WHO cares? Safety checklists in echocardiography

The number of potentially preventable medical errors that occur has been steadily increasing. These are a significant cause of patient morbidity, can lead to life-threatening complications and may result in a significant financial burden on health care. Effective communication and team working reduce errors and serious incidents. In particular the implementation of the World Health Organisation (WHO) Safe Surgery Checklist has been shown to reduce in-hospital mortality, postoperative complications and the incidence of surgical site infection. However an increasing number of complex medical procedures and interventions are being performed outside of the theatre environment. The lessons learnt from the surgical setting are relevant to other procedures performed in other areas. For the echocardiographer, transoesophageal echocardiography (TOE) is one such procedure in which there is the potential for medical errors that may result in patient harm. This risk is increased if patient sedation is being administered. The British Society of Echocardiography and the Association of Cardiothoracic Anaesthetists have developed a procedure specific checklist to facilitate the use of checklists into routine practice. In this article we discuss the evolution of the WHO safety checklist and explore its relevance to TOE

Classical noise and flux: the limits of multi-state atom lasers

By direct comparison between experiment and theory, we show how the classical noise on a multi-state atom laser beam increases with increasing flux. The trade off between classical noise and flux is an important consideration in precision interferometric measurement. We use periodic 10 microsecond radio-frequency pulses to couple atoms out of an F=2 87Rb Bose-Einstein condensate. The resulting atom laser beam has suprising structure which is explained using three dimensional simulations of the five state Gross-Pitaevskii equations.Comment: 4 pages, 3 figure

Left ventricular systolic function evaluated by strain echocardiography and relationship with mortality in patients with severe sepsis or septic shock. a systematic review and meta-analysis

Sepsis-induced myocardial dysfunction is associated with poor outcomes, but traditional measurements of systolic function such as left ventricular ejection fraction (LVEF) do not directly correlate with prognosis. Global longitudinal strain (GLS) utilizing speckle-tracking echocardiography (STE) could be a better marker of intrinsic left ventricular (LV) function, reflecting myocardial deformation rather than displacement and volume changes. We sought to investigate the prognostic value of GLS in patients with sepsis and/or septic shock

The Physicist's Guide to the Orchestra

An experimental study of strings, woodwinds (organ pipe, flute, clarinet, saxophone and recorder), and the voice was undertaken to illustrate the basic principles of sound production in music instruments. The setup used is simple and consists of common laboratory equipment. Although the canonical examples (standing wave on a string, in an open and closed pipe) are easily reproduced, they fail to explain the majority of the measurements. The reasons for these deviations are outlined and discussed.Comment: 11 pages, 10 figures (jpg files). Submitted to European Journal of Physic

Tight-binding parameterization for photonic band gap materials

The ideas of the linear combination of atomic orbitals (LCAO) method, well known from the study of electrons, is extended to the classical wave case. The Mie resonances of the isolated scatterer in the classical wave case, are analogous to the localized eigenstates in the electronic case. The matrix elements of the two-dimensional tight-binding (TB) Hamiltonian are obtained by fitting to ab initio results. The transferability of the TB model is tested by reproducing accurately the band structure of different 2D lattices, with and without defects, thus proving that the obtained TB parameters can be used to study other properties of the photonic band gap materials.Comment: 4 pages, 3 postscript figures, sumbitted to Phys. rev. Let

Innovation through Neurodiversity: Diversity is Beneficial

Those experiencing high rapport or strong social connection are more likely to copy each other, or emulate each other’s ideas, either consciously or sub-consciously. In this study, we use this phenomenon to examine whether neurotype match or mismatch impacts degree of imitation in a creative task. We asked 71 participants in neurodiverse pairs (including both autistic and non-autistic participants) and single-neurotype pairs (both autistic or both non-autistic), where one participant builds and one observes, to build the tallest possible tower from dried spaghetti and plasticine. We measured the height of each tower and photographed them to create a stimulus set. We then asked independent raters (n = 351, 62 autistic) to rate towers for degree of similarity. We hypothesised that lower similarity scores would be generated for towers created by people in neurodiverse pairs, showing positive innovation. Results showed towers built in the neurodiverse condition had least similarity, whereas towers built in the autistic and non-autistic conditions were significantly more similar. There was no difference in performance (height of tower) based on condition. Our results are the first to examine creativity within single-neurotype and neurodiverse pairs; they indicate that neurological diversity may be beneficial within a group setting. Subsequent research is required to examine how this interacts with divergent communication styles

Impulsive phase flare energy transport by large-scale Alfven waves and the electron acceleration problem

The impulsive phase of a solar flare marks the epoch of rapid conversion of energy stored in the pre-flare coronal magnetic field. Hard X-ray observations imply that a substantial fraction of flare energy released during the impulsive phase is converted to the kinetic energy of mildly relativistic electrons (10-100 keV). The liberation of the magnetic free energy can occur as the coronal magnetic field reconfigures and relaxes following reconnection. We investigate a scenario in which products of the reconfiguration - large-scale Alfven wave pulses - transport the energy and magnetic-field changes rapidly through the corona to the lower atmosphere. This offers two possibilities for electron acceleration. Firstly, in a coronal plasma with beta < m_e/m_p, the waves propagate as inertial Alfven waves. In the presence of strong spatial gradients, these generate field-aligned electric fields that can accelerate electrons to energies on the order of 10 keV and above, including by repeated interactions between electrons and wavefronts. Secondly, when they reflect and mode-convert in the chromosphere, a cascade to high wavenumbers may develop. This will also accelerate electrons by turbulence, in a medium with a locally high electron number density. This concept, which bridges MHD-based and particle-based views of a flare, provides an interpretation of the recently-observed rapid variations of the line-of-sight component of the photospheric magnetic field across the flare impulsive phase, and offers solutions to some perplexing flare problems, such as the flare "number problem" of finding and resupplying sufficient electrons to explain the impulsive-phase hard X-ray emission.Comment: 31 pages, 6 figure

Function reconstruction as a classical moment problem: A maximum entropy approach

We present a systematic study of the reconstruction of a non-negative function via maximum entropy approach utilizing the information contained in a finite number of moments of the function. For testing the efficacy of the approach, we reconstruct a set of functions using an iterative entropy optimization scheme, and study the convergence profile as the number of moments is increased. We consider a wide variety of functions that include a distribution with a sharp discontinuity, a rapidly oscillatory function, a distribution with singularities, and finally a distribution with several spikes and fine structure. The last example is important in the context of the determination of the natural density of the logistic map. The convergence of the method is studied by comparing the moments of the approximated functions with the exact ones. Furthermore, by varying the number of moments and iterations, we examine to what extent the features of the functions, such as the divergence behavior at singular points within the interval, is reproduced. The proximity of the reconstructed maximum entropy solution to the exact solution is examined via Kullback-Leibler divergence and variation measures for different number of moments.Comment: 20 pages, 17 figure

Shubnikov-de Haas oscillations in YBa_2Cu_4O_8

We report the observation of Shubnikov-de Haas oscillations in the underdoped cuprate superconductor YBa$_2$Cu$_4$O$_8$ (Y124). For field aligned along the c-axis, the frequency of the oscillations is $660\pm 30$ T, which corresponds to $\sim 2.4$ % of the total area of the first Brillouin zone. The effective mass of the quasiparticles on this orbit is measured to be $2.7\pm0.3$ times the free electron mass. Both the frequency and mass are comparable to those recently observed for ortho-II YBa$_2$Cu$_3$O$_{6.5}$ (Y123-II). We show that although small Fermi surface pockets may be expected from band structure calculations in Y123-II, no such pockets are predicted for Y124. Our results therefore imply that these small pockets are a generic feature of the copper oxide plane in underdoped cuprates.Comment: v2: Version of paper accepted for publication in Physical Review Letters. Only minor changes to the text and reference