The Initial-Value Problem of Spherically Symmetric Wyman Sector Nonsymmetric Gravitational Theory

We cast the four-dimensional field equations of the Nonsymmetric Gravitational Theory (NGT) into a form appropriate for numerical study. In doing so, we have restricted ourselves to spherically symmetric spacetimes, and we have kept only the Wyman sector of the theory. We investigate the well-posedness of the initial-value problem of NGT for a particular data set consisting of a pulse in the antisymmetric field on an asymptotically flat space background. We include some analytic results on the solvability of the initial-value problem which allow us to place limits on the regions of the parameter space where the initial-value problem is solvable. These results are confirmed by numerically solving the constraints.Comment: REVTeX 3.0 with epsf macros and AMS symbols, 18 pages, 9 figure

Implementing shared decision-making in nutrition clinical practice: A theory-based approach and feasibility study

<p>Abstract</p> <p>Background</p> <p>There are a growing number of dietary treatment options to choose from for the management of many chronic diseases. Shared decision making represents a promising approach to improve the quality of the decision making process needed for dietary choices that are informed by the best evidence and value-based. However, there are no studies reporting on theory-based approaches that foster the implementation of shared decision making in health professions allied to medicine. The objectives of this study are to explore the integration of shared decision making within real nutritional consultations, and to design questionnaires to assess dieticians' intention to adopt two specific behaviors related to shared decision making using the Theory of Planned Behavior.</p> <p>Methods</p> <p>Forty dieticians will audiotape one clinical encounter to explore the presence of shared decision making within the consultation. They will also participate to one of five to six focus groups that aim to identify the salient beliefs underlying the determinants of their intention to present evidence-based dietary treatment options to their patients, and clarify the values related to dietary choices that are important to their patients. These salient beliefs will be used to elaborate the items of two questionnaires. The internal consistency of theoretical constructs and the temporal stability of their measurement will be checked using the test-retest method by asking 35 dieticians to complete the questionnaire twice within a two-week interval.</p> <p>Discussion</p> <p>The proposed research project will be the first study to: provide preliminary data about the adoption of shared decision making by dieticians and theirs patients; elicit dieticians' salient beliefs regarding the intention to adopt shared decision making behaviors, report on the development of a specific questionnaire; explore dieticians' views on the implementation of shared decision making; and compare their views regarding the implementation of shared decision making in different clinical settings.</p> <p>It is anticipated that the results generated by the proposed research project will significantly contribute to the emergence of shared decision making in nutrition through a theory-based approach.</p

Determinants of physicians’ intention to collect data exhaustively in registries: an exploratory study in Bamako’s community health centres

Background: The incomplete collection of health datais a prevalent problem in healthcare systems around theworld, especially in developing countries. Missing datahinders progress in population health and perpetuatesinefficiencies in healthcare systems.Objective: This study aims to identify the factors that predict the intention of physicians practicing in community health centres of Bamako, Mali, to collect data exhaustively in medical registries.Design: A cross sectional studyMethod: In January and February 2011, we conducted a study with a random sample of thirty two physicians practicing in community health centres of Bamako, using a questionnaire. Data was analyzed by using descriptive statistics, correlations and linear regression.Main outcomes measures: Trained investigators administered a questionnaire measuring physicians’ sociodemographic and professional characteristics as well as constructs from the Theory of Planned Behaviour.Results: Our results showed that physicians’ intention to collect data exhaustively is influenced by subjective norms and by the physician’s number of years in practice.Conclusions: the results of this study could be used as a guide for health workers and decision makers to improve the quality of health information collected in community health centers.Keywords: Physicians’ intention, exhaustive data collection, Bamako, Community Health Centre, Missing dat

Laser-assisted guiding of electric discharges around objects

Electric breakdown in air occurs for electric fields exceeding 34 kV/cm and results in a large current surge that propagates along unpredictable trajectories. Guiding such currents across specific paths in a controllable manner could allow protection against lightning strikes and high-voltage capacitor discharges. Such capabilities can be used for delivering charge to specific targets, for electronic jamming, or for applications associated with electric welding and machining. We show that judiciously shaped laser radiation can be effectively used to manipulate the discharge along a complex path and to produce electric discharges that unfold along a predefined trajectory. Remarkably, such laser-induced arcing can even circumvent an object that completely occludes the line of sight

What the pediatric endocrinologist needs to know about skeletal dysplasia, a primer

Children with skeletal dysplasia are frequently referred to pediatric endocrinologists due to short stature. These children may present with disproportionate growth or medical histories that point to a skeletal dysplasia. This primer will discuss when to be concerned about skeletal dysplasia, the initial steps in evaluation for a skeletal dysplasia, and new therapies that are either recently approved or in development