Virtual patient design : exploring what works and why : a grounded theory study

Objectives: Virtual patients (VPs) are online representations of clinical cases used in medical education. Widely adopted, they are well placed to teach clinical reasoning skills. International technology standards mean VPs can be created, shared and repurposed between institutions. A systematic review has highlighted the lack of evidence to support which of the numerous VP designs may be effective, and why. We set out to research the influence of VP design on medical undergraduates. Methods: This is a grounded theory study into the influence of VP design on undergraduate medical students. Following a review of the literature and publicly available VP cases, we identified important design properties. We integrated them into two substantial VPs produced for this research. Using purposeful iterative sampling, 46 medical undergraduates were recruited to participate in six focus groups. Participants completed both VPs, an evaluation and a 1-hour focus group discussion. These were digitally recorded, transcribed and analysed using grounded theory, supported by computer-assisted analysis. Following open, axial and selective coding, we produced a theoretical model describing how students learn from VPs. Results: We identified a central core phenomenon designated ‘learning from the VP’. This had four categories: VP Construction; External Preconditions; Student–VP Interaction, and Consequences. From these, we constructed a three-layer model describing the interactions of students with VPs. The inner layer consists of the student's cognitive and behavioural preconditions prior to sitting a case. The middle layer considers the VP as an ‘encoded object’, an e-learning artefact and as a ‘constructed activity’, with associated pedagogic and organisational elements. The outer layer describes cognitive and behavioural change. Conclusions: This is the first grounded theory study to explore VP design. This original research has produced a model which enhances understanding of how and why the delivery and design of VPs influence learning. The model may be of practical use to authors, institutions and researchers

Feasibility study of an Integrated Program for Aerospace vehicle Design (IPAD). Volume 3: Support of the design process

The user requirements for computer support of the IPAD design process are identified. The user-system interface, language, equipment, and computational requirements are considered

On O-X mode conversion in 2D inhomogeneous plasma with a sheared magnetic field

The conversion of an ordinary wave to an extraordinary wave in a 2D inhomogeneous slab model of the plasma confined by a sheared magnetic field is studied analytically.Comment: sub. to PPC

Self-force of a point charge in the space-time of a symmetric wormhole

We consider the self-energy and the self-force for an electrically charged particle at rest in the wormhole space-time. We develop general approach and apply it to two specific profiles of the wormhole throat with singular and with smooth curvature. The self-force for these two profiles is found in manifest form; it is an attractive force. We also find an expression for the self-force in the case of arbitrary symmetric throat profile. Far from the throat the self-force is always attractive.Comment: 18 pages, 3 figures Comments: corrected pdf, enlarged pape

Nonperturbative Contributions in an Analytic Running Coupling of QCD

In the framework of analytic approach to QCD the nonperturbative contributions in running coupling of strong interaction up to 4-loop order are obtained in an explicit form. For all $Q>\Lambda$ they are shown to be represented in the form of an expansion in inverse powers of Euclidean momentum squared. The expansion coefficients are calculated for different numbers of active quark flavors $n_f$ and for different number of loops taken into account. On basis of the stated expansion the effective method for precise calculation of the analytic running coupling can be developed.Comment: 9 pages, LaTeX, 1 table, 1 eps figur

Mass as a Relativistic Quantum Observable

A field state containing photons propagating in different directions has a non vanishing mass which is a quantum observable. We interpret the shift of this mass under transformations to accelerated frames as defining space-time observables canonically conjugated to energy-momentum observables. Shifts of quantum observables differ from the predictions of classical relativity theory in the presence of a non vanishing spin. In particular, quantum redshift of energy-momentum is affected by spin. Shifts of position and energy-momentum observables however obey simple universal rules derived from invariance of canonical commutators.Comment: 5 pages, revised versio

BZ-MC-BP Model for Jet Production from Black Hole Accretion Disc

Three energy mechanisms invoking large-scale magnetic fields are incorporated in a model to interpret jet production in black hole (BH) systems, i.e., the Blandford-Znajek (BZ), the magnetic coupling (MC) and Blandford-Payne (BP) processes. These energy mechanisms can coexist in BH accretion disc based on the magnetic field configurations constrained by the screw instability, provided that the BH spin and the power-law index indicating the variation of the magnetic field at an accretion disc are greater than some critical values. In this model the jets are driven by the BZ process in the Poynting flux regime and by the BP process in the hydromagnetic regime, being consistent with the spine/sheath jet structure observed in BH sources of stellar and supermassive size.Comment: 9 pages, 6 figures, accepted by MNRA

Closed form representation for a projection onto infinitely dimensional subspace spanned by Coulomb bound states

The closed form integral representation for the projection onto the subspace spanned by bound states of the two-body Coulomb Hamiltonian is obtained. The projection operator onto the $n^2$ dimensional subspace corresponding to the $n$-th eigenvalue in the Coulomb discrete spectrum is also represented as the combination of Laguerre polynomials of $n$-th and $(n-1)$-th order. The latter allows us to derive an analog of the Christoffel-Darboux summation formula for the Laguerre polynomials. The representations obtained are believed to be helpful in solving the breakup problem in a system of three charged particles where the correct treatment of infinitely many bound states in two body subsystems is one of the most difficult technical problems.Comment: 7 page

Relativistic phase space: dimensional recurrences

We derive recurrence relations between phase space expressions in different dimensions by confining some of the coordinates to tori or spheres of radius $R$ and taking the limit as $R \to \infty$. These relations take the form of mass integrals, associated with extraneous momenta (relative to the lower dimension), and produce the result in the higher dimension.Comment: 13 pages, Latex, to appear in J Phys

The UTMOST: A hybrid digital signal processor transforms the MOST

The Molonglo Observatory Synthesis Telescope (MOST) is an 18,000 square meter radio telescope situated some 40 km from the city of Canberra, Australia. Its operating band (820-850 MHz) is now partly allocated to mobile phone communications, making radio astronomy challenging. We describe how the deployment of new digital receivers (RX boxes), Field Programmable Gate Array (FPGA) based filterbanks and server-class computers equipped with 43 GPUs (Graphics Processing Units) has transformed MOST into a versatile new instrument (the UTMOST) for studying the dynamic radio sky on millisecond timescales, ideal for work on pulsars and Fast Radio Bursts (FRBs). The filterbanks, servers and their high-speed, low-latency network form part of a hybrid solution to the observatory's signal processing requirements. The emphasis on software and commodity off-the-shelf hardware has enabled rapid deployment through the re-use of proven 'software backends' for its signal processing. The new receivers have ten times the bandwidth of the original MOST and double the sampling of the line feed, which doubles the field of view. The UTMOST can simultaneously excise interference, make maps, coherently dedisperse pulsars, and perform real-time searches of coherent fan beams for dispersed single pulses. Although system performance is still sub-optimal, a pulsar timing and FRB search programme has commenced and the first UTMOST maps have been made. The telescope operates as a robotic facility, deciding how to efficiently target pulsars and how long to stay on source, via feedback from real-time pulsar folding. The regular timing of over 300 pulsars has resulted in the discovery of 7 pulsar glitches and 3 FRBs. The UTMOST demonstrates that if sufficient signal processing can be applied to the voltage streams it is possible to perform innovative radio science in hostile radio frequency environments.Comment: 12 pages, 6 figure