Does the Boltzmann principle need a dynamical correction?

In an attempt to derive thermodynamics from classical mechanics, an approximate expression for the equilibrium temperature of a finite system has been derived [M. Bianucci, R. Mannella, B. J. West, and P. Grigolini, Phys. Rev. E 51, 3002 (1995)] which differs from the one that follows from the Boltzmann principle S = k log (Omega(E)) via the thermodynamic relation 1/T= dS/dE by additional terms of "dynamical" character, which are argued to correct and generalize the Boltzmann principle for small systems (here Omega(E) is the area of the constant-energy surface). In the present work, the underlying definition of temperature in the Fokker-Planck formalism of Bianucci et al. is investigated and shown to coincide with an approximate form of the equipartition temperature. Its exact form, however, is strictly related to the "volume" entropy S = k log (Phi(E)) via the thermodynamic relation above for systems of any number of degrees of freedom (Phi(E) is the phase space volume enclosed by the constant-energy surface). This observation explains and clarifies the numerical results of Bianucci et al. and shows that a dynamical correction for either the temperature or the entropy is unnecessary, at least within the class of systems considered by those authors. Explicit analytical and numerical results for a particle coupled to a small chain (N~10) of quartic oscillators are also provided to further illustrate these facts.Comment: REVTeX 4, 10 pages, 2 figures. Accepted to J. Stat. Phy

Medication Management Skills of Nursing Students: Comparing the Students and Their Instructors' Evaluation in two Universities

Background: Nurses have critical roles in the process of medication. Evaluating the process of medication helps nursing educators and students to determine the present status and then, improve the quality of care. Objective: The current study was conducted to compare the self-evaluation of nursing students in their own medication skills with the evaluation done by clinical instructors, in Qom’s Azad University and Arak University of Medical Sciences, in 2011. Materials and Methods: A descriptive study was conducted. Data gathered using a self-report questionnaire and an observation checklist. A total of 141 students and 10 instructors participated in the study. SPSS software (version 13) was employed to analyze the data. Descriptive statistics and Wilcoxon rank test were used. Results: The mean scores for the domain of medication preparation were 2.51 ± 0.55 and 2.58 ± 0.57 based on the students’ self-evaluation and the instructors' evaluation of the students, respectively. No significant difference was observed between the total mean scores of ‘medication preparation’ in the two evaluation methods (P > 0.05). The highest mean score was achieved in the domain of drug administration both in the self-evaluation and evaluation by the instructors. A significant difference was observed between the total mean scores of ‘drug administration’ in the two evaluation methods (P < 0.05). The domain ‘post medication nursing care’ has got the lowest mean score among the three domains both from the perspective of the students and that of the instructors. The mean scores of different domains of medication management were close in the two universities. Conclusions: The present study showed that the nursing students are not quite competent in the process of medication therapy both from their own and their clinical instructors’ perspectives. This finding shows the urgent need to implement some actions to strengthen the students’ skills in medication therapy

Perancangan Mobile Apps Tentang Informasi Promo Kuliner Di Surabaya

Usaha kuliner yang berkembang pesat di Surabaya beriringan dengan semakin banyaknya pengguna Android. Sangat disayangkan apabila dalam bertambahnya USAha kuliner tersebut, penyebaran informasi tenang kuliner khususnya tentang promo tersegmentasi sehingga tidak diketahui secara langsung oleh masyarakat. Dengan demikian diperlukannya sebuah media lain yang dapat memberi informasi kepada masyarakat umum secara langsung dan up to date lewat smartphone yang berbasis Android

Resonant nucleation of spatio-temporal order via parametric modal amplification

We investigate, analytically and numerically, the emergence of spatio-temporal order in nonequilibrium scalar field theories. The onset of order is triggered by destabilizing interactions (DIs), which instantaneously change the interacting potential from a single to a double-well, tunable to be either degenerate (SDW) or nondegenerate (ADW). For the SDW case, we observe the emergence of spatio-temporal coherent structures known as oscillons. We show that this emergence is initially synchronized, the result of parametric amplification of the relevant oscillon modes. We also discuss how these ordered structures act as bottlenecks for equipartition. For ADW potentials, we show how the same parametric amplification mechanism may trigger the rapid decay of a metastable state. For a range of temperatures, the decay rates associated with this resonant nucleation can be orders of magnitude larger than those computed by homogeneous nucleation, with time-scales given by a simple power law, $\tau_{\rm RN}\sim[E_b/k_BT]^B$, where $B$ depends weakly on the temperature and $E_b/k_BT$ is the free-energy barrier of a critical fluctuation.Comment: 38 pages, 20 figures now included within the tex

Tomorrow’s world: Current developments in the therapeutic use of technology for psychosis

There is now an established evidence base for the use of information and communication technology (ICT) to support mental healthcare (‘e-mental health’) for common mental health problems. Recently, there have been significant develop-ments in the therapeutic use of computers, mobile phones, gaming and virtual reality technologies for the assessment and treatment of psychosis. We provide an overview of the therapeutic use of ICT for psychosis, drawing on searches of the scientific literature and the internet and using interviews with experts in the field. We outline interventions that are already relevant to clinical practice, some that may become available in the foreseeable future and emerging challenges for their implementation

Perancangan Iklan Layanan Masyarakat Program Green Jihad Untuk Remaja Di Kota Solo

Saat penghijauan menjadi hal yang sangat penting dalam kehidupan diseluruh duania, di Indonesia juga di kota Solo, sementara program kampanye masih kurang maksimal baik pesan maupun visualnya.Penelitian dan perancangan ini dilakukan untuk menumbuhkan kesadaran masyarakat khususnya remaja untuk melakukan tindakan penghijauan dan menjaga kelestarian alam serta lingkungan dengan sungguh-sungguh dan berkelanjutan di Kota Solo. Penelitian dilakukan dengan pengumpulan data (dengan lapangan maupun literatur) untuk mendapatkan informasi mengenai gerakan penghijauan yang sudah dilakukan sebelumnya di Kota Solo dan kampanye penghijauan yang belum pernah dilakukan di Kota Solo. Hasil penelitian menunjukkan bahwa masyarakat khususnya remaja di Kota Solo sangat antusias dengan adanya Iklan Layanan Masyarakat program Green Jihad dan tertarik untuk ikut bergabung dengan komunitas penghijauan Green Jihad Community

Bringing high-grade arteriovenous malformations under control: clinical outcomes following multimodality treatment in children.

OBJECTIVE:Brain arteriovenous malformations (AVMs) consist of dysplastic blood vessels with direct arteriovenous shunts that can hemorrhage spontaneously. In children, a higher lifetime hemorrhage risk must be balanced with treatment-related morbidity. The authors describe a collaborative, multimodal strategy resulting in effective and safe treatment of pediatric AVMs. METHODS:A retrospective analysis of a prospectively maintained database was performed in children with treated and nontreated pediatric AVMs at the University of California, San Francisco, from 1998 to 2017. Inclusion criteria were age ≤ 18 years at time of diagnosis and an AVM confirmed by a catheter angiogram. RESULTS:The authors evaluated 189 pediatric patients with AVMs over the study period, including 119 ruptured (63%) and 70 unruptured (37%) AVMs. The mean age at diagnosis was 11.6 ± 4.3 years. With respect to Spetzler-Martin (SM) grade, there were 38 (20.1%) grade I, 40 (21.2%) grade II, 62 (32.8%) grade III, 40 (21.2%) grade IV, and 9 (4.8%) grade V lesions. Six patients were managed conservatively, and 183 patients underwent treatment, including 120 resections, 82 stereotactic radiosurgery (SRS), and 37 endovascular embolizations. Forty-four of 49 (89.8%) high-grade AVMs (SM grade IV or V) were treated. Multiple treatment modalities were used in 29.5% of low-grade and 27.3% of high-grade AVMs. Complete angiographic obliteration was obtained in 73.4% of low-grade lesions (SM grade I-III) and in 45.2% of high-grade lesions. A periprocedural stroke occurred in a single patient (0.5%), and there was 1 treatment-related death. The mean clinical follow-up for the cohort was 4.1 ± 4.6 years, and 96.6% and 84.3% of patients neurologically improved or remained unchanged in the ruptured and unruptured AVM groups following treatment, respectively. There were 16 bleeding events following initiation of AVM treatment (annual rate: 0.02 events per person-year). CONCLUSIONS:Coordinated multidisciplinary evaluation and individualized planning can result in safe and effective treatment of children with AVMs. In particular, it is possible to treat the majority of high-grade AVMs with an acceptable safety profile. Judicious use of multimodality therapy should be limited to appropriately selected patients after thorough team-based discussions to avoid additive morbidity. Future multicenter studies are required to better design predictive models to aid with patient selection for multimodal pediatric care, especially with high-grade AVMs

Protocol for the Foot in Juvenile Idiopathic Arthritis trial (FiJIA): a randomised controlled trial of an integrated foot care programme for foot problems in JIA

&lt;b&gt;Background&lt;/b&gt;: Foot and ankle problems are a common but relatively neglected manifestation of juvenile idiopathic arthritis. Studies of medical and non-medical interventions have shown that clinical outcome measures can be improved. However existing data has been drawn from small non-randomised clinical studies of single interventions that appear to under-represent the adult population suffering from juvenile idiopathic arthritis. To date, no evidence of combined therapies or integrated care for juvenile idiopathic arthritis patients with foot and ankle problems exists. &lt;b&gt;Methods/design&lt;/b&gt;: An exploratory phase II non-pharmacological randomised controlled trial where patients including young children, adolescents and adults with juvenile idiopathic arthritis and associated foot/ankle problems will be randomised to receive integrated podiatric care via a new foot care programme, or to receive standard podiatry care. Sixty patients (30 in each arm) including children, adolescents and adults diagnosed with juvenile idiopathic arthritis who satisfy the inclusion and exclusion criteria will be recruited from 2 outpatient centres of paediatric and adult rheumatology respectively. Participants will be randomised by process of minimisation using the Minim software package. The primary outcome measure is the foot related impairment measured by the Juvenile Arthritis Disability Index questionnaire's impairment domain at 6 and 12 months, with secondary outcomes including disease activity score, foot deformity score, active/limited foot joint counts, spatio-temporal and plantar-pressure gait parameters, health related quality of life and semi-quantitative ultrasonography score for inflammatory foot lesions. The new foot care programme will comprise rapid assessment and investigation, targeted treatment, with detailed outcome assessment and follow-up at minimum intervals of 3 months. Data will be collected at baseline, 6 months and 12 months from baseline. Intention to treat data analysis will be conducted. A full health economic evaluation will be conducted alongside the trial and will evaluate the cost effectiveness of the intervention. This will consider the cost per improvement in Juvenile Arthritis Disability Index, and cost per quality adjusted life year gained. In addition, a discrete choice experiment will elicit willingness to pay values and a cost benefit analysis will also be undertaken

Kinks in the Hartree approximation

The topological defects of the lambda phi^4 theory, kink and antikink, are studied in the Hartree approximation. This allows us to discuss quantum effects on the defects in both stationary and dynamical systems. The kink mass is calculated for a number of parameters, and compared to classical, one loop and Monte Carlo results known from the literature. We discuss the thermalization of the system after a kink antikink collision. A classical result, the existence of a critical speed, is rederived and shown for the first time in the quantum theory. We also use kink antikink collisions as a very simple toy model for heavy ion collisions and discuss the differences and similarities, for example in the pressure. Finally, using the Hartree Ensemble Approximation allows us to study kink antikink nucleation starting from a thermal (Bose Einstein) distribution. In general our results indicate that on a qualitative level there are few differences with the classical results, but on a quantitative level there are some import ones.Comment: 20 pages REVTeX 4, 17 Figures. Uses amsmath.sty and subfigure.sty. Final version, fixed typo in published versio