Medical education on fitness to drive : a survey of all UK medical schools

Aim: To identify the extent to which medical aspects of fitness to drive (FTD) are taught within UK medical schools. Methods: A survey of all 32 UK medical schools. In-depth interviews with a range of staff at two medical schools; telephone survey of 30 schools. Results: Two thirds of schools reported specific teaching on medical aspects of FTD but few covered it in any depth or in relation to specific medical conditions. Only one school taught FTD in relation to elderly medicine. FTD was an examination topic at only 12 schools. Conclusion: Teaching on FTD is inconsistent across UK medical schools. Many new doctors will graduate with limited knowledge of medical aspects of FTD

Tight focal spots using azimuthally polarised light from a Fresnel cone

When focusing a light beam at high numerical aperture, the resulting electric field profile in the focal plane depends on the transverse polarisation profile, as interference between different parts of the beam needs to be taken into account. It is well known that radial polarised light produces a longitudinal polarisation component and can be focused below the conventional diffraction limit for homogeneously polarised light, and azimuthally polarised light that carries one unit of angular momentum can achieve even tighter focal spots. This is of interest for example for enhancing resolution in scanning microscopy. There are numerous ways to generate such polarisation structures, however, setups can be expensive and usually rely on birefringent components, hence prohibiting broadband operation. We have recently demonstrated a passive, low-cost technique using a simple glass cone (Fresnel cone) to generate beams with structured polarisation. We show here that the polarisation structure generated by Fresnel cones focuses better than radial polarised light at all numerical apertures. Furthermore, we investigate in detail the application of polarised light structures for two-photon microscopy. Specifically we demonstrate a method that allows us to generate the desired polarisation structure at the back aperture of the microscope by pre-compensating any detrimental phase shifts using a combination of waveplates

The \chi Factor: Determining the Strength of Activity in Low Mass Dwarfs

We describe a new, distance-independent method for calculating the magnetic activity strength in low mass dwarfs, L_{H\alpha}/L_{bol}. Using a well-observed sample of nearby stars and cool standards spanning spectral type M0.5 to L0, we compute ``\chi'', the ratio between the continuum flux near H-alpha and the bolometric flux, f_{\lambda6560}/f_{bol}. This ratio may be multiplied by the measured equivalent width of the H-alpha emission line to yield L_{H\alpha}/L_{bol}. We provide \chi values for all objects in our sample, as well as fits to \chi as a function of color and average values by spectral type. This method was used by West et al.(2004) to examine trends in magnetic activity strength in low mass stars.Comment: 11 pages, 5 figures. Accepted for publication in PAS

A Numerical Method for General Relativistic Magnetohydrodynamics

This paper describes the development and testing of a general relativistic magnetohydrodynamic (GRMHD) code to study ideal MHD in the fixed background of a Kerr black hole. The code is a direct extension of the hydrodynamic code of Hawley, Smarr, and Wilson, and uses Evans and Hawley constrained transport (CT) to evolve the magnetic fields. Two categories of test cases were undertaken. A one dimensional version of the code (Minkowski metric) was used to verify code performance in the special relativistic limit. The tests include Alfv\'en wave propagation, fast and slow magnetosonic shocks, rarefaction waves, and both relativistic and non-relativistic shock tubes. A series of one- and two-dimensional tests were also carried out in the Kerr metric: magnetized Bondi inflow, a magnetized inflow test due to Gammie, and two-dimensional magnetized constant-$l$ tori that are subject to the magnetorotational instability.Comment: 37 pages, 14 figures, submitted to ApJ. Animations can be viewed at http://www.astro.virginia.edu/~jd5v/grmhd/grmhd.htm

A high-order Godunov scheme for global 3D MHD accretion disks simulations. I. The linear growth regime of the magneto-rotational instability

We employ the PLUTO code for computational astrophysics to assess and compare the validity of different numerical algorithms on simulations of the magneto-rotational instability in 3D accretion disks. In particular we stress on the importance of using a consistent upwind reconstruction of the electro-motive force (EMF) when using the constrained transport (CT) method to avoid the onset of numerical instabilities. We show that the electro-motive force (EMF) reconstruction in the classical constrained transport (CT) method for Godunov schemes drives a numerical instability. The well-studied linear growth of magneto-rotational instability (MRI) is used as a benchmark for an inter-code comparison of PLUTO and ZeusMP. We reproduce the analytical results for linear MRI growth in 3D global MHD simulations and present a robust and accurate Godunov code which can be used for 3D accretion disk simulations in curvilinear coordinate systems

A User-Centred Approach Exploring the Potential of a Novel EMG Switch for Control of Assistive Technology

This study examines the potential application of an EMG technology as an assistive control method for individuals with severe physical disabilities. The usability and acceptability of a prototype EMG switch was evaluated with health care professionals, researchers and end users using participatory approaches

High Resolution Simulations of the Plunging Region in a Pseudo-Newtonian Potential: Dependence on Numerical Resolution and Field Topology

New three dimensional magnetohydrodynamic simulations of accretion disk dynamics in a pseudo-Newtonian Paczynski-Wiita potential are presented. These have finer resolution in the inner disk than any previously reported. Finer resolution leads to increased magnetic field strength, greater accretion rate, and greater fluctuations in the accretion rate. One simulation begins with a purely poloidal magnetic field, the other with a purely toroidal field. Compared to the poloidal initial field simulation, a purely toroidal initial field takes longer to reach saturation of the magnetorotational instability and produces less turbulence and weaker magnetic field energies. For both initial field configurations, magnetic stresses continue across the marginally stable orbit; measured in units corresponding to the Shakura-Sunyaev alpha parameter, the stress grows from ~0.1 in the disk body to as much as ~10 deep in the plunging region. Matter passing the inner boundary of the simulation has ~10% greater binding energy and ~10% smaller angular momentum than it did at the marginally stable orbit. Both the mass accretion rate and the integrated stress fluctuate widely on a broad range of timescales.Comment: Accepted for publication in the Astrophysical Journal. For Web version with mpeg animations see http://www.astro.virginia.edu/VITA/papers/plunge

MRI channel flows and their parasites

Local simulations of the magnetorotational instability (MRI) in accretion disks can exhibit recurrent coherent structures called channel flows. The formation and destruction of these structures may play a role in the development and saturation of MRI-induced turbulence, and consequently help us understand the time-dependent accretion behaviour of certain astrophysical objects. Previous investigations have revealed that channel solutions are attacked by various parasitic modes, foremost of which is an analogue of the Kelvin-Helmholtz instability. We revisit these instabilities and show how they relate to the classical instabilities of plasma physics, the kink and pinch modes. However, we argue that in most cases channels emerge from developed turbulence and are eventually destroyed by turbulent mixing, not by the parasites. The exceptions are the clean isolated channels which appear in systems near criticality or which emerge from low amplitude initial conditions. These structures inevitably achieve large amplitudes and are only then destroyed, giving rise to eruptive behaviour.Comment: 17 pages, 17 figures, accepted by MNRA

Return to driving after traumatic brain injury : a British perspective

Primary Objective: to identify current legal situation, and professional practice in assisting persons with traumatic brain injury (TBI) to return to safe driving after injury. Methods and Procedures A brief review of relevant literature, a description of the current statutory and quasi-statutory authorities regulating return to driving after TBI in the UK, and a description of the nature and resolution of clinical and practical dilemmas facing professionals helping return to safe driving after TBI. Each of the 15 UK mobility centres was contacted and literature requested; in addition a representative of each centre responded to a structured telephone survey. Main Outcome and Results: The current situation in Great Britain is described, with a brief analysis of the strengths and weaknesses both of the current statutory situation, and also the practical situation (driving centres), with suggestions for improvements in practice. Conclusion Although brain injury may cause serious limitations in driving ability, previous drivers are not routinely assessed or advised regarding return to driving after TBI