The Lanczos potential for Weyl-candidate tensors exists only in four dimensions

We prove that a Lanczos potential L_abc for the Weyl candidate tensor W_abcd does not generally exist for dimensions higher than four. The technique is simply to assume the existence of such a potential in dimension n, and then check the integrability conditions for the assumed system of differential equations; if the integrability conditions yield another non-trivial differential system for L_abc and W_abcd, then this system's integrability conditions should be checked; and so on. When we find a non-trivial condition involving only W_abcd and its derivatives, then clearly Weyl candidate tensors failing to satisfy that condition cannot be written in terms of a Lanczos potential L_abc.Comment: 11 pages, LaTeX, Heavily revised April 200

The Vertical Structure of Planet-induced Gaps in Proto-Planetary Discs

Giant planets embedded in circumstellar discs are expected to open gaps in these discs. We examine the vertical structure of the gap edges. We find that the planet excites spiral arms with significant (Mach number of a half) vertical motion of the gas, and discuss the implications of these motions. In particular, the spiral arms will induce strong vertical stirring of the dust, making the edge appeared `puffed up' relative to the bulk of the disc. Infra-red observations (sensitive to dust) would be dominated by the light from the thick inner edge of the disc. Sub-millimetre observations (sensitive to gas velocities) would appear to be hot in `turbulent' motions (actually the ordered motion caused by the passage of the spiral arms), but cold in chemistry. Resolved sub-millimetre maps of circumstellar discs might even be able to detect the spiral arms directly.Comment: Revision adds new data, and corrects physical intepretatio

C1 inhibitor deficiency: 2014 United Kingdom consensus document

C1 inhibitor deficiency is a rare disorder manifesting with recurrent attacks of disabling and potentially life-threatening angioedema. Here we present an updated 2014 United Kingdom consensus document for the management of C1 inhibitor-deficient patients, representing a joint venture between the United Kingdom Primary Immunodeficiency Network and Hereditary Angioedema UK. To develop the consensus, we assembled a multi-disciplinary steering group of clinicians, nurses and a patient representative. This steering group first met in 2012, developing a total of 48 recommendations across 11 themes. The statements were distributed to relevant clinicians and a representative group of patients to be scored for agreement on a Likert scale. All 48 statements achieved a high degree of consensus, indicating strong alignment of opinion. The recommendations have evolved significantly since the 2005 document, with particularly notable developments including an improved evidence base to guide dosing and indications for acute treatment, greater emphasis on home therapy for acute attacks and a strong focus on service organisation. This article is protected by copyright. All rights reserved

A local potential for the Weyl tensor in all dimensions

In all dimensions and arbitrary signature, we demonstrate the existence of a new local potential -- a double (2,3)-form -- for the Weyl curvature tensor, and more generally for all tensors with the symmetry properties of the Weyl curvature tensor. The classical four-dimensional Lanczos potential for a Weyl tensor -- a double (2,1)-form -- is proven to be a particular case of the new potential: its double dual.Comment: 7 pages; Late

A Survey of Local Optical Committees (LOCs) involved in Cataract Pathways within the London Region

Purpose: Cataract enhanced service (direct referral) schemes have been in existence for over 12 years. Such schemes make better use of the primary care practitioner's professional expertise and have the potential to reduce costs and provide an improved patient pathway. Surprisingly little has been published about these schemes, hence there is a lack of evidence to inform local decision making about existing and future services. The aim of this study was to provide more evidence by surveying the Local Optical Committees (LOCs) to obtain their views on their involvement or lack of involvement in cataract enhanced service schemes in the London region. Secondary aims were to compare how schemes operate and determine why schemes do not exist in some areas. Method: A structured survey of London’s 14 LOCs was carried out on two occasions (2007 and 2012). LOCs were contacted via e-mail, telephone or written letter. Some supporting information was obtained from PCTs. All data were analysed qualitatively. Results: In 2007, only two out of the 10 LOCs that had participated in the 2005 Cataract Choose and Book scheme were involved in running a full direct referral scheme. This had risen to six by 2012 with a total of 11 LOCs having participated in a trial/pilot scheme by that date. The remaining three LOCs have never participated in a scheme. Although there are similarities across schemes (e.g. requirement for accreditation, a referral fee etc), marked differences were found in patient booking arrangements, requirements during initial assessment and post-operative assessment. The percentage of LOCs involved in full schemes in the London region (43%) is lower than for the rest of England (69%). Where trial/pilot schemes had run but no full scheme had been implemented the major reasons reported were: lack of central funding; the schemes were only feasibility studies; and the requirement for a Unique Booking Reference Number (UBRN) for the Choose and Book process. Conclusions: Enhanced cataract service schemes do not always develop into full schemes even if the trial/pilot scheme has been deemed successful. Schemes may have a more prominent role in future with requirements on Clinical Commissioning Groups to provide an improved patient experience within tighter financial constraints. The co-ordinating activity across England of the Local Optical Committee Support Unit (LOCSU) and the newly formed Local Professional Networks for Eyecare should help increase uniformity of approach. All established cataract schemes will need to be re-procured during 2013/14 if they are to continue without interruption

Effects of circadian rhythm phase alteration on physiological and psychological variables: Implications to pilot performance (including a partially annotated bibliography)

The effects of environmental synchronizers upon circadian rhythmic stability in man and the deleterious alterations in performance and which result from changes in this stability are points of interest in a review of selected literature published between 1972 and 1980. A total of 2,084 references relevant to pilot performance and circadian phase alteration are cited and arranged in the following categories: (1) human performance, with focus on the effects of sleep loss or disturbance and fatigue; (2) phase shift in which ground based light/dark alteration and transmeridian flight studies are discussed; (3) shiftwork; (4)internal desynchronization which includes the effect of evironmental factors on rhythmic stability, and of rhythm disturbances on sleep and psychopathology; (5) chronotherapy, the application of methods to ameliorate desynchronization symptomatology; and (6) biorythm theory, in which the birthdate based biorythm method for predicting aircraft accident susceptability is critically analyzed. Annotations are provided for most citations

Radiative Transfer in Star Formation: Testing FLD and Hybrid Methods

We perform a comparison between two radiative transfer algorithms commonly employed in hydrodynamical calculations of star formation: grey flux limited diffusion and the hybrid scheme, in addition we compare these algorithms to results from the Monte-Carlo radiative transfer code MOCASSIN. In disc like density structures the hybrid scheme performs significantly better than the FLD method in the optically thin regions, with comparable results in optically thick regions. In the case of a forming high mass star we find the FLD method significantly underestimates the radiation pressure by a factor of ~100.Comment: 4 Pages; to appear in the proceedings of 'The Labyrinth of Star Formation', Crete, 18-22 June 201