Palaeolithic Social Networks and Behavioural Modernity

In this chapter, we discuss some of the challenges researchers face when using formal analysis methods to study Palaeolithic social networks. We also present alternative and complementary methods that can mitigate those challenges; in particular, we argue that agent-based models are useful tools to test formal methods and explore network questions that cannot be answered solely from the archaeological record. We use such a model to show how different social behaviours are reflected in material networks, and to evaluate the accuracy of a popular method to reconstruct Palaeolithic networks. Finally, we identify a number of fruitful areas that could be targeted by Palaeolithic network analysts, as well as questions for which social network analysis techniques may be particularly well suited

Fundamental limitations on "warp drive" spacetimes

"Warp drive" spacetimes are useful as "gedanken-experiments" that force us to confront the foundations of general relativity, and among other things, to precisely formulate the notion of "superluminal" communication. We verify the non-perturbative violation of the classical energy conditions of the Alcubierre and Natario warp drive spacetimes and apply linearized gravity to the weak-field warp drive, testing the energy conditions to first and second order of the non-relativistic warp-bubble velocity. We are primarily interested in a secondary feature of the warp drive that has not previously been remarked upon, if it could be built, the warp drive would be an example of a "reaction-less drive". For both the Alcubierre and Natario warp drives we find that the occurrence of significant energy condition violations is not just a high-speed effect, but that the violations persist even at arbitrarily low speeds. An interesting feature of this construction is that it is now meaningful to place a finite mass spaceship at the center of the warp bubble, and compare the warp field energy with the mass-energy of the spaceship. There is no hope of doing this in Alcubierre's original version of the warp-field, since by definition the point in the center of the warp bubble moves on a geodesic and is "massless". That is, in Alcubierre's original formalism and in the Natario formalism the spaceship is always treated as a test particle, while in the linearized theory we can treat the spaceship as a finite mass object. For both the Alcubierre and Natario warp drives we find that even at low speeds the net (negative) energy stored in the warp fields must be a significant fraction of the mass of the spaceship.Comment: 18 pages, Revtex4. V2: one reference added, some clarifying comments and discussion, no physics changes, accepted for publication in Classical and Quantum Gravit

Hamiltonians separable in cartesian coordinates and third-order integrals of motion

We present in this article all Hamiltonian systems in E(2) that are separable in cartesian coordinates and that admit a third-order integral, both in quantum and in classical mechanics. Many of these superintegrable systems are new, and it is seen that there exists a relation between quantum superintegrable potentials, invariant solutions of the Korteweg-De Vries equation and the Painlev\'e transcendents.Comment: 19 pages, Will be published in J. Math. Phy

‘‘Healthy,’’ ‘‘diet,’’ or ‘‘hedonic’’ : how nutrition claims affect food-related perceptions and intake?

The main purpose of this study was to investigate the impact of nutrition claims on food perceptions and intake among adult men and women, during ad libitum snacks. In a three (healthy vs. diet vs. hedonic) by two (normal-weight vs. overweight/obese) by two (unrestrained vs. restrained eaters) factorial design, 164 men and 188 women were invited to taste and rate oatmeal-raisin cookies. Despite the fact that the cookies were the same in all conditions, they were perceived as being healthier in the “healthy” condition than in the “diet” and “hedonic” conditions. The caloric content was estimated as higher by participants in the “hedonic” than in the “healthy” condition, by women than by men, and by restrained than by unrestrained eaters. Although measured ad libitum cookie intake did not differ as a function of experimental condition, overweight restrained men ate more than did women from each BMI and restraint category. Conversely, overweight restrained women ate less than did men from each BMI and restraint category. In conclusion, our manipulations of healthiness and “fatteningness” of food were effective in changing perceptions, but were not in changing behavior

Determinants of Oral Corticosteroid Responsiveness in Wheezing Asthmatic Youth (DOORWAY): Protocol for a prospective multicentre cohort study of children with acute moderate-to-severe asthma exacerbations

Introduction: Oral corticosteroids are the cornerstone of acute asthma management in the emergency department. Recent evidence has raised doubts about the efficacy of this treatment in preschool-aged children with viral-induced wheezing and in smoking adults. The aims of the study were to: (1) document the magnitude of response to oral corticosteroids in children presenting to the emergency department with moderate or severe asthma; (2) quantify potential determinants of response to corticosteroids and (3) explore the role of gene polymorphisms associated with the responsiveness to corticosteroids. Methods and analysis: The design is a prospective cohort study of 1008 children aged 1-17 years meeting a strict definition of asthma and presenting with a clinical score of ≥4 on the validated Pediatric Respiratory Assessment Measure. All children will receive standardised severity-specific treatment with prednisone/prednisolone and cointerventions (salbutamol with/without ipratropium bromide). Determinants, namely viral aetiology, environmental tobacco smoke and single nucleotide polymorphism, will be objectively documented. The primary efficacy endpoint is the failure of emergency department (ED) management within 72 h of the ED visit. Secondary endpoints include other measures of asthma severity and time to recovery within 7 days of the index visit. The study has 80% power for detecting a risk difference of 7.5% associated with each determinant from a baseline risk of 21%, at an α of 0.05. Ethics and dissemination: Ethical approval has been obtained from all participating institutions. An impaired response to systemic steroids in certain subgroups will challenge the current standard of practice and call for the immediate search for better approaches. A potential host-environment interaction will broaden our understanding of corticosteroid responsiveness in children. Documentation of similar effectiveness of corticosteroids across determinants will provide the needed reassurance regarding current treatment recommendations. Results: Results will be disseminated at international conferences and manuscripts targeted at emergency physicians, paediatricians, geneticists and respirologists. Trial registration number: This study is registered at Clinicaltrials.gov (NCT02013076)

Variation in the Diagnosis and Management of Appendicitis at Canadian Pediatric Hospitals

Objectives The objective was to characterize the variations in practice in the diagnosis and management of children admitted to hospitals from Canadian pediatric emergency departments (EDs) with suspected appendicitis, specifically the timing of surgical intervention, ED investigations, and management strategies. Methods Twelve sites participated in this retrospective health record review. Children aged 3 to 17 years admitted to the hospital with suspected appendicitis were eligible. Site-specific demographics, investigations, and interventions performed were recorded and compared. Factors associated with after-hours surgery were determined using generalized estimating equations logistic regression. Results Of the 619 children meeting eligibility criteria, surgical intervention was performed in 547 (88%). After-hours surgery occurred in 76 of the 547 children, with significant variation across sites (13.9%, 95% confidence interval = 7.1% to 21.6%, p \u3c 0.001). The overall perforation rate was 17.4% (95 of 547), and the negative appendectomy rate was 6.8% (37 of 547), varying across sites (p = 0.004 and p = 0.036, respectively). Use of inflammatory markers (p \u3c 0.001), blood cultures (p \u3c 0.001), ultrasound (p = 0.001), and computed tomography (p = 0.001) also varied by site. ED administration of narcotic analgesia and antibiotics varied across sites (p \u3c 0.001 and p = 0.001, respectively), as did the type of surgical approach (p \u3c 0.001). After-hours triage had a significant inverse association with after-hours surgery (p = 0.014). Conclusions Across Canadian pediatric EDs, there exists significant variation in the diagnosis and management of children with suspected appendicitis. These results indicate that the best diagnostic and management strategies remain unclear and support the need for future prospective, multicenter studies to identify strategies associated with optimal patient outcomes

Arduous implementation: Does the Normalisation Process Model explain why it's so difficult to embed decision support technologies for patients in routine clinical practice

Background: decision support technologies (DSTs, also known as decision aids) help patients and professionals take part in collaborative decision-making processes. Trials have shown favorable impacts on patient knowledge, satisfaction, decisional conflict and confidence. However, they have not become routinely embedded in health care settings. Few studies have approached this issue using a theoretical framework. We explained problems of implementing DSTs using the Normalization Process Model, a conceptual model that focuses attention on how complex interventions become routinely embedded in practice.Methods: the Normalization Process Model was used as the basis of conceptual analysis of the outcomes of previous primary research and reviews. Using a virtual working environment we applied the model and its main concepts to examine: the 'workability' of DSTs in professional-patient interactions; how DSTs affect knowledge relations between their users; how DSTs impact on users' skills and performance; and the impact of DSTs on the allocation of organizational resources.Results: conceptual analysis using the Normalization Process Model provided insight on implementation problems for DSTs in routine settings. Current research focuses mainly on the interactional workability of these technologies, but factors related to divisions of labor and health care, and the organizational contexts in which DSTs are used, are poorly described and understood.Conclusion: the model successfully provided a framework for helping to identify factors that promote and inhibit the implementation of DSTs in healthcare and gave us insights into factors influencing the introduction of new technologies into contexts where negotiations are characterized by asymmetries of power and knowledge. Future research and development on the deployment of DSTs needs to take a more holistic approach and give emphasis to the structural conditions and social norms in which these technologies are enacte