Superfield algorithm for higher order gauge field theories

We propose an algorithm for the construction of higher order gauge field theories from a superfield formulation within the Batalin-Vilkovisky formalism. This is a generalization of the superfield algorithm recently considered by Batalin and Marnelius. This generalization seems to allow for non-topological gauge field theories as well as alternative representations of topological ones. A five dimensional non-abelian Chern-Simons theory and a topological Yang-Mills theory are treated as examples.Comment: 17 pages in LaTeX, improved text, published versio

Infinite spin particles

We show that Wigner's infinite spin particle classically is described by a reparametrization invariant higher order geometrical Lagrangian. The model exhibit unconventional features like tachyonic behaviour and momenta proportional to light-like accelerations. A simple higher order superversion for half-odd integer particles is also derived. Interaction with external vector fields and curved spacetimes are analyzed with negative results except for (anti)de Sitter spacetimes. We quantize the free theories covariantly and show that the resulting wave functions are fields containing arbitrary large spins. Closely related infinite spin particle models are also analyzed.Comment: 43 pages, Late

Topological Field Theories and Geometry of Batalin-Vilkovisky Algebras

The algebraic and geometric structures of deformations are analyzed concerning topological field theories of Schwarz type by means of the Batalin-Vilkovisky formalism. Deformations of the Chern-Simons-BF theory in three dimensions induces the Courant algebroid structure on the target space as a sigma model. Deformations of BF theories in $n$ dimensions are also analyzed. Two dimensional deformed BF theory induces the Poisson structure and three dimensional deformed BF theory induces the Courant algebroid structure on the target space as a sigma model. The deformations of BF theories in $n$ dimensions induce the structures of Batalin-Vilkovisky algebras on the target space.Comment: 25 page

Health services research in the public healthcare system in Hong Kong: An analysis of over 1 million antihypertensive prescriptions between 2004-2007 as an example of the potential and pitfalls of using routinely collected electronic patient data

<b>Objectives</b> Increasing use is being made of routinely collected electronic patient data in health services research. The aim of the present study was to evaluate the potential usefulness of a comprehensive database used routinely in the public healthcare system in Hong Kong, using antihypertensive drug prescriptions in primary care as an example.<p></p> <b>Methods</b> Data on antihypertensive drug prescriptions were retrieved from the electronic Clinical Management System (e-CMS) of all primary care clinics run by the Health Authority (HA) in the New Territory East (NTE) cluster of Hong Kong between January 2004 and June 2007. Information was also retrieved on patients’ demographic and socioeconomic characteristics, visit type (new or follow-up), and relevant diseases (International Classification of Primary Care, ICPC codes). <p></p> <b>Results</b> 1,096,282 visit episodes were accessed, representing 93,450 patients. Patients’ demographic and socio-economic details were recorded in all cases. Prescription details for anti-hypertensive drugs were missing in only 18 patients (0.02%). However, ICPC-code was missing for 36,409 patients (39%). Significant independent predictors of whether disease codes were applied included patient age > 70 years (OR 2.18), female gender (OR 1.20), district of residence (range of ORs in more rural districts; 0.32-0.41), type of clinic (OR in Family Medicine Specialist Clinics; 1.45) and type of visit (OR follow-up visit; 2.39). <p></p> In the 57,041 patients with an ICPC-code, uncomplicated hypertension (ICPC K86) was recorded in 45,859 patients (82.1%). The characteristics of these patients were very similar to those of the non-coded group, suggesting that most non-coded patients on antihypertensive drugs are likely to have uncomplicated hypertension. <p></p> <b>Conclusion</b> The e-CMS database of the HA in Hong Kong varies in quality in terms of recorded information. Potential future health services research using demographic and prescription information is highly feasible but for disease-specific research dependant on ICPC codes some caution is warranted. In the case of uncomplicated hypertension, future research on pharmaco-epidemiology (such as prescription patterns) and clinical issues (such as side-effects of medications on metabolic parameters) seems feasible given the large size of the data set and the comparability of coded and non-coded patients

A brief intervention to counter workplace incivility: Capturing biomarker data, psychological stress and effects on safe patient care

The American Nurses Association (2015) recently released a position statement clearly articulating the need for a multi-leveled approach to address workplace incivility, bullying, and violence. Recommendations include the need for nurse educators to implement evidence-based pedagogies to prepare Newly Licensed Nurses (NLNs) to address incivility and foster a culture of respect and safety in healthcare environments (ANA, 2015). Equipping NLNs with effective coping strategies to prevent and address uncivil encounters between and among co-workers, may build resilience, increase retention and job satisfaction, improve nurse performance, and result in the delivery of safer patient care (D’Ambra & Andrews, 2014; Wing, Regan, & Laschinger, 2013 ). This investigation tested the use of a Cognitive Rehearsal (CR) strategy to help NLNs address workplace incivility and create a healthier work environment

Idelalisib sensitivity and mechanisms of disease progression in relapsed TCF3-PBX1 acute lymphoblastic leukemia

Peer reviewe

Evaluation of HFMI as a Life Extension Technique for Welded Bridge Details

Published by Elsevier B.V. In this current study, HFMI technique is used to study the possibility to extend the fatigue life of pre-fatigued flange gusset welds typically found in girder bridges. The results from the study are also compared with results found in the literature for other more conventional techniques for retrofitting, e.g. cut-outs. The study also aims to investigate if the IIW HFMI recommendations could be applied for existing steel structures and that equal fatigue strength improvement could be claimed for prefatigued structures. Furthermore, new recommendations for structural hot spot stress type B are suggested for HFMI treated welds, applicable to flange guest welds. The results indicate that the HFMI could be used for welded bridge details rehabilitation as a competing technology with conventional cut-out. Furthermore, the results indicate that the IIW recommendations for HFMI fatigue strength improvement could also be applied for pre-fatigued welded details. \ua9 2019 The Authors

A U-shaped relationship between haematocrit and mortality in a large prospective cohort study

Background: Only a limited number of studies have investigated the correlation between haematocrit (HCT) and mortality in the general population, and few of those studies have had data on a wide range of low and high levels of HCT. We investigated the association between baseline HCT and mortality in a prospective cohort study of 49 983 adult subjects in Iran with a broad spectrum of HCT values. Methods: Data on socio-demographic and life-style factors, past medical history, and levels of HCT were collected at enrollment. During a mean follow-up of 5 years (follow-up success rate ±99%), 2262 deaths were reported. Cox proportional hazards regression models were used to estimate hazard ratios and corresponding 95% confidence intervals. Results: There was a U-shaped relationship between categories of HCT and mortality in both sexes: both low and high levels of HCT were associated with increased overall mortality and mortality from cardiovascular disease. The U-shaped relationship persisted after several sensitivity analyses were done, including analyses restricted to non-smokers and non-users of opium; analyses excluding deaths from accidents and other external causes as well as deaths of persons with self-reported ischemic heart disease at the baseline interview for the study; and analyses excluding the first 2 years of follow-up. Self-reported past medical history and lack of data about lipids and other cellular blood components were the major limitations of the study. Conclusions: Low and high levels of HCT are associated with increased mortality in the general population. The findings in the present study can be of particular importance for low- and middle-income countries in which a substantial proportion of the population lives with suboptimal levels of HCT. © Published by Oxford University Press on behalf of the International Epidemiological Association 2013

Tumour expression of leptin is associated with chemotherapy resistance and therapy-independent prognosis in gastro-oesophageal adenocarcinomas

Background: Cytotoxic chemotherapy remains the main systemic therapy for gastro-oesophageal adenocarcinoma, but resistance to chemotherapy is common, resulting in ineffective and often toxic treatment for patients. Predictive biomarkers for chemotherapy response would increase the probability of successful therapy, but none are currently recommended for clinical use. We used global gene expression profiling of tumour biopsies to identify novel predictive biomarkers for cytotoxic chemotherapy. Methods: Tumour biopsies from patients (n=14) with TNM stage IB–IV gastro-oesophageal adenocarcinomas receiving platinum-based combination chemotherapy were used as a discovery cohort and profiled with Affymetrix ST1.0 Exon Genechips. An independent cohort of patients (n=154) treated with surgery with or without neoadjuvant platinum combination chemotherapy and gastric adenocarcinoma cell lines (n=22) were used for qualification of gene expression profiling results by immunohistochemistry. A cisplatin-resistant gastric cancer cell line, AGS Cis5, and the oesophageal adenocarcinoma cell line, OE33, were used for in vitro validation investigations. Results: We identified 520 genes with differential expression (Mann–Whitney U, P<0.020) between radiological responding and nonresponding patients. Gene enrichment analysis (DAVID v6.7) was used on this list of 520 genes to identify pathways associated with response and identified the adipocytokine signalling pathway, with higher leptin mRNA associated with lack of radiological response (P=0.011). Similarly, in the independent cohort (n=154), higher leptin protein expression by immunohistochemistry in the tumour cells was associated with lack of histopathological response (P=0.007). Higher leptin protein expression by immunohistochemistry was also associated with improved survival in the absence of neoadjuvant chemotherapy, and patients with low leptin protein-expressing tumours had improved survival when treated by neoadjuvant chemotherapy (P for interaction=0.038). In the gastric adenocarcinoma cell lines, higher leptin protein expression was associated with resistance to cisplatin (P=0.008), but not to oxaliplatin (P=0.988) or 5fluorouracil (P=0.636). The leptin receptor antagonist SHLA increased the sensitivity of AGS Cis5 and OE33 cell lines to cisplatin. Conclusions: In gastro-oesophageal adenocarcinomas, tumour leptin expression is associated with chemoresistance but a better therapy-independent prognosis. Tumour leptin expression determined by immunohistochemistry has potential utility as a predictive marker of resistance to cytotoxic chemotherapy, and a prognostic marker independent of therapy in gastro-oesophageal adenocarcinoma. Leptin antagonists have been developed for clinical use and leptin and its associated pathways may also provide much needed novel therapeutic targets for gastro-oesophageal adenocarcinoma

The DREEM, part 1: measurement of the educational environment in an osteopathy teaching program

Background Measurement of the educational environment has become more common in health professional education programs. Information gained from these investigations can be used to implement and measure changes to the curricula, educational delivery and the physical environment. A number of questionnaires exist to measure the educational environment, and the most commonly utilised of these is the Dundee Ready Educational Environment Measure (DREEM). Methods The DREEM was administered to students in all year levels of the osteopathy program at Victoria University (VU), Melbourne, Australia. Students also completed a demographic survey. Inferential and correlational statistics were employed to investigate the educational environment based on the scores obtained from the DREEM. Results A response rate of 90% was achieved. The mean total DREEM score was 135.37 (+/- 19.33) with the scores ranging from 72 to 179. Some subscales and items demonstrated differences for gender, clinical phase, age and whether the student was in receipt of a government allowance. Conclusions There are a number of areas in the program that are performing well, and some aspects that could be improved. Overall students rated the VU osteopathy program as more positive than negative. The information obtained in the present study has identified areas for improvement and will enable the program leaders to facilitate changes. It will also provide other educational institutions with data on which they can make comparisons with their own programs