Transition to adult care of young people with congenital heart disease: Impact of a service on knowledge and self-care skills, and correlates of a successful transition

Aims Less than one-third of adolescents with congenital heart disease (CHD) successfully transition to adult care, missing out on education of their cardiac condition, and risking loss to follow-up. We assessed the efficacy of our transition clinic on patient education and empowerment and identified correlates of successful transition. Methods and results Overall, 592 patients were seen at least once in our transition service between 2015 and 2022 (age 15.2 ± 1.8 years, 47.5% female). Most adolescents (53%) had moderate CHD, followed by simple (27.9%) and severe (19.1%) CHD. Learning disability (LD) was present in 18.9% and physical disability (PD) in 4.7%. In patients without LD, knowledge of their cardiac condition improved significantly from the first to the second visit (naming their condition: from 20 to 52.3%, P 0.05). Treatment adherence and management involvement, self-reported anxiety, and dental care awareness did not change over time. Successful transition (attendance of ≥ 2 clinics) was achieved in 49.3%. Younger age at the first visit, simpler CHD, and absence of PD were associated with successful transition. Conclusion A transition service positively impacts on patient education and empowerment in most CHD adolescents transitioning to adult care. Strategies to promote a tailored support for patients with LD should be sought, and earlier engagement should be encouraged to minimize follow-up losses

Tunneling transverse to a magnetic field, and how it occurs in correlated 2D electron systems

We investigate tunneling decay in a magnetic field. Because of broken time-reversal symmetry, the standard WKB technique does not apply. The decay rate and the outcoming wave packet are found from the analysis of the set of the particle Hamiltonian trajectories and its singularities in complex space. The results are applied to tunneling from a strongly correlated 2D electron system in a magnetic field parallel to the layer. We show in a simple model that electron correlations exponentially strongly affect the tunneling rate.Comment: 4 pages, 3 figure

Besieged history? An Evaluation of Shooting Dogs

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Marking Time, Moving Images:Drawing and Film

This article explores the range of ways in which artists have brought the practice of drawing into contact with film. This has to do with a range of related but different practices: the articulation of time and the relationship between movement and stillness; the use of film stills and photographs as source material for the production of drawings; the inscription of manual marks directly onto the surface of celluloid film; and the use of film and digital projection to present the process of making drawings. The article ranges widely from works made in the 1940s and 1950s by Henri Matisse and Henri Michaux, to experimental films made in the '60s by Stan Brakhage and Birgit and Wilhelm Hein, to contemporary artworks by Vivienne Koorland, Oscar Muñoz, and Susan Morris