The role of healthcare professionals in encouraging parents to see and hold their stillborn baby: a meta-synthesis of qualitative studies.

Background: Globally, during 2013 there were three million recorded stillbirths. Where clinical guidelines exist some recommend that professionals do not encourage parental contact. The guidance is based on quantitative evidence that seeing and holding the baby is not beneficial for everyone, but has been challenged by bereaved parents' organisations. We aim to inform future guideline development through a synthesis of qualitative studies reporting data relevant to the research question; how does the approach of healthcare professionals to seeing and holding the baby following stillbirth impact parents views and experiences? Methods/Findings: Using a predetermined search strategy of PubMed and PsychINFO we identified robust qualitative studies reporting bereaved parental views and/or experiences relating to seeing and holding their stillborn baby (final search 24 February, 2014). Eligible studies were English language, reporting parental views, with gestational loss >20weeks. Quality was independently assessed by three authors using a validated tool. We used meta-ethnographic techniques to identify key themes and a line of argument synthesis. We included 12 papers, representing the views of 333 parents (156 mothers, 150 fathers, and 27 couples) from six countries. The final themes were: "[Still]birth: Nature of care is paramount", "Real babies: Perfect beauties, monsters and spectres", and "Opportunity of a lifetime lost." Our line-of-argument synthesis highlights the contrast between all parents need to know their baby, with the time around birth being the only time memories can be made, and the variable ability that parents have to articulate their preferences at that time. Thus, we hypothesised that how health professionals approach contact between parents and their stillborn baby demands a degree of active management. An important limitation of this paper is all included studies originated from high income, westernised countries raising questions about the findings transferability to other cultural contexts. We do not offer new evidence to answer the question "Should parents see and hold their stillborn baby?", instead our findings advance understanding of how professionals can support parents to make appropriate decisions in a novel, highly charged and dynamic situation. Conclusions: Guidelines could be more specific in their recommendations regarding parental contact. The role of healthcare professionals in encouraging parents to see and hold their stillborn baby is paramount. Parental choice not to see their baby, apprehension, or uncertainty should be continuously revisited in the hours after birth as the opportunity for contact is fleeting and final

The role of the right temporoparietal junction in perceptual conflict: detection or resolution?

The right temporoparietal junction (rTPJ) is a polysensory cortical area that plays a key role in perception and awareness. Neuroimaging evidence shows activation of rTPJ in intersensory and sensorimotor conflict situations, but it remains unclear whether this activity reflects detection or resolution of such conflicts. To address this question, we manipulated the relationship between touch and vision using the so-called mirror-box illusion. Participants' hands lay on either side of a mirror, which occluded their left hand and reflected their right hand, but created the illusion that they were looking directly at their left hand. The experimenter simultaneously touched either the middle (D3) or the ring finger (D4) of each hand. Participants judged, which finger was touched on their occluded left hand. The visual stimulus corresponding to the touch on the right hand was therefore either congruent (same finger as touch) or incongruent (different finger from touch) with the task-relevant touch on the left hand. Single-pulse transcranial magnetic stimulation (TMS) was delivered to the rTPJ immediately after touch. Accuracy in localizing the left touch was worse for D4 than for D3, particularly when visual stimulation was incongruent. However, following TMS, accuracy improved selectively for D4 in incongruent trials, suggesting that the effects of the conflicting visual information were reduced. These findings suggest a role of rTPJ in detecting, rather than resolving, intersensory conflict

Measurement of the inclusive and dijet cross-sections of b-jets in pp collisions at sqrt(s) = 7 TeV with the ATLAS detector

The inclusive and dijet production cross-sections have been measured for jets containing b-hadrons (b-jets) in proton-proton collisions at a centre-of-mass energy of sqrt(s) = 7 TeV, using the ATLAS detector at the LHC. The measurements use data corresponding to an integrated luminosity of 34 pb^-1. The b-jets are identified using either a lifetime-based method, where secondary decay vertices of b-hadrons in jets are reconstructed using information from the tracking detectors, or a muon-based method where the presence of a muon is used to identify semileptonic decays of b-hadrons inside jets. The inclusive b-jet cross-section is measured as a function of transverse momentum in the range 20 < pT < 400 GeV and rapidity in the range |y| < 2.1. The bbbar-dijet cross-section is measured as a function of the dijet invariant mass in the range 110 < m_jj < 760 GeV, the azimuthal angle difference between the two jets and the angular variable chi in two dijet mass regions. The results are compared with next-to-leading-order QCD predictions. Good agreement is observed between the measured cross-sections and the predictions obtained using POWHEG + Pythia. MC@NLO + Herwig shows good agreement with the measured bbbar-dijet cross-section. However, it does not reproduce the measured inclusive cross-section well, particularly for central b-jets with large transverse momenta.Comment: 10 pages plus author list (21 pages total), 8 figures, 1 table, final version published in European Physical Journal

Search for new phenomena in final states with an energetic jet and large missing transverse momentum in pp collisions at √ s = 8 TeV with the ATLAS detector

Results of a search for new phenomena in final states with an energetic jet and large missing transverse momentum are reported. The search uses 20.3 fb−1 of √ s = 8 TeV data collected in 2012 with the ATLAS detector at the LHC. Events are required to have at least one jet with pT > 120 GeV and no leptons. Nine signal regions are considered with increasing missing transverse momentum requirements between Emiss T > 150 GeV and Emiss T > 700 GeV. Good agreement is observed between the number of events in data and Standard Model expectations. The results are translated into exclusion limits on models with either large extra spatial dimensions, pair production of weakly interacting dark matter candidates, or production of very light gravitinos in a gauge-mediated supersymmetric model. In addition, limits on the production of an invisibly decaying Higgs-like boson leading to similar topologies in the final state are presente

Monitoring of post-match fatigue in professional soccer: Welcome to the real world

Participation in soccer match-play leads to acute and transient subjective, biochemical, metabolic and physical disturbances in players over subsequent hours and days. Inadequate time for rest and regeneration between matches can expose players to the risk of training and competing whilst not entirely recovered. In professional soccer, contemporary competitive schedules can require teams to compete in-excess of 60 matches over the course of the season while periods of fixture congestion occur prompting much attention from researchers and practitioners to the monitoring of fatigue and readiness to play. A comprehensive body of research has investigated post-match acute and residual fatigue responses. Yet the relevance of the research for professional soccer contexts is debatable notably in relation to the study populations and designs employed. Monitoring can indeed be invasive, expensive, time-inefficient and difficult to perform routinely and simultaneously in a large squad of regularly competing players. Uncertainty also exists regarding the meaningfulness and interpretation of changes in fatigue response values and their functional relevance, and practical applicability in the field. The real-world need and cost-benefit of monitoring must be carefully weighed up. In relation to professional soccer contexts, this opinion paper intends to: 1) debate the need for PMF monitoring, 2) critique the real-world relevance of the current research literature, 3) discuss the practical burden relating to measurement tools and protocols and the collection, interpretation and application of data in the field, and, 4) propose future research perspectives

Testing the Collisionless Nature of Dark Matter with the Radial Acceleration Relation in Galaxy Clusters

The radial acceleration relation (RAR) represents a tight empirical relation between the inferred total and baryonic centripetal accelerations, g tot = GM tot(< r)/r 2 and g bar = GM bar(< r)/r 2, observed in galaxies and galaxy clusters. The tight correlation between these two quantities can provide insight into the nature of dark matter. Here we use BAHAMAS, a state-of-the-art suite of cosmological hydrodynamical simulations, to characterize the RAR in cluster-scale halos for both cold and collisionless dark matter (CDM) and self-interacting dark matter (SIDM) models. SIDM halos generally have reduced central dark matter densities, which reduces the total acceleration in the central region when compared with CDM. We compare the RARs in galaxy clusters simulated with different dark matter models to the RAR inferred from CLASH observations. Our comparison shows that the cluster-scale RAR in the CDM model provides an excellent match to the CLASH RAR obtained by Tian et al. including the high-acceleration regime probed by the brightest cluster galaxies (BCGs). By contrast, models with a larger SIDM cross section yield increasingly poorer matches to the CLASH RAR. Excluding the BCG regions results in a weaker but still competitive constraint on the SIDM cross section. Using the RAR data outside the central r < 100 kpc region, an SIDM model with σ/m = 0.3 cm2 g−1 is disfavored at the 3.8σ level with respect to the CDM model. This study demonstrates the power of the cluster-scale RAR for testing the collisionless nature of dark matter

Search for R-parity-violating supersymmetry in events with four or more leptons in sqrt(s) =7 TeV pp collisions with the ATLAS detector

A search for new phenomena in final states with four or more leptons (electrons or muons) is presented. The analysis is based on 4.7 fb−1 of $\sqrt{s}=7\;\mathrm{TeV}$ proton-proton collisions delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in two signal regions: one that requires moderate values of missing transverse momentum and another that requires large effective mass. The results are interpreted in a simplified model of R-parity-violating supersymmetry in which a 95% CL exclusion region is set for charged wino masses up to 540 GeV. In an R-parity-violating MSUGRA/CMSSM model, values of m 1/2 up to 820 GeV are excluded for 10 < tan β < 40

Constraints on dark matter self-interaction from the internal density profiles of X-COP galaxy clusters

The fundamental properties of the postulated dark matter (DM) affect the internal structure of gravitationally bound structures. In the cold dark matter paradigm, DM particles interact only via gravity. Their distribution is well represented by an Einasto profile with shape parameter α-0.18 in the smallest dwarf galaxies or the most massive galaxy clusters alike. Conversely, if DM particles self-interact via additional forces, we expect the mass density profiles of DM halos to flatten in their central regions, thereby increasing the Einasto shape parameter. We measured the structural properties of 12 massive galaxy clusters from observations of their hot gaseous atmosphere, using the X-ray observatory XMM-Newton, and of the Sunyaev-Zel'dovich effect using the Planck all-sky survey. After removing morphologically disturbed systems, we measured Einasto shape parameters with mean (α)=0.19 ± 0.03 and intrinsic scatter σα= 0.06, which is in close agreement with the prediction of the cold dark matter paradigm. We used cosmological hydrodynamical simulations of cluster formation with self-interacting DM (BAHAMAS-SIDM) to determine how the Einasto shape parameter depends on the self-interaction cross section. We used the fitted relation to turn our measurements of α into constraints on the self-interaction cross section, which imply σ/m <-0.19 cm2 g-1 (95% confidence level) at collision velocity vDM-DM∼1000 km s-1. This is lower than the interaction cross section required for DM self-interactions to solve the core-cusp problem in dwarf spheroidal galaxies, unless the cross section is a strong function of velocity

Testing extensions to LCDM on small scales with forthcoming cosmic shear surveys

We investigate the constraining power of forthcoming Stage-IV weak lensing surveys (Euclid, LSST, and NGRST) for extensions to the LCDM model on small scales, via their impact on the cosmic shear power spectrum. We use high-resolution cosmological simulations to calculate how warm dark matter (WDM), self-interacting dark matter (SIDM) and a running of the spectral index affect the non-linear matter power spectrum, P(k), as a function of scale and redshift. We evaluate the cosmological constraining power using synthetic weak lensing observations derived from these power spectra and that take into account the anticipated source densities, shape noise and cosmic variance errors of upcoming surveys. We show that upcoming Stage-IV surveys will be able to place useful, independent constraints on both WDM models (ruling out models with a particle mass of 10 cm^2 g^-1) through their effects on the small-scale cosmic shear power spectrum. Similarly, they will be able to strongly constrain cosmologies with a running spectral index. Finally, we explore the error associated with the cosmic shear cross-spectrum between tomographic bins, finding that it can be significantly affected by Poisson noise (the standard assumption is that the Poisson noise cancels between tomographic bins). We provide a new analytic form for the error on the cross-spectrum which accurately captures this effect

Multi-messenger observations of a binary neutron star merger

On 2017 August 17 a binary neutron star coalescence candidate (later designated GW170817) with merger time 12:41:04 UTC was observed through gravitational waves by the Advanced LIGO and Advanced Virgo detectors. The Fermi Gamma-ray Burst Monitor independently detected a gamma-ray burst (GRB 170817A) with a time delay of ~1.7 s with respect to the merger time. From the gravitational-wave signal, the source was initially localized to a sky region of 31 deg2 at a luminosity distance of 40+8-8 Mpc and with component masses consistent with neutron stars. The component masses were later measured to be in the range 0.86 to 2.26 Mo. An extensive observing campaign was launched across the electromagnetic spectrum leading to the discovery of a bright optical transient (SSS17a, now with the IAU identification of AT 2017gfo) in NGC 4993 (at ~40 Mpc) less than 11 hours after the merger by the One- Meter, Two Hemisphere (1M2H) team using the 1 m Swope Telescope. The optical transient was independently detected by multiple teams within an hour. Subsequent observations targeted the object and its environment. Early ultraviolet observations revealed a blue transient that faded within 48 hours. Optical and infrared observations showed a redward evolution over ~10 days. Following early non-detections, X-ray and radio emission were discovered at the transient’s position ~9 and ~16 days, respectively, after the merger. Both the X-ray and radio emission likely arise from a physical process that is distinct from the one that generates the UV/optical/near-infrared emission. No ultra-high-energy gamma-rays and no neutrino candidates consistent with the source were found in follow-up searches. These observations support the hypothesis that GW170817 was produced by the merger of two neutron stars in NGC4993 followed by a short gamma-ray burst (GRB 170817A) and a kilonova/macronova powered by the radioactive decay of r-process nuclei synthesized in the ejecta