General practitioners’ perceptions of asynchronous telemedicine in a randomized controlled trial of teledermatology.

Background: Telemedicine is viewed as having a key role to play in the Government’s plans to modernise the NHS.1 However, to date there are few studies which have explored the views and acceptability of GPs towards telemedicine in primary care. Aim: To elicit the perceptions of GPs towards teledermatology (TD) before and after it’s introduction into their Practices and to observe whether GP views of TD had changed over the course of the study. Design of study: A postal questionnaire administered as part of a wider randomised controlled trial of telemedicine in dermatology. Setting: A locality group of eight General Practices in Sheffield and a single teaching hospital in Sheffield that provided the local dermatology referral service. Method: A postal questionnaire circulated to all GPs from the eight participating Practices. Results: A 85.7% (36/42) response rate was achieved. Only 21% (n=7; 95% CI: 10-37%) of respondents felt satisfied/very satisfied with TD in their Practice, 47% (n=16) said that they were dissatisfied or very dissatisfied. Thirty one per cent (n=10; 95% CI: 18-49%) said that they felt confident about diagnosis and management of care through TD, with 28% (n=9) reporting that they were unconfident. Only 23% (n=8; 95% CI: 12-39%) of respondents said that they would consider using a telemedicine system in the future, 34% (n=12) said they would probably or definitely not and 43% (n=15) were unsure. There was some evidence that GPs views about TD became more negative over the course of the study. Conclusions: The study reports less favourable GP responses to telemedicine than observed in previous studies, and suggests that the model of telemedicine described in this study paper would not be widely acceptable to GPs

Can consumer research panels form an effective part of the cancer research community?

The North Trent Cancer Research Network’s Consumer Research Panel (NTCRN CRP) was established in December 2001 by the Academic Unit of Supportive Care at the University of Sheffield. In three years, the CRP has succeeded in nurturing a climate of sustainable consumer involvement within the NTCRN and this has become embedded in the culture of the network. Furthermore, the panel have championed a sustainable development of consumer involvement in health and social care research by testing new ground and forging a new way of working between health professionals and patients and carers. The CRP model has been held up as an example to other cancer networks, with new panels being set up around the country to emulate its success. This paper describes the Sheffield model of patient and public involvement and using the eight key principles of successful consumer involvement in research, identified in a recent paper by Telford et al (2003), provides a useful framework for analysing the work of the Panel. This demonstrates how consumers and professionals can inform each other to work constructively and synergistically to achieve impressive research results. The need for measurable outcomes to assess the impact and effect of consumer involvement is finally explored

Charles M. Breder, Jr.: Bahamas and Florida

Dr. Charles M. Breder, a well known ichthyologist, kept meticulous field diaries throughout his career. This publication is a transcription of field notes recorded during the Bacon Andros Expeditions, and trips to Florida, Ohio and Illinois during the 1930s. Breder's work in Andros included exploration of a "blue hole", inland ecosystems, and collection of marine and terrestrial specimens. Anecdotes include descriptions of camping on the beach, the "filly-mingoes" (flamingos) of Andros Island, the Marine Studios of Jacksonville, FL, a trip to Havana, and the birth of seahorses. This publication is part of a series of transcriptions of Dr. Breder's diaries. (PDF contains 55 pages

Charles M. Breder, Jr.: Atlantis Expedition, 1934

Dr. Charles M. Breder participated on the 1934 expedition of the Atlantis from Woods Hole, Massachusetts to Panama and back and kept a field diary of daily activities. The Atlantis expedition of 1934, led by Prof. A. E. Parr, was a milestone in the history of scientific discovery in the Sargasso Sea and the West Indies. Although naturalists had visited the Sargasso Sea for many years, the Atlantis voyage was the first attempt to investigate in detailed quantitative manner biological problems about this varying, intermittent ‘false’ bottom of living, floating plants and associated fauna. In addition to Dr. Breder, the party also consisted of Dr. Alexander Forbes, Harvard University and Trustee of the Woods Hole Oceanographic Institution (WHOI); T. S. Greenwood, WHOI hydrographer; M. D. Burkenroad, Yale University’s Bingham Laboratory, carcinology and Sargasso epizoa; M. Bishop, Peabody Museum of Natural History, Zoology Dept., collections and preparations and H. Sears, WHOI ichthyologist. The itinerary included the following waypoints: Woods Hole, the Bermudas, Turks Islands, Kingston, Colon, along the Mosquito Bank off of Nicaragua, off the north coast of Jamaica, along the south coast of Cuba, Bartlett Deep, to off the Isle of Pines, through the Yucatan Channel, off Havana, off Key West, to Miami, to New York City, and then the return to Woods Hole. During the expedition, Breder collected rare and little-known flying fish species and developed a method for hatching and growing flying fish larvae. (PDF contains 48 pages

Renormalization and resummation in finite temperature field theories

Resummation, ie. reorganization of perturbative series, can result in an inconsistent perturbation theory, unless the counterterms are reorganized in an appropriate way. In this paper two methods are presented for resummation of counterterms: one is a direct method where the necessary counterterms are constructed order by order; the other is a general one, based on renormalization group arguments. We demonstrate at one hand that, in mass independent schemes, mass resummation can be performed by gap equations renormalized prior to the substitution of the resummed mass for its argument. On the other hand it is shown that any (momentum-independent) form of mass and coupling constant resummation is compatible with renormalization, and one can explicitly construct the corresponding counterterms.Comment: 10 pages, 4 figures, revtex

Fractal templates in the escape dynamics of trapped ultracold atoms

We consider the dynamic escape of a small packet of ultracold atoms launched from within an optical dipole trap. Based on a theoretical analysis of the underlying nonlinear dynamics, we predict that fractal behavior can be seen in the escape data. This data would be collected by measuring the time-dependent escape rate for packets launched over a range of angles. This fractal pattern is particularly well resolved below the Bose-Einstein transition temperature--a direct result of the extreme phase space localization of the condensate. We predict that several self-similar layers of this novel fractal should be measurable and we explain how this fractal pattern can be predicted and analyzed with recently developed techniques in symbolic dynamics.Comment: 11 pages with 5 figure

A Kaluza-Klein Model with Spontaneous Symmetry Breaking: Light-Particle Effective Action and its Compactification Scale Dependence

We investigate decoupling of heavy Kaluza-Klein modes in an Abelian Higgs model with space-time topologies $\mathbb{R}^{3,1} \times S^{1}$ and $\mathbb{R}^{3,1} \times S^{1}/\mathbb{Z}_{2}$. After integrating out heavy KK modes we find the effective action for the zero mode fields. We find that in the $\mathbb{R}^{3,1} \times S^{1}$ topology the heavy modes do not decouple in the effective action, due to the zero mode of the 5-th component of the 5-d gauge field $A_{5}$. Because $A_{5}$ is a scalar under 4-d Lorentz transformations, there is no gauge symmetry protecting it from getting mass and $A_{5}^{4}$ interaction terms after loop corrections. In addition, after symmetry breaking, we find new divergences in the $A_{5}$ mass that did not appear in the symmetric phase. The new divergences are traced back to the gauge-goldstone mixing that occurs after symmetry breaking. The relevance of these new divergences to Symanzik's theorem is discussed. In order to get a more sensible theory we investigate the $S^{1}/\mathbb{Z}_{2}$ compactification. With this kind of compact topology, the $A_{5}$ zero mode disappears. With no $A_{5}$, there are no new divergences and the heavy modes decouple. We also discuss the dependence of the couplings and masses on the compactification scale. We derive a set of RG-like equations for the running of the effective couplings with respect to the compactification scale. It is found that magnitudes of both couplings decrease as the scale $M$ increases. The effective masses are also shown to decrease with increasing compactification scale. All of this opens up the possibility of placing constraints on the size of extra dimensions.Comment: 35 pages, 6 figure

Hard-scattering factorization with heavy quarks: A general treatment

A detailed proof of hard scattering factorization is given with the inclusion of heavy quark masses. Although the proof is explicitly given for deep-inelastic scattering, the methods apply more generally The power-suppressed corrections to the factorization formula are uniformly suppressed by a power of \Lambda/Q, independently of the size of heavy quark masses, M, relative to Q.Comment: 52 pages. Version as published plus correction of misprint in Eq. (45

LHC Signals from Cascade Decays of Warped Vector Resonances

Recently (arXiv:1608.00526), a new framework for warped higher-dimensional compactifications with "bulk" standard model (SM) was proposed: in addition to the UV (Planck scale) and IR (a couple of TeV) branes, there is an intermediate brane, taken to be around 10 TeV. The SM matter and Higgs fields propagate from the UV brane down to this intermediate brane only, while gauge and gravity fields propagate in the entire bulk. Such a configuration renders the lightest gauge Kaluza-Klein (KK) states within LHC reach, simultaneously satisfying flavor and CP constraints. In addition, the usual leading decay modes of the lightest KK gauge bosons into top and Higgs bosons are suppressed. This effect permits erstwhile subdominant channels to become significant. These include flavor-universal decays to SM fermions and Higgs bosons, and a novel channel - decay to a radion and a SM gauge boson, followed by radion decay to a pair of SM gauge bosons. In this work, we first delineate the parameter space where the above mentioned cascade decay of gauge KK particles dominates, and thereby can be the discovery mode at the LHC. We then perform a detailed analysis of the LHC signals from this model, finding that 300/fb suffices for evidence of KK-gluon in tri-jet, jet + di-photon and jet + di-boson channels. However, KK photon in photon + di-jet, and KK-W in leptonic W + di-jet require 3000/fb. The crucial feature of this decay chain is a "double" resonance, i.e. 3-particle and 2-particle invariant mass peaks, corresponding to the KK gauge boson and the radion respectively.Comment: 50 page

Violations of local realism by two entangled quNits

Results obtained in two recent papers, \cite{Kaszlikowski} and \cite{Durt}, seem to indicate that the nonlocal character of the correlations between the outcomes of measurements performed on entangled systems separated in space is not robust in the presence of noise. This is surprising, since entanglement itself is robust. Here we revisit this problem and argue that the class of gedanken-experiments considered in \cite{Kaszlikowski} and \cite{Durt} is too restrictive. By considering a more general class, involving sequences of measurements, we prove that the nonlocal correlations are in fact robust.Comment: Reference added, 3 pages, accepted for publication in J. Phys. A: Math. and Genera