospitals, such as inpatient care and emergency care.
Practical implications
Centered on the findings from this research, increasing switching costs would prevent patients from switching to other healthcare providers. Therefore, it has the potential to create a false loyalty or a hostage customer (Jones and Sasser, 1995). Additionally, making patients feel connected to their treatment plan and engaged in their care by developing a tool to maintain their enthusiasm about their health is important. It is therefore recommended that government hospital care providers and management consider providing online tools that patients can use to self-manage their care.
Social implications
The results regarding patients' satisfaction level suggest several areas for improvement. The first pertains to waiting area entertainment and comfort because patients indicated that there is not enough entertainment or ways to pass the time when waiting for services. In addition to enhancing the entertainment and comfort of waiting areas, government hospital staff should maintain contact with patients who are waiting to ensure that they are aware of the time they will spend. Another area for improvement is the parking lot. During summer, patients prefer to walk less in the sun, which causes them to seek parking closer to the door. Government hospital management should consider different methods for transporting patients closer to the door, such as golf carts or valet services.
Originality/value
This is the first study to investigate the mediating impact of outpatients' satisfaction between its antecedents and loyalty in the UAE. These results provide an improved understanding of the factors influencing patient choices and establish more accurate methods for increasing patient loyalty to retain more patients
Do stochastic inhomogeneities affect dark-energy precision measurements?
The effect of a stochastic background of cosmological perturbations on the
luminosity-redshift relation is computed to second order through a recently
proposed covariant and gauge-invariant light-cone averaging procedure. The
resulting expressions are free from both ultraviolet and infrared divergences,
implying that such perturbations cannot mimic a sizable fraction of dark
energy. Different averages are estimated and depend on the particular function
of the luminosity distance being averaged. The energy flux, being minimally
affected by perturbations at large z, is proposed as the best choice for
precision estimates of dark-energy parameters. Nonetheless, its irreducible
(stochastic) variance induces statistical errors on \Omega_{\Lambda}(z)
typically lying in the few-percent range.Comment: 5 pages, 3 figures. Comments and references added. Typos corrected.
Version accepted for publication in Phys. Rev. Let
Neuronal assembly dynamics in supervised and unsupervised learning scenarios
The dynamic formation of groups of neuronsāneuronal assembliesāis believed to mediate cognitive phenomena at many levels, but their detailed operation and mechanisms of interaction are still to be uncovered. One hypothesis suggests that synchronized oscillations underpin their formation and functioning, with a focus on the temporal structure of neuronal signals. In this context, we investigate neuronal assembly dynamics in two complementary scenarios: the first, a supervised spike pattern classification task, in which noisy variations of a collection of spikes have to be correctly labeled; the second, an unsupervised, minimally cognitive evolutionary robotics tasks, in which an evolved agent has to cope with multiple, possibly conflicting, objectives. In both cases, the more traditional dynamical analysis of the systemās variables is paired with information-theoretic techniques in order to get a broader picture of the ongoing interactions with and within the network. The neural network model is inspired by the Kuramoto model of coupled phase oscillators and allows one to fine-tune the network synchronization dynamics and assembly configuration. The experiments explore the computational power, redundancy, and generalization capability of neuronal circuits, demonstrating that performance depends nonlinearly on the number of assemblies and neurons in the network and showing that the framework can be exploited to generate minimally cognitive behaviors, with dynamic assembly formation accounting for varying degrees of stimuli modulation of the sensorimotor interactions
Morphometric and macroanatomic examination of auditory ossicles in male wolves (Canis lupus)
Background: The aim of the study was to determine morphometric and macroanatomic features of auditory ossicles and the tympanic bulla in wolf.
Materials and methods: For this purpose, 7 skulls of adult male wolf were used in the study. Auditory ossicles was photographed on a dissection microscope after it was removed from the skull. A total of 14 morphometric measurements were taken among the different points of malleus, incus and stapes in Image J programme. Mean values of the measurements were obtained and statistically compared in terms of sides (right-left).
Results: In male wolves, the lengths of the right and left malleus were determined as mean 9.35 Ā± 0.14 and 9.57 Ā± 0.25 mm, the lengths of the incus as mean 3.01 Ā± 0.32 and 2.94 Ā± 0.16 mm, and the lengths of the stapes as mean 2.57 Ā± 0.12 and 2.59 Ā± 0.14 mm, respectively. The differences were not statistically significant when all the morphometric parameters were compared in terms of sides (p > 0.05).
Conclusions: It is considered that this study will contribute to the anatomical studies to be conducted in the Canidae family regarding auditory ossicles
Effects of Noise in a Cortical Neural Model
Recently Segev et al. (Phys. Rev. E 64,2001, Phys.Rev.Let. 88, 2002) made
long-term observations of spontaneous activity of in-vitro cortical networks,
which differ from predictions of current models in many features. In this paper
we generalize the EI cortical model introduced in a previous paper (S.Scarpetta
et al. Neural Comput. 14, 2002), including intrinsic white noise and analyzing
effects of noise on the spontaneous activity of the nonlinear system, in order
to account for the experimental results of Segev et al.. Analytically we can
distinguish different regimes of activity, depending from the model parameters.
Using analytical results as a guide line, we perform simulations of the
nonlinear stochastic model in two different regimes, B and C. The Power
Spectrum Density (PSD) of the activity and the Inter-Event-Interval (IEI)
distributions are computed, and compared with experimental results. In regime B
the network shows stochastic resonance phenomena and noise induces aperiodic
collective synchronous oscillations that mimic experimental observations at 0.5
mM Ca concentration. In regime C the model shows spontaneous synchronous
periodic activity that mimic activity observed at 1 mM Ca concentration and the
PSD shows two peaks at the 1st and 2nd harmonics in agreement with experiments
at 1 mM Ca. Moreover (due to intrinsic noise and nonlinear activation function
effects) the PSD shows a broad band peak at low frequency. This feature,
observed experimentally, does not find explanation in the previous models.
Besides we identify parametric changes (namely increase of noise or decreasing
of excitatory connections) that reproduces the fading of periodicity found
experimentally at long times, and we identify a way to discriminate between
those two possible effects measuring experimentally the low frequency PSD.Comment: 25 pages, 10 figures, to appear in Phys. Rev.
General Analysis of Inflation in the Jordan frame Supergravity
We study various inflation models in the Jordan frame supergravity with a
logarithmic Kahler potential. We find that, in a class of inflation models
containing an additional singlet in the superpotential, three types of
inflation can be realized: the Higgs-type inflation, power-law inflation, and
chaotic inflation with/without a running kinetic term. The former two are
possible if the holomorphic function dominates over the non-holomorphic one in
the frame function, while the chaotic inflation occurs when both are
comparable. Interestingly, the fractional-power potential can be realized by
the running kinetic term. We also discuss the implication for the Higgs
inflation in supergravity.Comment: 16 pages, 1 figur
Higgs Chaotic Inflation in Standard Model and NMSSM
We construct a chaotic inflation model in which the Higgs fields play the
role of the inflaton in the standard model as well as in the singlet extension
of the supersymmetric standard model. The key idea is to allow a non-canonical
kinetic term for the Higgs field. The model is a realization of the recently
proposed running kinetic inflation, in which the coefficient of the kinetic
term grows as the inflaton field. The inflaton potential depends on the
structure of the Higgs kinetic term. For instance, the inflaton potential is
proportional to phi^2 and phi^{2/3} in the standard model and NMSSM,
respectively. It is also possible to have a flatter inflaton potential.Comment: 5 pages. v2:discussion and references adde
Critical Exponents of the Three Dimensional Random Field Ising Model
The phase transition of the three--dimensional random field Ising model with
a discrete () field distribution is investigated by extensive Monte
Carlo simulations. Values of the critical exponents for the correlation length,
specific heat, susceptibility, disconnected susceptibility and magnetization
are determined simultaneously via finite size scaling. While the exponents for
the magnetization and disconnected susceptibility are consistent with a first
order transition, the specific heat appears to saturate indicating no latent
heat. Sample to sample fluctuations of the susceptibilty are consistent with
the droplet picture for the transition.Comment: Revtex, 10 pages + 4 figures included as Latex files and 1 in
Postscrip
Nonlinear relativistic corrections to cosmological distances, redshift and gravitational lensing magnification. I - Key results
The next generation of telescopes will usher in an era of precision
cosmology, capable of determining the cosmological model to beyond the percent
level. For this to be effective, the theoretical model must be understood to at
least the same level of precision. A range of subtle relativistic effects
remain to be explored theoretically, and offer the potential for probing
general relativity in this new regime. We present the distance-redshift
relation to second order in cosmological perturbation theory for a general dark
energy model. This relation determines the magnification of sources at high
precision, as well as redshift space distortions in the mildly non-linear
regime. We identify a range of new lensing effects, including:
double-integrated and nonlinear integrated Sach-Wolfe contributions, transverse
Doppler effects, lensing from the induced vector mode and gravitational wave
backgrounds, in addition to lensing from the second-order potential.
Modifications to Doppler lensing from redshift-space distortions are
identified. Finally, we find a new double-coupling between the density
fluctuations integrated along the line of sight, and gradients in the density
fluctuations coupled to transverse velocities along the line of sight. These
can be large and thus offer important new probes of gravitational lensing and
general relativity. This paper accompanies arXiv:1402.1933, where a
comprehensive derivation is given.Comment: 7 pages. v2 has significant presentational changes. v3 has new
discussion on the magnitude of the corrections, plus minor corrections, and
is the version to appear in CQ
- ā¦