Protocol for a national monthly survey of alcohol use in England with 6-month follow-up: 'The Alcohol Toolkit Study'.

Timely tracking of national patterns of alcohol consumption is needed to inform and evaluate strategies and policies aimed at reducing alcohol-related harm. Between 2014 until at least 2017, the Alcohol Toolkit Study (ATS) will provide such tracking data and link these with policy changes and campaigns. By virtue of its connection with the 'Smoking Toolkit Study' (STS), links will also be examined between alcohol and smoking-related behaviour

Evaluation of community level interventions to address social and structural determinants of health: a cluster randomised controlled trial

<p>Abstract</p> <p>Background</p> <p>In London and the rest of the UK, diseases associated with poor diet, inadequate physical activity and mental illness account for a large proportion of area based health inequality. There is a lack of evidence on interventions promoting healthier behaviours especially in marginalised populations, at a structural or ecological level and utilising a community development approach.</p> <p>The Well London project financed by the Big Lottery 'Wellbeing' Fund and implemented by a consortium of London based agencies led by the Greater London Authority and the London Health Commission is implementing a set of complex interventions across 20 deprived areas of London. The interventions focus on healthy eating, healthy physical activity and mental health and wellbeing and are designed and executed with community participation complementing existing facilities and services.</p> <p>Methods/Design</p> <p>The programme will be evaluated through a cluster randomised controlled trial. Forty areas across London were chosen based on deprivation scores. Areas were characterised by high proportion of Black and Minority Ethnic residents, worklessness, ill-health and poor physical environments. Twenty areas were randomly assigned to the intervention arm of Well London project and twenty 'matched' areas assigned as controls. Measures of physical activity, diet and mental health are collected at start and end of the project and compared to assess impact.</p> <p>The quantitative element will be complemented by a longitudinal qualitative study elucidating pathways of influence between intervention activities and health outcomes. A related element of the study investigates the health-related aspects of the structural and ecological characteristics of the project areas. The project 'process' will also be evaluated.</p> <p>Discussion</p> <p>The size of the project and the fact that the interventions are 'complex' in the sense that firstly, there are a number of interacting components with a wide range of groups and organisational levels targeted by the intervention, and secondly, a degree of flexibility or tailoring of the intervention, makes this trial potentially very useful in providing evidence of the types of activities that can be used to address chronic health problems in communities suffering from multiple deprivation.</p> <p>Trial Registration</p> <p>Current Controlled Trials ISRCTN68175121</p

An Aerothermoelastic Analysis Framework Enhanced by Model Order Reduction With Applications

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/143034/1/6.2017-1601.pd

Surgical management of subaortic obstruction in single left ventricle and tricuspid atresia

Subaortic obstruction caused by either a restrictive bulboventricular foramen in single left ventricle with an outflow chamber or by a restrictive ventricular septal defect in tricuspid atresia with transposition of the great arteries can lead to a hypertrophied, noncompliant ventricle and excessive pulmonary blood flow. This combination is disadvantageous to potential Fontan procedure candidates because they are dependent on good ventricular function and low pulmonary vascular resistance for survival.The results of surgical procedures to directly or indirectly relieve significant subaortic obstruction (gradient 30 mm Hg) in 24 patients, 16 with single left ventricle and 8 with tricuspid atresia, were reviewed. Four patients had a left ventricular apex to descending aorta valved conduit; none survived. Seven patients had resection of subaortic tissue; four survived and four developed heart block at surgery. Adequate gradient relief was evident in only one of the four survivors. Thirteen patients had a main pulmonary artery to ascending aorta anastomosis or conduit; six survived. AH survivors had adequate gradient relief. The overall survival was 42% (10 of 24). None of seven patients with a subaortic gradient >75 mm Hg survived.These data show that: 1) Surgical relief of established subaortic obstruction in patients with single left ventricle and tricuspid atresia carries a high mortality rate, especially if the subaortic gradient is >75 mm Hg. 2) The best procedure appears to be the pulmonary artery to ascending aorta anastomosis. 3) A clearer understanding of the factors leading to the development of significant subaortic obstruction is necessary to prevent it or to devise improved therapeutic strategies

Fermi surface of the colossal magnetoresistance perovskite La_{0.7}Sr_{0.3}MnO_{3}

Materials that exhibit colossal magnetoresistance (CMR) are currently the focus of an intense research effort, driven by the technological applications that their sensitivity lends them to. Using the angular correlation of photons from electron-positron annihilation, we present a first glimpse of the Fermi surface of a material that exhibits CMR, supported by ``virtual crystal'' electronic structure calculations. The Fermi surface is shown to be sufficiently cubic in nature that it is likely to support nesting.Comment: 5 pages, 5 PS figure

Quantum Relativity of Subsystems

One of the most basic notions in physics is the partitioning of a system into subsystems, and the study of correlations among its parts. In this work, we explore these notions in the context of quantum reference frame (QRF) covariance, in which this partitioning is subject to a symmetry constraint. We demonstrate that different reference frame perspectives induce different sets of subsystem observable algebras, which leads to a gauge-invariant, frame-dependent notion of subsystems and entanglement. We further demonstrate that subalgebras which commute before imposing the symmetry constraint can translate into non-commuting algebras in a given QRF perspective after symmetry imposition. Such a QRF perspective does not inherit the distinction between subsystems in terms of the corresponding tensor factorizability of the kinematical Hilbert space and observable algebra. Since the condition for this to occur is contingent on the choice of QRF, the notion of subsystem locality is frame-dependent.Comment: 8+9 pages, 1 figur

Equivalence of Approaches to Relational Quantum Dynamics in Relativistic Settings

We have previously shown that three approaches to relational quantum dynamics—relational Dirac observables, the Page-Wootters formalism and quantum deparametrizations—are equivalent. Here we show that this “trinity” of relational quantum dynamics holds in relativistic settings per frequency superselection sector. Time according to a clock subsystem is defined via a positive operator-valued measure (POVM) that is covariant with respect to the group generated by its (quadratic) Hamiltonian. This differs from the usual choice of a self-adjoint clock observable conjugate to the clock momentum. It also resolves Kuchař\u27s criticism that the Page-Wootters formalism yields incorrect localization probabilities for the relativistic particle when conditioning on a Minkowski time operator. We show that conditioning instead on the covariant clock POVM results in a Newton-Wigner type localization probability commonly used in relativistic quantum mechanics. By establishing the equivalence mentioned above, we also assign a consistent conditional-probability interpretation to relational observables and deparametrizations. Finally, we expand a recent method of changing temporal reference frames, and show how to transform states and observables frequency-sector-wise. We use this method to discuss an indirect clock self-reference effect and explore the state and temporal frame-dependence of the task of comparing and synchronizing different quantum clocks

Trinity of relational quantum dynamics

The problem of time in quantum gravity calls for a relational solution. Using quantum reduction maps, we establish a previously unknown equivalence between three approaches to relational quantum dynamics: (1) relational observables in the clock-neutral picture of Dirac quantization, (2) Page and Wootters’ (PW) Schrödinger picture formalism, and (3) the relational Heisenberg picture obtained via symmetry reduction. Constituting three faces of the same dynamics, we call this equivalence the trinity. In the process, we develop a quantization procedure for relational Dirac observables using covariant positive operator-valued measures which encompass nonideal clocks and resolve the nonmonotonicity issue of realistic quantum clocks reported by Unruh and Wald. The quantum reduction maps reveal this procedure as the quantum analog of gauge-invariantly extending gauge-fixed quantities. We establish algebraic properties of these relational observables. We extend a recent “clock-neutral” approach to changing temporal reference frames, transforming relational observables and states, and demonstrate a clock dependent temporal nonlocality effect. We show that Kuchař’s criticism, alleging that the conditional probabilities of the PW formalism violate the constraint, is incorrect. They are a quantum analog of a gauge-fixed description of a gauge-invariant quantity and equivalent to the manifestly gauge-invariant evaluation of relational observables in the physical inner product. The trinity furthermore resolves a previously reported normalization ambiguity and clarifies the role of entanglement in the PW formalism. The trinity finally permits us to resolve Kuchař’s criticism that the PW formalism yields wrong propagators by showing how conditional probabilities of relational observables give the correct transition probabilities. Unlike previous proposals, our resolution does not invoke approximations, ideal clocks or ancilla systems, is manifestly gauge invariant, and easily extends to an arbitrary number of conditionings

The application of predictive modelling for determining bio-environmental factors affecting the distribution of blackflies (Diptera: Simuliidae) in the Gilgel Gibe watershed in Southwest Ethiopia

Blackflies are important macroinvertebrate groups from a public health as well as ecological point of view. Determining the biological and environmental factors favouring or inhibiting the existence of blackflies could facilitate biomonitoring of rivers as well as control of disease vectors. The combined use of different predictive modelling techniques is known to improve identification of presence/absence and abundance of taxa in a given habitat. This approach enables better identification of the suitable habitat conditions or environmental constraints of a given taxon. Simuliidae larvae are important biological indicators as they are abundant in tropical aquatic ecosystems. Some of the blackfly groups are also important disease vectors in poor tropical countries. Our investigations aim to establish a combination of models able to identify the environmental factors and macroinvertebrate organisms that are favourable or inhibiting blackfly larvae existence in aquatic ecosystems. The models developed using macroinvertebrate predictors showed better performance than those based on environmental predictors. The identified environmental and macroinvertebrate parameters can be used to determine the distribution of blackflies, which in turn can help control river blindness in endemic tropical places. Through a combination of modelling techniques, a reliable method has been developed that explains environmental and biological relationships with the target organism, and, thus, can serve as a decision support tool for ecological management strategies

Responsibility modelling for civil emergency planning

This paper presents a new approach to analysing and understanding civil emergency planning based on the notion of responsibility modelling combined with HAZOPS-style analysis of information requirements. Our goal is to represent complex contingency plans so that they can be more readily understood, so that inconsistencies can be highlighted and vulnerabilities discovered. In this paper, we outline the framework for contingency planning in the United Kingdom and introduce the notion of responsibility models as a means of representing the key features of contingency plans. Using a case study of a flooding emergency, we illustrate our approach to responsibility modelling and suggest how it adds value to current textual contingency plans