3,556 research outputs found
Purification of quantum trajectories
We prove that the quantum trajectory of repeated perfect measurement on a
finite quantum system either asymptotically purifies, or hits upon a family of
`dark' subspaces, where the time evolution is unitary.Comment: 10 page
The development of structural adhesives systems suitable for use with liquid oxygen Annual summary report, 1 Jul. 1963 - 30 Jun. 1964
Fluorinated, chlorinated, and halogenated polymer adhesives prepared and tested for compatibility with liquid oxyge
Suited for Success? : Suits, Status, and Hybrid Masculinity
This document is the Accepted Manuscript version. The final, definitive version of this paper has been published in Men and Masculinities, March 2017, doi: https://doi.org/10.1177/1097184X17696193, published by SAGE Publishing, All rights reserved.This article analyzes the sartorial biographies of four Canadian men to explore how the suit is understood and embodied in everyday life. Each of these men varied in their subject positions—body shape, ethnicity, age, and gender identity—which allowed us to look at the influence of men’s intersectional identities on their relationship with their suits. The men in our research all understood the suit according to its most common representation in popular culture: a symbol of hegemonic masculinity. While they wore the suit to embody hegemonic masculine configurations of practice—power, status, and rationality—most of these men were simultaneously marginalized by the gender hierarchy. We explain this disjuncture by using the concept of hybrid masculinity and illustrate that changes in the style of hegemonic masculinity leave its substance intact. Our findings expand thinking about hybrid masculinity by revealing the ways subordinated masculinities appropriate and reinforce hegemonic masculinity.Peer reviewe
The role of the emergency department in the management of acute heart failure: an international perspective on education and research
Emergency departments are a major entry point for the initial management of acute heart failure (AHF) patients throughout the world. The initial diagnosis, management and disposition - the decision to admit or discharge - of AHF patients in the emergency department has significant downstream implications. Misdiagnosis, under or overtreatment, or inappropriate admission may place patients at increased risk for adverse events, and add costs to the healthcare system. Despite the critical importance of initial management, data are sparse regarding the impact of early AHF treatment delivered in the emergency department compared to inpatient or chronic heart failure management. Unfortunately, outcomes remain poor, with nearly a third of patients dying or re-hospitalised within 3 months post-discharge. In the absence of robust research evidence, consensus is an important source of guidance for AHF care. Thus, we convened an international group of practising emergency physicians, cardiologists and advanced practice nurses with the following goals to improve outcomes for AHF patients who present to the emergency department or other acute care setting through: (a) a better understanding of the pathophysiology, presentation and management of the initial phase of AHF care; (b) improving initial management by addressing knowledge gaps between best practices and current practice through education and research; and (c) to establish a framework for future emergency department-based international education and research
Trapping in complex networks
We investigate the trapping problem in Erdos-Renyi (ER) and Scale-Free (SF)
networks. We calculate the evolution of the particle density of
random walkers in the presence of one or multiple traps with concentration .
We show using theory and simulations that in ER networks, while for short times
, for longer times exhibits a more
complex behavior, with explicit dependence on both the number of traps and the
size of the network. In SF networks we reveal the significant impact of the
trap's location: is drastically different when a trap is placed on a
random node compared to the case of the trap being on the node with the maximum
connectivity. For the latter case we find
\rho(t)\propto\exp\left[-At/N^\frac{\gamma-2}{\gamma-1}\av{k}\right] for all
, where is the exponent of the degree distribution
.Comment: Appendix adde
Statistical mechanics of error exponents for error-correcting codes
Error exponents characterize the exponential decay, when increasing message
length, of the probability of error of many error-correcting codes. To tackle
the long standing problem of computing them exactly, we introduce a general,
thermodynamic, formalism that we illustrate with maximum-likelihood decoding of
low-density parity-check (LDPC) codes on the binary erasure channel (BEC) and
the binary symmetric channel (BSC). In this formalism, we apply the cavity
method for large deviations to derive expressions for both the average and
typical error exponents, which differ by the procedure used to select the codes
from specified ensembles. When decreasing the noise intensity, we find that two
phase transitions take place, at two different levels: a glass to ferromagnetic
transition in the space of codewords, and a paramagnetic to glass transition in
the space of codes.Comment: 32 pages, 13 figure
Cognitive Impairment among Older Adults in the Emergency Department
Background: Within the next 30 years, the number of visits older adults will make to emergency departments (EDs) is expected to double from 16 million, or 14% of all visits, to 34 million and comprise nearly a quarter of all visits.Objective: The objectives of this study were to determine prevalence rates of cognitive impairment among older adults in the ED and to identify associations, if any, between environmental factors unique to the ED and rates of cognitive impairment.Methods: A cross-sectional observational study of adults 65 and older admitted to the ED of a large, urban, tertiary academic health center was conducted between September 2007 and May 2008. Patients were screened for cognitive impairment in orientation, recall and executive function using the Six-Item Screen (SIS) and the CLOX1, clock drawing task. Cognitive impairment among this ED population was assessed and both patient demographics and ED characteristics (crowding, triage time, location of assessment, triage class) were compared through adjusted generalized linear models.Results: Forty-two percent (350/829) of elderly patients presented with deficits in orientation and recall as assessed by the SIS. An additional 36% of elderly patients with no impairment in orientation or recall had deficits in executive function as assessed by the CLOX1. In full model adjusted analyses patients were more likely to screen deficits in orientation and recall (SIS) if they were 85 years or older (Relative Risk [RR]=1.63, 95% Confidence Interval [95% CI]=1.3-2.07), black (RR=1.85, 95% CI=1.5-2.4) and male (RR=1.42, 95% CI=1.2-1.7). Only age was significantly associated with executive functioning deficits in the ED screened using the clock drawing task (CLOX1) (75-84 years: RR=1.35, 95% CI= 1.2-1.6; 85+ years: RR=1.69, 95% CI= 1.5-2.0).Conclusion: These findings have several implications for patients seen in the ED. The SIS coupled with a clock drawing task (CLOX1) provide a rapid and simple method for assessing and documenting cognition when lengthier assessment tools are not feasible and add to the literature on the use of these tools in the ED. Further research on provider use of these tools and potential implication for quality improvement is needed. [West J Emerg Med. 2011; 12(1):56-62.
Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial.
OBJECTIVE: To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome.
DESIGN: Multicenter pragmatic parallel randomized controlled trial.
SETTING: Six emergency departments in the United States.
PARTICIPANTS: 898 adults (aged \u3e17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring for patients with chest pain.
INTERVENTIONS: Patients were randomly assigned (1:1) by an electronic, web based system to shared decision making facilitated by a decision aid or to usual care. The primary outcome, selected by patient and caregiver advisers, was patient knowledge of their risk for acute coronary syndrome and options for care; secondary outcomes were involvement in the decision to be admitted, proportion of patients admitted for cardiac testing, and the 30 day rate of major adverse cardiac events.
RESULTS: Compared with the usual care arm, patients in the decision aid arm had greater knowledge of their risk for acute coronary syndrome and options for care (questions correct: decision aid, 4.2 v usual care, 3.6; mean difference 0.66, 95% confidence interval 0.46 to 0.86), were more involved in the decision (observing patient involvement scores: decision aid, 18.3 v usual care, 7.9; 10.3, 9.1 to 11.5), and less frequently decided with their clinician to be admitted for cardiac testing (decision aid, 37% v usual care, 52%; absolute difference 15%; P
CONCLUSIONS: Use of a decision aid in patients at low risk for acute coronary syndrome increased patient knowledge about their risk, increased engagement, and safely decreased the rate of admission to an observation unit for cardiac testing.Trial registration ClinicalTrials.gov NCT01969240
Heat flow in chains driven by thermal noise
We consider the large deviation function for a classical harmonic chain
composed of N particles driven at the end points by heat reservoirs, first
derived in the quantum regime by Saito and Dhar and in the classical regime by
Saito and Dhar and Kundu et al. Within a Langevin description we perform this
calculation on the basis of a standard path integral calculation in Fourier
space. The cumulant generating function yielding the large deviation function
is given in terms of a transmission Green's function and is consistent with the
fluctuation theorem. We find a simple expression for the tails of the heat
distribution which turn out to decay exponentially. We, moreover, consider an
extension of a single particle model suggested by Derrida and Brunet and
discuss the two-particle case. We also discuss the limit for large N and
present a closed expression for the cumulant generating function. Finally, we
present a derivation of the fluctuation theorem on the basis of a Fokker-Planck
description. This result is not restricted to the harmonic case but is valid
for a general interaction potential between the particles.Comment: Latex: 26 pages and 9 figures, appeared in J. Stat. Mech. P04005
(2012
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