Energetic Constraints on a Rapid Gamma-Ray Flare in PKS 1222+216

We study theoretical implications of a rapid Very-High-Energy (VHE) flare detected by MAGIC in the Flat-Spectrum Radio Quasar PKS 1222+216. The minimum distance from the jet origin at which this flare could be produced is 0.5 pc. A moderate Doppler factor of the VHE source, D_{VHE} ~ 20, is allowed by all opacity constraints. The concurrent High-Energy (HE) emission observed by Fermi provides estimates of the total jet power and the jet magnetic field strength. Energetic constraints for the VHE flare are extremely tight: for an isotropic particle distribution they require a huge co-moving energy density in the emitting region and a very efficient radiative process. We disfavor hadronic processes due to their low radiative efficiency, as well as the synchrotron scenario recently proposed for the case of HE flares in the Crab Nebula, since the parameters needed to overcome the radiative losses are quite extreme. The VHE emission can be explained by the Synchrotron Self-Compton (SSC) mechanism for D_{VHE} ~ 20 or by the External Radiation Compton (ERC) mechanism involving the infrared radiation of the dusty torus for D_{VHE} ~ 50. After discussing several alternative scenarios, we propose that the extreme energy density constraint can be satisfied when the emission comes from highly anisotropic short-lived bunches of particles formed by the kinetic beaming mechanism in magnetic reconnection sites. By focusing the emitting particles into very narrow beams, this mechanism allows one to relax the causality constraint on the source size, decreasing the required energy density by 4 orders of magnitude.Comment: 12 pages, 2 figures, accepted for publication in MNRA

Rates, Delays, and Completeness of General Practitioners' Responses to a Postal Versus Web-Based Survey: A Randomized Trial.

Web-based surveys have become a new and popular method for collecting data, but only a few studies have directly compared postal and Web-based surveys among physicians, and none to our knowledge among general practitioners (GPs). Our aim is to compare two modes of survey delivery (postal and Web-based) in terms of participation rates, response times, and completeness of questionnaires in a study assessing GPs' preventive practices. This randomized study was conducted in Western Switzerland (Geneva and Vaud) and in France (Alsace and Pays de la Loire) in 2015. A random selection of community-based GPs (1000 GPs in Switzerland and 2400 GPs in France) were randomly allocated to receive a questionnaire about preventive care activities either by post (n=700 in Switzerland, n=400 in France) or by email (n=300 in Switzerland, n=2000 in France). Reminder messages were sent once in the postal group and twice in the Web-based group. Any GPs practicing only complementary and alternative medicine were excluded from the study. Among the 3400 contacted GPs, 764 (22.47%, 95% CI 21.07%-23.87%) returned the questionnaire. Compared to the postal group, the participation rate in the Web-based group was more than four times lower (246/2300, 10.70% vs 518/1100, 47.09%, P<.001), but median response time was much shorter (1 day vs 1-3 weeks, P<.001) and the number of GPs having fully completed the questionnaire was almost twice as high (157/246, 63.8% vs 179/518, 34.6%, P<.001). Web-based surveys offer many advantages such as reduced response time, higher completeness of data, and large cost savings, but our findings suggest that postal surveys can be still considered for GP research. The use of mixed-mode approaches is probably a good strategy to increase GPs' participation in surveys while reducing costs

The FLUKA code for application of Monte Carlo methods to promote high precision ion beam therapy

Monte Carlo (MC) methods are increasingly being utilized to support several aspects of commissioning and clinical operation of ion beam therapy facilities. In this contribution two emerging areas of MC applications are outlined. The value of MC modeling to promote accurate treatment planning is addressed via examples of application of the FLUKA code to proton and carbon ion therapy at the Heidelberg Ion Beam Therapy Center in Heidelberg, Germany, and at the Proton Therapy Center of Massachusetts General Hospital (MGH) Boston, USA. These include generation of basic data for input into the treatment planning system (TPS) and validation of the TPS analytical pencil-beam dose computations. Moreover, we review the implementation of PET/CT (Positron-Emission-Tomography / Computed- Tomography) imaging for in-vivo verification of proton therapy at MGH. Here, MC is used to calculate irradiation-induced positron-emitter production in tissue for comparison with the +-activity measurement in order to infer indirect information on the actual dose delivery

DDIT3, STT3A (ITM1), ARG2 and FAM129A (Niban, C1orf24) in diagnosing thyroid carcinoma: variables that may affect the performance of this antibody-based test and promise

Universidade Federal de São Paulo, Dept Morphol & Genet, Lab Base Genet Turmores Tiroide, BR-04039032 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Morphol & Genet, Lab Base Genet Turmores Tiroide, BR-04039032 São Paulo, BrazilWeb of Scienc

Fidelity and level correlations in the transition from regularity to chaos

Mean fidelity amplitude and parametric energy--energy correlations are calculated exactly for a regular system, which is subject to a chaotic random perturbation. It turns out that in this particular case under the average both quantities are identical. The result is compared with the susceptibility of chaotic systems against random perturbations. Regular systems are more susceptible against random perturbations than chaotic ones.Comment: 7 pages, 1 figur

How do general practitioners put preventive care recommendations into practice? A cross-sectional study in Switzerland and France.

We previously identified that general practitioners (GPs) in French-speaking regions of Europe had a variable uptake of common preventive recommendations. In this study, we describe GPs' reports of how they put different preventive recommendations into practice. Cross-sectional study conducted in 2015 in Switzerland and France. 3400 randomly selected GPs were asked to complete a postal (n=1100) or online (n=2300) questionnaire. GPs who exclusively practiced complementary and alternative medicine were not eligible for the study. 764 GPs (response rate: postal 47%, online 11%) returned the questionnaire (428 in Switzerland and 336 in France). We investigated how the GPs performed five preventive practices (screening for dyslipidaemia, colorectal and prostate cancer, identification of hazardous alcohol consumption and brief intervention), examining which age group they selected, the screening frequency, the test they used, whether they favoured shared decision for prostate cancer screening and their definition of hazardous alcohol use. A large variability was observed in the way in which GPs provide these practices. 41% reported screening yearly for cholesterol, starting and stopping at variable ages. 82% did not use any test to identify hazardous drinking. The most common responses for defining hazardous drinking were, for men, ≥21 drinks/week (24%) and ≥4 drinks/occasion for binge drinking (20%), and for women, ≥14 drinks/week (28%) and ≥3 drinks/occasion (21%). Screening for colorectal cancer, mainly with colonoscopy in Switzerland (86%) and stool-based tests in France (93%), was provided every 10 years in Switzerland (65%) and 2 years in France (91%) to patients between 50 years (87%) and 75 years (67%). Prostate cancer screening, usually with shared decision (82%), was provided yearly (62%) to patients between 50 years (74%) and 75-80 years (32%-34%). The large diversity in the way these practices are provided needs to be addressed, as it could be related to some misunderstandingof the current guidelines, to barriers for guideline uptake or, more likely, to the absence of agreement between the various recommendations

GaAs:Mn nanowires grown by molecular beam epitaxy of (Ga,Mn)As at MnAs segregation conditions

GaAs:Mn nanowires were obtained on GaAs(001) and GaAs(111)B substrates by molecular beam epitaxial growth of (Ga,Mn)As at conditions leading to MnAs phase separation. Their density is proportional to the density of catalyzing MnAs nanoislands, which can be controlled by the Mn flux and/or the substrate temperature. Being rooted in the ferromagnetic semiconductor (Ga,Mn)As, the nanowires combine one-dimensional properties with the magnetic properties of (Ga,Mn)As and provide natural, self assembled structures for nanospintronics.Comment: 13 pages, 6 figure