What do we really know about infants who attend Accident and Emergency departments?

Aims: Accident and Emergency attendances continue to rise. Infants are disproportionately represented. This study examines the clinical reasons infants attend UK Accident and Emergency departments. Methods: A retrospective review of 6,667 infants aged less than one year attending Accident and Emergency at two district general hospitals in London from 1st April 2009 to 30th March 2010. All infants had been assigned to a diagnostic category by the medical coding department according to National Health Service (NHS) data guidelines, based on the clinical diagnoses stated in the medical records. The Accident and Emergency case notes of a random subsample of 10% of infants in each of the top five recorded diagnostic categories (n = 535) were reviewed in detail and audited against the standard national NHS data set. Results: The top 5 clinical diagnoses were ‘infectious diseases’, ‘gastrointestinal’, ‘respiratory’, ‘unclassifiable’ and ‘no abnormality detected’ (NAD). A third of infants were originally given a diagnosis of unclassifiable (21.5%) or NAD (11.5%). After detailed case-note review, we were able to reduce this to 9.7% (95% confidence interval (CI): 9.0, 10.4) and 8.8% (95% CI: 8.1, 9.5), respectively. Conclusion: This study demonstrates the importance of providing a clear clinical diagnosis and coding system for Accident and Emergency attendances and understanding that system fully. This would allow for better informed health service evaluation, planning and research as each of these relies on the interpretation of routine health-care data. Furthermore, the relatively high proportion (10%) of infants attending with no discernible underlying medical abnormality suggests the health needs of a significant proportion of infants attending Accident and Emergency departments may be better addressed by alternative service provision and/or improved education and support to parents

Preparation of crosslinked 1,2,4-oxadiazole polymer

New crosslinked 1,2,4-oxadiazole elastomers were prepared by thermally condensing a monomer having the formula H2N(HON)C-R-Q, wherein Q is a triazine ring-forming group such as nitrile or amidine or a mixture of such group with amidoxime, or a mixture of said monomer with R C(NOH)NH2 sub 2 with R in these formulas standing for a bivalent organic radical. In the monomer charge, the overall proportions of amidoxime groups to triazine ring-forming groups varies depending on the extent of crosslinking desired in the final polymer

Insecurity of position-based quantum cryptography protocols against entanglement attacks

Recently, position-based quantum cryptography has been claimed to be unconditionally secure. In contrary, here we show that the existing proposals for position-based quantum cryptography are, in fact, insecure if entanglement is shared among two adversaries. Specifically, we demonstrate how the adversaries can incorporate ideas of quantum teleportation and quantum secret sharing to compromise the security with certainty. The common flaw to all current protocols is that the Pauli operators always map a codeword to a codeword (up to an irrelevant overall phase). We propose a modified scheme lacking this property in which the same cheating strategy used to undermine the previous protocols can succeed with a rate at most 85%. We conjecture that the modified protocol is unconditionally secure and prove this to be true when the shared quantum resource between the adversaries is a two- or three- level system

Optically controlled orbital angular momentum generation in a polaritonic quantum fluid

Applications of the orbital angular momentum (OAM) of light range from the next generation of optical communication systems to optical imaging and optical manipulation of particles. Here we propose a micron-sized semiconductor source which emits light with pre-defined OAM components. This source is based on a polaritonic quantum fluid. We show how in this system modulational instabilities can be controlled and harnessed for the spontaneous formation of OAM components not present in the pump laser source. Once created, the OAM states exhibit exotic flow patterns in the quantum fluid, characterized by generation-annihilation pairs. These can only occur in open systems, not in equilibrium condensates, in contrast to well-established vortex-antivortex pairs

Entrepreneurship through Bricolage. A Study of Displaced Entrepreneurs at Times of War and Conflict

War and conflict brings about adverse changes for those who are displaced. How do entrepreneurial individuals respond to such adversity to either set-up, or continue with their existing entrepreneurial endeavours that would improve their own livelihood or that of others who have been affected? Whilst previous studies have found local knowledge, networks and resources to be crucial in the development of ventures in the war and conflict context, alienation from mainstream society within the host location often means that to succeed, those who are displaced require alternative strategies and approaches. Through examining the entrepreneurship ventures of six internally displaced entrepreneurs in Pakistan, our study identifies that entrepreneurial individuals find different ways to adapt to the new order, with both internal and external bricolage becoming the key strategies deployed to either re-establish their previous business(es) or to develop new endeavour(s) in the host location. To compensate for lack of local knowledge, networks and resources, we found that entrepreneurs followed closely their previous paths in their bricolage attempts, relying on reconfigurations of their pre-existing competencies, as well as utilising pre-established and clandestine networks

Solar neutrino interactions: Using charged currents at SNO to tell neutral currents at Super-Kamiokande

In the presence of flavor oscillations, muon and tau neutrinos can contribute to the Super-Kamiokande (SK) solar neutrino signal through the neutral current process \nu_{\mu,\tau} e^{-}\to \nu_{\mu,\tau} e^{-}. We show how to separate the \nu_e and \nu_{\mu,\tau} event rates in SK in a model independent way, by using the rate of the charged current process \nu_e d \to p p e^{-} from the Sudbury Neutrino Observatory (SNO) experiment, with an appropriate choice of the SK and SNO energy thresholds. Under the additional hypothesis of no oscillations into sterile states, we also show how to determine the absolute ^{8}B neutrino flux from the same data set, independently of the \nu_e survival probability.Comment: 14 pages (RevTeX), incl. 3 figures (epsf), submitted to Phys. ReV.

Directional optical switching and transistor functionality using optical parametric oscillation in a spinor polariton fluid

Over the past decade, spontaneously emerging patterns in the density of polaritons in semiconductor microcavities were found to be a promising candidate for all-optical switching. But recent approaches were mostly restricted to scalar fields, did not benefit from the polariton's unique spin-dependent properties, and utilized switching based on hexagon far-field patterns with 60{\deg} beam switching (i.e. in the far field the beam propagation direction is switched by 60{\deg}). Since hexagon far-field patterns are challenging, we present here an approach for a linearly polarized spinor field, that allows for a transistor-like (e.g., crucial for cascadability) orthogonal beam switching, i.e. in the far field the beam is switched by 90{\deg}. We show that switching specifications such as amplification and speed can be adjusted using only optical means