The varying role of the GP in the pathway between colonoscopy and surgery for colorectal cancer: a retrospective cohort study

Extent: 11p.Objectives: To describe general practitioner (GP) involvement in the treatment referral pathway for colorectal cancer (CRC) patients. Design: A retrospective cohort analysis of linked data. Setting: A population-based sample of CRC patients diagnosed from August 2004 to December 2007 in New South Wales, Australia, using the 45 and Up Study, cancer registry diagnosis records, inpatient hospital records and Medicare claims records. Participants: 407 CRC patients who had a colonoscopy followed by surgery. Primary outcome measures: Patterns of GP consultations between colonoscopy and surgery (ie, between diagnosis and treatment). We investigated whether consulting a GP presurgery was associated with time to surgery, postsurgical GP consultations or rectal cancer cases having surgery in a centre with radiotherapy facilities. Results: Of the 407 patients, 43% (n=175) had at least one GP consultation between colonoscopy and surgery. The median time from colonoscopy to surgery was 27 days for those with an intervening GP consultation and 15 days for those without the consultation. 55% (n=223) had a GP consultation up to 30 days postsurgery; it was more common in cases of patients who consulted a GP presurgery than for those who did not (65% and 47%, respectively, adjusted OR 2.71, 95% CI 1.50 to 4.89, p=0.001). Of the 142 rectal cancer cases, 23% (n=33) had their surgery in a centre with radiotherapy facilities, with no difference between those who did and did not consult a GP presurgery (21% and 25% respectively, adjusted OR 0.84, 95% CI 0.27 to 2.63, p=0.76). Conclusions: Consulting a GP between colonoscopy and surgery was associated with a longer interval between diagnosis and treatment, and with further GP consultations postsurgery, but for rectal cancer cases it was not associated with treatment in a centre with radiotherapy facilities. GPs might require a more defined and systematic approach to CRC management.David Goldsbury, Mark Harris, Shane Pascoe, Michael Barton, Ian Olver, Allan Spigelman, Justin Beilby, Craig Veitch, David Weller, Dianne L O'Connel

Feedback control of thermal lensing in a high optical power cavity

This paper reports automatic compensation of strong thermal lensing in a suspended 80 m optical cavity with sapphire test mass mirrors. Variation of the transmitted beam spot size is used to obtain an error signal to control the heating power applied to the cylindrical surface of an intracavity compensation plate. The negative thermal lens created in the compensation plate compensates the positive thermal lens in the sapphire test mass, which was caused by the absorption of the high intracavity optical power. The results show that feedback control is feasible to compensate the strong thermal lensing expected to occur in advanced laser interferometric gravitational wave detectors. Compensation allows the cavity resonance to be maintained at the fundamental mode, but the long thermal time constant for thermal lensing control in fused silica could cause difficulties with the control of parametric instabilities.This research was supported by the Australian Research Council and the Department of Education, Science and Training and by the U.S. National Science Foundation, through LIGO participation in the HOPF

A Bayesian approach to the follow-up of candidate gravitational wave signals

Ground-based gravitational wave laser interferometers (LIGO, GEO-600, Virgo and Tama-300) have now reached high sensitivity and duty cycle. We present a Bayesian evidence-based approach to the search for gravitational waves, in particular aimed at the followup of candidate events generated by the analysis pipeline. We introduce and demonstrate an efficient method to compute the evidence and odds ratio between different models, and illustrate this approach using the specific case of the gravitational wave signal generated during the inspiral phase of binary systems, modelled at the leading quadrupole Newtonian order, in synthetic noise. We show that the method is effective in detecting signals at the detection threshold and it is robust against (some types of) instrumental artefacts. The computational efficiency of this method makes it scalable to the analysis of all the triggers generated by the analysis pipelines to search for coalescing binaries in surveys with ground-based interferometers, and to a whole variety of signal waveforms, characterised by a larger number of parameters.Comment: 9 page

Active transport, independent mobility and territorial range among children residing in disadvantaged areas

Available online 14 March 2014Regular physical activity during childhood and adolescence promotes physical and mental health across the lifespan. Walking and cycling for transport may be important, inexpensive and accessible sources of physical activity among socioeconomically disadvantaged youth. This study aimed to examine active transport and independent mobility (i.e. walking/cycling without adult accompaniment) on journeys to school and other local destinations, and their associations with children's physical activity in disadvantaged urban and rural areas of Victoria, Australia. In addition, associations were examined between children's perceived accessibility of local destinations by walking/cycling and their territorial range (i.e. how far they were allowed to roam without adult accompaniment).Survey-reported active transport, independent mobility, territorial range, and objectively-measured physical activity were analysed for 271 children (mean age 12.1 (SD 2.2) years). Habitual travel modes (on 3 or more days/week) were examined. Car travel was most prevalent to (43%) and from (33%) school, while 25% walked to school, 31% walked home, and few cycled (6%). Most walking/cycling trips were made independently. Total weekly duration rather than frequency of active transport to school was positively associated with physical activity. No associations were found between independent mobility and physical activity. Territorial range was restricted - only a third of children were allowed to roam more than 15. min from home alone, while approximately half were allowed to do so with friends. The number of accessible destination types in the neighbourhood was positively associated with territorial range. This research provides evidence of how active transport contributes to children's physical activity and a preliminary understanding of children's independent mobility on journeys to school and local destinations. Further research is required to explore influences on these behaviours.Alison Carver, Jenny Veitch, Shannon Sahlqvist, David Crawford, Clare Hum

Stabilization of injection-locked lasers using spatial mode interference

We report the use of spatial-mode-interference, or tilt-locking, for the active stabilization of injection-locking of a Nd:YAG laser. We show that this control scheme is robust and adds negligible frequency noise to the injection-locked laserOttaway, D.J.; Gray, M.B.; Shaddock, D.A.; Hollitt, C.; Veitch, P.J.; Munch, J.; McClelland, David Ernes

Bayesian coherent analysis of in-spiral gravitational wave signals with a detector network

The present operation of the ground-based network of gravitational-wave laser interferometers in "enhanced" configuration brings the search for gravitational waves into a regime where detection is highly plausible. The development of techniques that allow us to discriminate a signal of astrophysical origin from instrumental artefacts in the interferometer data and to extract the full range of information are some of the primary goals of the current work. Here we report the details of a Bayesian approach to the problem of inference for gravitational wave observations using a network of instruments, for the computation of the Bayes factor between two hypotheses and the evaluation of the marginalised posterior density functions of the unknown model parameters. The numerical algorithm to tackle the notoriously difficult problem of the evaluation of large multi-dimensional integrals is based on a technique known as Nested Sampling, which provides an attractive alternative to more traditional Markov-chain Monte Carlo (MCMC) methods. We discuss the details of the implementation of this algorithm and its performance against a Gaussian model of the background noise, considering the specific case of the signal produced by the in-spiral of binary systems of black holes and/or neutron stars, although the method is completely general and can be applied to other classes of sources. We also demonstrate the utility of this approach by introducing a new coherence test to distinguish between the presence of a coherent signal of astrophysical origin in the data of multiple instruments and the presence of incoherent accidental artefacts, and the effects on the estimation of the source parameters as a function of the number of instruments in the network.Comment: 22 page

Power scalable TEM(oo) CW Nd: YAG laser with thermal lens compensation

We present finite-element analyzes and experimental results to validate our approach for building high-power single-mode Nd:YAG lasers. We show that the thermooptical and thermomechanical properties of a slab laser can be controlled. This is essential for the use of the proposed unstable resonator. We include demonstration of an efficient subscale laser operating at 20 W TEM00.D. Mudge, M. Ostermeyer, P. J. Veitch, J. Munch, B. Middlemiss, D. J. Ottaway and M. W. Hamilto

Negative Quasi-Probability as a Resource for Quantum Computation

A central problem in quantum information is to determine the minimal physical resources that are required for quantum computational speedup and, in particular, for fault-tolerant quantum computation. We establish a remarkable connection between the potential for quantum speed-up and the onset of negative values in a distinguished quasi-probability representation, a discrete analog of the Wigner function for quantum systems of odd dimension. This connection allows us to resolve an open question on the existence of bound states for magic-state distillation: we prove that there exist mixed states outside the convex hull of stabilizer states that cannot be distilled to non-stabilizer target states using stabilizer operations. We also provide an efficient simulation protocol for Clifford circuits that extends to a large class of mixed states, including bound universal states.Comment: 15 pages v4: This is a major revision. In particular, we have added a new section detailing an explicit extension of the Gottesman-Knill simulation protocol to deal with positively represented states and measurement (even when these are non-stabilizer). This paper also includes significant elaboration on the two main results of the previous versio

Compensation of Strong Thermal Lensing in High Optical Power Cavities

In an experiment to simulate the conditions in high optical power advanced gravitational wave detectors such as Advanced LIGO, we show that strong thermal lenses form in accordance with predictions and that they can be compensated using an intra-cavity compensation plate heated on its cylindrical surface. We show that high finesse ~1400 can be achieved in cavities with internal compensation plates, and that the cavity mode structure can be maintained by thermal compensation. It is also shown that the measurements allow a direct measurement of substrate optical absorption in the test mass and the compensation plate.Comment: 8 page

ACIGA laser technology: 10W and 100W

http://admdbsrv.ligo.caltech.edu/meetings/lsc_default_closed.htf?meetingid=25http://www.ligo.caltech.edu/docs/G/G060104-00/G060104-00.pd