Nondifferentiable Optimization Promotes Health Care

An example of a health resource allocation model, solved previously by piecewise linear approximation with data from Devon, U.K., is solved using nondifferentiable optimization (NDO). The example illustrates a new application for NDO, and the novel approach makes clearer the workings of the model

Use of seasonal trend decomposition to understand groundwater behaviour in the Permo-Triassic Sandstone aquifer, Eden Valley, UK

The daily groundwater level (GWL) response in the Permo-Triassic Sandstone aquifers in the Eden Valley, England (UK), has been studied using the seasonal trend decomposition by LOESS (STL) technique. The hydrographs from 18 boreholes in the Permo-Triassic Sandstone were decomposed into three components: seasonality, general trend and remainder. The decomposition was analysed first visually, then using tools involving a variance ratio, time-series hierarchical clustering and correlation analysis. Differences and similarities in decomposition pattern were explained using the physical and hydrogeological information associated with each borehole. The Penrith Sandstone exhibits vertical and horizontal heterogeneity, whereas the more homogeneous St Bees Sandstone groundwater hydrographs characterize a well-identified seasonality; however, exceptions can be identified. A stronger trend component is obtained in the silicified parts of the northern Penrith Sandstone, while the southern Penrith, containing Brockram (breccias) Formation, shows a greater relative variability of the seasonal component. Other boreholes drilled as shallow/deep pairs show differences in responses, revealing the potential vertical heterogeneities within the Penrith Sandstone. The differences in bedrock characteristics between and within the Penrith and St Bees Sandstone formations appear to influence the GWL response. The de-seasonalized and de-trended GWL time series were then used to characterize the response, for example in terms of memory effect (autocorrelation analysis). By applying the STL method, it is possible to analyse GWL hydrographs leading to better conceptual understanding of the groundwater flow. Thus, variation in groundwater response can be used to gain insight into the aquifer physical properties and understand differences in groundwater behaviour

Genetic analysis of members of the species Oropouche virus and identification of a novel M segment sequence

Oropouche virus (OROV) is a public health threat in South America, and in particular Northern Brazil, causing frequent outbreaks of febrile illness. Using a combination of deep sequencing and Sanger sequencing approaches we have determined complete genome sequences of eight clinical isolates that were obtained from patient sera during an Oropouche fever outbreak in Amapa state, northern Brazil in 2009. We also report complete genome sequences of two OROV reassortants isolated from two marmosets in Minas Gerais state, southeast Brazil in 2012 that contain a novel M genome segment. Interestingly, all ten isolates posses a 947 nucleotide long S segment that lacks 11 residues in the S segment 3' UTR compared to the recently redetermined Brazilian prototype OROV strain BeAn19991. OROV maybe circulating more widely in Brazil and in the non-human primate population than previously appreciated and the identification of yet another reassortant highlights the importance of bunyavirus surveillance in South America

An adaptive inelastic magnetic mirror for Bose-Einstein condensates

We report the reflection and focussing of a Bose-Einstein condensate by a new pulsed magnetic mirror. The mirror is adaptive, inelastic, and of extremely high optical quality. The deviations from specularity are less than 0.5 mrad rms, making this the best atomic mirror demonstrated to date. We have also used the mirror to realize the analog of a beam-expander, producing an ultra-cold collimated fountain of matter wavesComment: 4 pages, 4 figure

Use of point scale models to improve conceptual understanding in complex aquifers: an example from a sandstone aquifer in the Eden valley, Cumbria, UK

Understanding catchment functioning is increasingly important to enable water resources to be quantified and used sustainably, flood risk to be minimized, as well as to protect the system from degradation by pollution. Developing conceptual understanding of groundwater systems and their encapsulation in models is an important part of this understanding, but they are resource intensive to create and calibrate. The relative lack of data or the particular complexity of a groundwater system can prevent the development of a satisfactory conceptual understanding of the hydrological behaviour, which can be used to construct an adequate distributed model. A time series of daily groundwater levels from the Permo-Triassic sandstones situated in the River Eden Valley, Cumbria, UK have been analysed. These hydrographs show a range of behaviours and therefore have previously been studied using statistical and time series analysis techniques. This paper describes the application of AquiMOD, impulse response function (IRF) and combined AquiMOD-IRF methods to characterize the daily groundwater hydrographs. The best approach for each characteristic type of response has been determined and related to the geological and hydrogeological framework found at each borehole location. It is clear that AquiMOD, IRF and a combination of AquiMOD with IRF can be deployed to reproduce hydrograph responses in a range of hydrogeological settings. Importantly the choice of different techniques demonstrates the influence of differing processes and hydrogeological settings. Further they can distinguish the influences of differing hydrogeological environments and the impacts these have on the groundwater flow processes. They can be used, as shown in this paper, in a staged approach to help develop reliable and comprehensive conceptual models of groundwater flow. This can then be used as a solid basis for the development of distributed models, particularly as the latter are resource expensive to build and to calibrate effectively. This approach of using simple models and techniques first identifies specific aspects of catchment functioning, for example influence of the river, that can be later tested in a distributed model

Gravity, p-branes and a spacetime counterpart of the Higgs effect

We point out that the worldvolume coordinate functions $\hat{x}^\mu(\xi)$ of a $p$-brane, treated as an independent object interacting with dynamical gravity, are Goldstone fields for spacetime diffeomorphisms gauge symmetry. The presence of this gauge invariance is exhibited by its associated Noether identity, which expresses that the source equations follow from the gravitational equations. We discuss the spacetime counterpart of the Higgs effect and show that a $p$-brane does not carry any local degrees of freedom, extending early known general relativity features. Our considerations are also relevant for brane world scenarios.Comment: 5 pages, RevTeX. v2 (30-IV-03) with additional text and reference

Nonlinear Realization of N=2 Superconformal Symmetry and Brane Effective Actions

Due to the incompatibility of the nonlinear realization of superconformal symmetry and dilatation symmetry with the dilaton as the compensator field, in the present paper it shows an alternative mechanism of spontaneous breaking the N=2 superconformal symmetry to the N=0 case. By using the approach of nonlinear transformations it is found that it leads to a space-filling brane theory with Weyl scale W(1,3) symmetry. The dynamics of the resulting Weyl scale invariant brane, along with that of other Nambu-Goldstone fields, is derived in terms of the building blocks of the vierbein and the covariant derivative from the Maurer-Cartan oneforms. A general coupling of the matter fields localized on the brane world volume to these NG fields is also constructed.Comment: 22 pages, more references and comments are adde

Seizure first aid training for people with Epilepsy (SAFE) frequently attending emergency departments and their significant others : results of a UK multi-centre randomised controlled pilot trial

Objective To determine the feasibility and optimal design of a randomised controlled trial (RCT) of Seizure First Aid Training For Epilepsy (SAFE). Design Pilot RCT with embedded microcosting. Setting Three English hospital emergency departments (EDs). Participants Patients aged ≥16 with established epilepsy reporting ≥2 ED visits in the prior 12 months and their significant others (SOs). Interventions Patients (and their SOs) were randomly allocated (1:1) to SAFE plus treatment-as-usual (TAU) or TAU alone. SAFE is a 4-hour group course. Main outcome measures Two criteria evaluated a definitive RCT’s feasibility: (1) ≥20% of eligible patients needed to be consented into the pilot trial; (2) routine data on use of ED over the 12 months postrandomisation needed securing for ≥75%. Other measures included eligibility, ease of obtaining routine data, availability of self-report ED data and comparability, SAFE’s effect and intervention cost. Results Of ED attendees with a suspected seizure, 424 (10.6%) patients were eligible; 53 (12.5%) patients and 38 SOs consented. Fifty-one patients (and 37 SOs) were randomised. Routine data on ED use at 12 months were secured for 94.1% patients. Self-report ED data were available for 66.7% patients. Patients reported more visits compared with routine data. Most (76.9%) patients randomised to SAFE received it and no related serious adverse events occurred. ED use at 12 months was lower in the SAFE+TAU arm compared with TAU alone, but not significantly (rate ratio=0.62, 95% CI 0.33 to 1.17). A definitive trial would need ~674 patient participants and ~39 recruitment sites. Obtaining routine data was challenging, taking ~8.5 months. Conclusions In satisfying only one predetermined ‘stop/go’ criterion, a definitive RCT is not feasible. The low consent rate in the pilot trial raises concerns about a definitive trial’s finding’s external validity and means it would be expensive to conduct. Research is required into how to optimise recruitment from the target population