1,043 research outputs found
Chronic exertional compartment syndrome of the forearm: a case series of 12 patients treated with fasciotomy
Relativistic non-instantaneous action-at-a-distance interactions
Relativistic action-at-a-distance theories with interactions that propagate
at the speed of light in vacuum are investigated. We consider the most general
action depending on the velocities and relative positions of the particles. The
Poincare invariant parameters that label successive events along the world
lines can be identified with the proper times of the particles provided that
certain conditions are impossed on the interaction terms in the action. Further
conditions on the interaction terms arise from the requirement that mass be a
scalar. A generic class of theories with interactions that satisfy these
conditions is found. The relativistic equations of motion for these theories
are presented. We obtain exact circular orbits solutions of the relativistic
one-body problem. The exact relativistic one-body Hamiltonian is also derived.
The theory has three components: a linearly rising potential, a Coulomb-like
interaction and a dynamical component to the Poincar\'e invariant mass. At the
quantum level we obtain the generalized Klein-Gordon-Fock equation and the
Dirac equation
The American Psychiatric Association’s Guideline for Major Depressive Disorder: A Commentary
The American Psychiatric Association (APA) published a new guideline for Major Depressive Disorder (MDD) which will undoubtedly be used by many practitioners to guide clinical decision-making. In fact, it is non-psychiatrist clinicians who prescribe the majority of antidepressants (AD). We review the APA’s most recent guideline on MDD and report on our observations
A systematic approach to echocardiography in hypertrophic cardiomyopathy: a guideline protocol from the British Society of Echocardiography.
Hypertrophic cardiomyopathy (HCM) is a relatively common inherited cardiac condition with a prevalence of approximately one in 500. It results in otherwise unexplained hypertrophy of the myocardium and predisposes the patient to a variety of disease-related complications including sudden cardiac death. Echocardiography is of vital importance in the diagnosis, assessment and follow-up of patients with known or suspected HCM. The British Society of Echocardiography (BSE) has previously published a minimum dataset for transthoracic echocardiography, providing the core parameters necessary when performing a standard echocardiographic study. However, for patients with known or suspected HCM, additional views and measurements are necessary. These additional views allow more subtle abnormalities to be detected or may provide important information in order to identify patients with an adverse prognosis. The aim of this Guideline is to outline the additional images and measurements that should be obtained when performing a study on a patient with known or suspected HCM
Is the pharmacy profession innovative enough?: meeting the needs of Australian residents with chronic conditions and their carers using the nominal group technique
Background Community pharmacies are ideally located as a source of support for people with chronic conditions. Yet, we have limited insight into what innovative pharmacy services would support this consumer group to manage their condition/s. The aim of this study was to identify what innovations people with chronic conditions and their carers want from their ideal community pharmacy, and compare with what pharmacists and pharmacy support staff think consumers want. Methods We elicited ideas using the nominal group technique. Participants included people with chronic conditions, unpaid carers, pharmacists and pharmacy support staff, in four regions of Australia. Themes were identified via thematic analysis using the constant comparison method. Results Fifteen consumer/carer, four pharmacist and two pharmacy support staff groups were conducted. Two overarching themes were identified: extended scope of practice for the pharmacist and new or improved pharmacy services. The most innovative role for Australian pharmacists was medication continuance, within a limited time-frame. Consumers and carers wanted improved access to pharmacists, but this did not necessarily align with a faster or automated dispensing service. Other ideas included streamlined access to prescriptions via medication reminders, electronic prescriptions and a chronic illness card. Conclusions This study provides further support for extending the pharmacist’s role in medication continuance, particularly as it represents the consumer’s voice. How this is done, or the methods used, needs to optimise patient safety. A range of innovative strategies were proposed and Australian community pharmacies should advocate for and implement innovative approaches to improve access and ensure continuity of care
Integrated cross-domain object storage in working memory: Evidence from a verbal-spatial memory task
Working-memory theories often include domain-specific verbal and visual stores (e.g., the phonological and visuospatial buffers of Baddeley, 1986), and some also posit more general stores thought to be capable of holding verbal or visuospatial materials (Baddeley, 2000; Cowan, 2005). However, it is currently unclear which type of store is primarily responsible for maintaining objects that include components from multiple domains. In these studies, a spatial array of letters was followed by a single probe identical to an item in the array or differing systematically in spatial location, letter identity, or their combination. Concurrent verbal rehearsal suppression impaired memory in each of these trial types in a task that required participants to remember verbal-spatial binding, but did not impair memory for spatial locations if the task did not require verbal-spatial binding for a correct response. Thus, spatial information might be stored differently when it must be bound to verbal information. This suggests that a cross-domain store such as the episodic buffer of Baddeley (2000) or the focus of attention of Cowan (2001) might be used for integrated object storage, rather than the maintenance of associations between features stored in separate domain-specific buffers
Position and frequency shifts induced by massive modes of the gravitational wave background in alternative gravity
Alternative theories of gravity predict the presence of massive scalar,
vector, and tensor gravitational wave modes in addition to the standard
massless spin~2 graviton of general relativity. The deflection and frequency
shift effects on light from distant sources propagating through a stochastic
background of gravitational waves, containing such modes, differ from their
counterparts in general relativity. Such effects are considered as a possible
signature for alternative gravity in attempts to detect deviations from
Einstein's gravity by astrophysical means.Comment: 9 pages, 1 figur
Can changing the timing of outdoor air intake reduce indoor concentrations of traffic-related pollutants in schools?
Traffic emissions have been associated with a wide range of adverse health effects. Many schools are situated close to major roads, and as children spend much of their day in school, methods to reduce traffic-related air pollutant concentrations in the school environment are warranted. One promising method to reduce pollutant concentrations in schools is to alter the timing of the ventilation so that high ventilation time periods do not correspond to rush hour traffic. Health Canada, in collaboration with the Ottawa-Carleton District School Board, tested the effect of this action by collecting traffic-related air pollution data from four schools in Ottawa, Canada, during October and November 2013. A baseline and intervention period was assessed in each school. There were statistically significant (P \u3c 0.05) reductions in concentrations of most of the pollutants measured at the two late-start (9 AM start) schools, after adjusting for outdoor concentrations and the absolute indoor–outdoor temperature difference. The intervention at the early-start (8 AM start) schools did not have significant reductions in pollutant concentrations. Based on these findings, changing the timing of the ventilation may be a cost-effective mechanism of reducing traffic-related pollutants in late-start schools located near major roads. © 2015 Her Majesty the Queen in Right of Canada. Indoor Air published by John Wiley & Sons Ltd. Reproduced with the permission of the Minister of Health Canada
Kinematics, ages and metallicities for F and G type stars in the solar neighbourhood
A new metallicity distribution and an age-metallicity relation are presented
for 437 nearby F and G turn-off and sub-giant stars selected from radial
velocity data of Nidever et al. Photometric metallicities are derived from
uvby-H\beta photometry, and the stellar ages from the isochrones of Bergbusch &
VandenBerg as transformed to photometry using the methods of Clem et al.
The X (stellar-population) criterion of Schuster et al., which combines both
kinematic and metallicity information, provides 22 thick-disk stars.
\sigma_{\rm W} = 32 \pm 5 km s^{-1}, = 154 \pm 6 km s^{-1} and
= -0.55 \pm 0.03 dex for these thick-disk stars, which is in agreement
with values from previous studies of the thick disk. \alpha -element abundances
which are available for some of these thick-disk stars show the typical
alpha-element signatures of the thick disk, supporting the classification
procedure based on the criteria. Both the scatter in metallicity at a given
age and the presence of old, metal-rich stars in the age-metallicity relation
make it difficult to decide whether or not an age-metallicity relation exists
for the older thin-disk stars. For ages greater than 3 Gyr, our results agree
with the other recent studies that there is almost no correlation between age
and metallicity, \Delta ([M/Fe])/\Delta(age) = -0.01 \pm 0.005 dex Gyr^{-1}.
For the 22 thick-disk stars there is a range in ages of 7-8 Gyr, but again
almost no correlation between age and metallicity.Comment: 11 pages, including 10 figures and 3 tables, accepted for publication
in MNRA
Bell Correlations and the Common Future
Reichenbach's principle states that in a causal structure, correlations of
classical information can stem from a common cause in the common past or a
direct influence from one of the events in correlation to the other. The
difficulty of explaining Bell correlations through a mechanism in that spirit
can be read as questioning either the principle or even its basis: causality.
In the former case, the principle can be replaced by its quantum version,
accepting as a common cause an entangled state, leaving the phenomenon as
mysterious as ever on the classical level (on which, after all, it occurs). If,
more radically, the causal structure is questioned in principle, closed
space-time curves may become possible that, as is argued in the present note,
can give rise to non-local correlations if to-be-correlated pieces of classical
information meet in the common future --- which they need to if the correlation
is to be detected in the first place. The result is a view resembling Brassard
and Raymond-Robichaud's parallel-lives variant of Hermann's and Everett's
relative-state formalism, avoiding "multiple realities."Comment: 8 pages, 5 figure
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