233 research outputs found
Homogeneous nucleation of dislocations as bifurcations in a periodized discrete elasticity model
A novel analysis of homogeneous nucleation of dislocations in sheared
two-dimensional crystals described by periodized discrete elasticity models is
presented. When the crystal is sheared beyond a critical strain , the
strained dislocation-free state becomes unstable via a subcritical pitchfork
bifurcation. Selecting a fixed final applied strain , different
simultaneously stable stationary configurations containing two or four edge
dislocations may be reached by setting during different time
intervals . At a characteristic time after , one or two dipoles
are nucleated, split, and the resulting two edge dislocations move in opposite
directions to the sample boundary. Numerical continuation shows how
configurations with different numbers of edge dislocation pairs emerge as
bifurcations from the dislocation-free state.Comment: 6 pages, 4 figures, to appear in Europhys. Let
Profiling the propagation of error from PPG to HRV features in a wearable physiological-monitoring device
This is the final version. Available on open access from IET via the DOI in this recordWearable physiological monitors are becoming increasingly commonplace in the consumer domain, but in literature there exists no substantive studies of their performance when measuring the physiology of ambulatory patients. In this Letter, the authors investigate the reliability of the heart-rate (HR) sensor in an exemplar 'wearable' wrist-worn monitoring system (the Microsoft Band 2); their experiments quantify the propagation of error from (i) the photoplethysmogram (PPG) acquired by pulse oximetry, to (ii) estimation of HR, and (iii) subsequent calculation of HR variability (HRV) features. Their experiments confirm that motion artefacts account for the majority of this error, and show that the unreliable portions of HR data can be removed, using the accelerometer sensor from the wearable device. The experiments further show that acquired signals contain noise with substantial energy in the high-frequency band, and that this contributes to subsequent variability in standard HRV features often used in clinical practice. The authors finally show that the conventional use of long-duration windows of data is not needed to perform accurate estimation of time-domain HRV features
ComeHere: Exploiting ethereum for secure sharing of health-care data
The problem of protecting sensitive data like medical records, and enabling the access only to authorized entities is currently a challenge. Current solutions often require trusting some centralized entity which is in charge of managing the data. The disruptive technology of blockchains may offer the possibility to change the current scenario and give to the users the control on their personal data. In this paper we propose ComeHere, a system able to store medical records and to exploit the blockchain technology to control and track the access right transfer on the blockchain. The paper shows the current status of the project, presents a preliminary proof-of-concept implementation and discusses the future improvements of the system, and some critical issues which are still open.Engineering and Physical Sciences Research Council (EPSRC)BioBeats Group Lt
Dislocations in graphene
We study the stability and evolution of various elastic defects in a flat
graphene sheet and the electronic properties of the most stable configurations.
Two types of dislocations are found to be stable: "glide" dislocations
consisting of heptagon-pentagon pairs, and "shuffle" dislocations, an octagon
with a dangling bond. Unlike the most studied case of carbon nanotubes, Stone
Wales defects are unstable in the planar graphene sheet. Similar defects in
which one of the pentagon-heptagon pairs is displaced vertically with respect
to the other one are found to be dynamically stable. Shuffle dislocations will
give rise to local magnetic moments that can provide an alternative route to
magnetism in graphene
On the critical nature of plastic flow: one and two dimensional models
Steady state plastic flows have been compared to developed turbulence because
the two phenomena share the inherent complexity of particle trajectories, the
scale free spatial patterns and the power law statistics of fluctuations. The
origin of the apparently chaotic and at the same time highly correlated
microscopic response in plasticity remains hidden behind conventional
engineering models which are based on smooth fitting functions. To regain
access to fluctuations, we study in this paper a minimal mesoscopic model whose
goal is to elucidate the origin of scale free behavior in plasticity. We limit
our description to fcc type crystals and leave out both temperature and rate
effects. We provide simple illustrations of the fact that complexity in rate
independent athermal plastic flows is due to marginal stability of the
underlying elastic system. Our conclusions are based on a reduction of an
over-damped visco-elasticity problem for a system with a rugged elastic energy
landscape to an integer valued automaton. We start with an overdamped one
dimensional model and show that it reproduces the main macroscopic
phenomenology of rate independent plastic behavior but falls short of
generating self similar structure of fluctuations. We then provide evidence
that a two dimensional model is already adequate for describing power law
statistics of avalanches and fractal character of dislocation patterning. In
addition to capturing experimentally measured critical exponents, the proposed
minimal model shows finite size scaling collapse and generates realistic shape
functions in the scaling laws.Comment: 72 pages, 40 Figures, International Journal of Engineering Science
for the special issue in honor of Victor Berdichevsky, 201
RAPA (Polinesia Francesa) (Isla). Cartas náuticas. 1878 (1867). 1:20000
Presenta dos perspectivas de la isla de Rapa en el Polinesia Francesa se determinan los números de sonda y veriles, y fondeaderos principalesEscala gráfica en millas marinasIndica veriles y sondas batimétricas y gráfico de declinación magnéticaRelieve representado por normales y puntos acotadosEn los angulos superior e inferior derechos se señalan el número de referencia y el precio, respectivamenteCopia digital. Madrid : Ministerio de Cultura. Dirección General del Libro, Archivos y Bibliotecas, 201
Everyday Diplomacy: UKUSA Intelligence Cooperation and Geopolitical Assemblages
This article offers an alternative to civilizational thinking in geopolitics and international relations predicated on assemblage theory. Building on literature in political geography and elsewhere about everyday practices that produce state effects, this article theorizes the existence of transnational geopolitical assemblages that incorporate foreign policy apparatuses of multiple states. Everyday material and discursive circulations make up these assemblages, serving as conduits of affect that produce an emergent agency. To demonstrate this claim, I outline a genealogy of the UKUSA alliance, an assemblage of intelligence communities in the United States, United Kingdom, Canada, Australia, and New Zealand. I then trace the circulation of materialities and affects—at the scales of individual subjects, technological systems of mediation, and transnational processes of foreign policy formation. In doing so, I offer a bottom-up process of assemblage that produces the emergent phenomena that proponents of civilizational thinking mistakenly attribute to macroscaled factors, such as culture
The Effect of Performance-Based Financial Incentives on Improving Patient Care Experiences: A Statewide Evaluation
Patient experience measures are central to many pay-for-performance (P4P) programs nationally, but the effect of performance-based financial incentives on improving patient care experiences has not been assessed.
The study uses Clinician & Group CAHPS data from commercially insured adult patients (n = 124,021) who had visits with 1,444 primary care physicians from 25 California medical groups between 2003 and 2006. Medical directors were interviewed to assess the magnitude and nature of financial incentives directed at individual physicians and the patient experience improvement activities adopted by groups. Multilevel regression models were used to assess the relationship between performance change on patient care experience measures and medical group characteristics, financial incentives, and performance improvement activities.
Over the course of the study period, physicians improved performance on the physician-patient communication (0.62 point annual increase, p < 0.001), care coordination (0.48 point annual increase, p < 0.001), and office staff interaction (0.22 point annual increase, p = 0.02) measures. Physicians with lower baseline performance on patient experience measures experienced larger improvements (p < 0.001). Greater emphasis on clinical quality and patient experience criteria in individual physician incentive formulas was associated with larger improvements on the care coordination (p < 0.01) and office staff interaction (p < 0.01) measures. By contrast, greater emphasis on productivity and efficiency criteria was associated with declines in performance on the physician communication (p < 0.01) and office staff interaction (p < 0.001) composites.
In the context of statewide measurement, reporting, and performance-based financial incentives, patient care experiences significantly improved. In order to promote patient-centered care in pay for performance and public reporting programs, the mechanisms by which program features influence performance improvement should be clarified
Expression and Localization of CLC Chloride Transport Proteins in the Avian Retina
Members of the ubiquitously expressed CLC protein family of chloride channels and transporters play important roles in regulating cellular chloride and pH. The CLCs that function as Cl−/H+ antiporters, ClCs 3–7, are essential in particular for the acidification of endosomal compartments and protein degradation. These proteins are broadly expressed in the nervous system, and mutations that disrupt their expression are responsible for several human genetic diseases. Furthermore, knock-out of ClC3 and ClC7 in the mouse result in the degeneration of the hippocampus and the retina. Despite this evidence of their importance in retinal function, the expression patterns of different CLC transporters in different retinal cell types are as yet undescribed. Previous work in our lab has shown that in chicken amacrine cells, internal Cl− can be dynamic. To determine whether CLCs have the potential to participate, we used PCR and immunohistochemical techniques to examine CLC transporter expression in the chicken retina. We observed a high level of variation in the retinal expression levels and patterns among the different CLC proteins examined. These findings, which represent the first systematic investigation of CLC transporter expression in the retina, support diverse functions for the different CLCs in this tissue
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