Shaping the future for primary care education and training project. Integrated health and social care: the perspectives of people using services: a mixed methods analysis

The aim of this study was to explore service users' perspectives concerning integrated health & social care, and to identify the perceived strengths and weaknesses associated with the current workforce and services provided. The findings will be used to inform the education and training of the health and social care workforce in the North West of Englan

An anthropological study of sacrifice with special reference to Aztec material

Human. and animal sacrifice can perform similar functions, but the essential difference is that human sacrifice is always a social affair; a victim offered for the benefit of society rather than of an individual. The Aztecs, migrant hunters who settled on the Mexican Plateau, in the fourteenth century, believed that human sacrifice was necessary to feed the sun and maintain the harmony of the universe, and that they were the people chosen to perform this duty. Sacrifices occurred at intervals according to a ritual calendar, and at major public ceremonies every twenty days following the agricultural cycle. The structure of sacrifice was similar to that described by Hubert and Mauss, following a set pattern which varied according to the particular purposes of the sacrifice, and the god whose impersonator was being immolated. Of the many gods worshipped, each had their own priesthood and temple necessitating a huge and complex priestly organisation. Religion became the driving force in every aspect of life especially the activities of war; Holy War to obtain prisoners for sacrifice became an obsession of the state. The Aztec emperor was head of the 'church' and occupied a semi- divine status, involving the performance of important ritual duties. The sun and war cult strongly influenced the worship of agrarian deities indigenous to the Valley of Mexico, and a synthesis was formed from the two ideologies which is reflected in the details of some ceremonies. The sacrificial rites, while containing elements of homage, were more than mere gifts to the gods, they were basically redemptive for man as a whole, and were rites of rebirth for the gods whose impersonators were sacrificed. In many sacrifices the god was believed to enter into the victim and the sacrificial flesh was eaten in a communion. Although much of the war and sun cult was absorbed from previous cultures on the Plateau., under the Aztecs the incidence of sacrifice developed into a series of hecatombs, only interrupted by the Spanish conquest

Synthesis and alkyne-coupling chemistry of cyclomanganated 1- and 3-acetylindoles, 3-formylindole and analogues

The syntheses are reported of new cyclomanganated indole derivatives (1-acetyl-κO-indolyl-κC2)dicarbonylbis(trimethylphosphite)manganese (2), (1-methyl-3-acetyl-κO-indolyl-κC2)tetracarbonylmanganese (4), (3-formyl-κO-indolyl-κC2)tetracarbonylmanganese (5a) and (1-methyl-3-formyl-κO-indolyl-κC2)tetracarbonylmanganese (5b). The unusually complicated crystal structure of 5b has been determined, the first for a cyclomanganated aryl aldehyde. The preparations of a mitomycin-related pyrrolo-indole and related products by thermally promoted and oxidatively (Me3NO) initiated alkyne-coupling reactions of the previously known complex (1-acetyl-κO-indolyl-κC2)tetracarbonylmanganese (1) are reported for different alkynes and solvents. X-ray crystal structures are reported for the dimethyl acetylenedicarboxylate coupling product of 1 (dimethyl 1-methyl-l-hydroxypyrrolo[1,2a]-indole-2,3-dicarboxylate; 6a), and an unusually-cyclised triple insertion product 8 from the coupling of acetylene with 4, in which a cyclopentadiene moiety is η3-allyl-coordinated to Mn through only one double bond and an exocyclic carbon, but which rearranges on heating to an η5-cyclopentadienyl complex

Systematic study of Optical Feshbach Resonances in an ideal gas

Using a narrow intercombination line in alkaline earth atoms to mitigate large inelastic losses, we explore the Optical Feshbach Resonance (OFR) effect in an ultracold gas of bosonic $^{88}$Sr. A systematic measurement of three resonances allows precise determinations of the OFR strength and scaling law, in agreement with coupled-channels theory. Resonant enhancement of the complex scattering length leads to thermalization mediated by elastic and inelastic collisions in an otherwise ideal gas. OFR could be used to control atomic interactions with high spatial and temporal resolution.Comment: Significant changes to text and figure presentation to improve clarity. Extended supplementary material. 4 pages, 4 figures; includes supplementary material 8 pages, 4 figures. Submitted to Physical Review Letter

Sign problems, noise, and chiral symmetry breaking in a QCD-like theory

The Nambu-Jona-Lasinio model reduced to 2+1 dimensions has two different path integral formulations: at finite chemical potential one formulation has a severe sign problem similar to that found in QCD, while the other does not. At large N, where N is the number of flavors, one can compute the probability distributions of fermion correlators analytically in both formulations. In the former case one finds a broad distribution with small mean; in the latter one finds a heavy tailed positive distribution amenable to the cumulant expansion techniques developed in earlier work. We speculate on the implications of this model for QCD.Comment: 16 pages, 5 figures; Published version with minor changes from the origina