4,810 research outputs found

    The influence of fractional diffusion in Fisher-KPP equations

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    We study the Fisher-KPP equation where the Laplacian is replaced by the generator of a Feller semigroup with power decaying kernel, an important example being the fractional Laplacian. In contrast with the case of the stan- dard Laplacian where the stable state invades the unstable one at constant speed, we prove that with fractional diffusion, generated for instance by a stable L\'evy process, the front position is exponential in time. Our results provide a mathe- matically rigorous justification of numerous heuristics about this model

    Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial.

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    OBJECTIVE: To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome. DESIGN: Multicenter pragmatic parallel randomized controlled trial. SETTING: Six emergency departments in the United States. PARTICIPANTS: 898 adults (aged \u3e17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring for patients with chest pain. INTERVENTIONS: Patients were randomly assigned (1:1) by an electronic, web based system to shared decision making facilitated by a decision aid or to usual care. The primary outcome, selected by patient and caregiver advisers, was patient knowledge of their risk for acute coronary syndrome and options for care; secondary outcomes were involvement in the decision to be admitted, proportion of patients admitted for cardiac testing, and the 30 day rate of major adverse cardiac events. RESULTS: Compared with the usual care arm, patients in the decision aid arm had greater knowledge of their risk for acute coronary syndrome and options for care (questions correct: decision aid, 4.2 v usual care, 3.6; mean difference 0.66, 95% confidence interval 0.46 to 0.86), were more involved in the decision (observing patient involvement scores: decision aid, 18.3 v usual care, 7.9; 10.3, 9.1 to 11.5), and less frequently decided with their clinician to be admitted for cardiac testing (decision aid, 37% v usual care, 52%; absolute difference 15%; P CONCLUSIONS: Use of a decision aid in patients at low risk for acute coronary syndrome increased patient knowledge about their risk, increased engagement, and safely decreased the rate of admission to an observation unit for cardiac testing.Trial registration ClinicalTrials.gov NCT01969240

    Baseline variability in onshore near surface gases and implications for monitoring at CO2 storage sites

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    The measurement of gas concentrations and fluxes in the soil and atmosphere is a powerful tool for monitoring geological carbon capture and storage (CCS) sites because the analyses are made directly in the biosphere in which we live. These methods can be used to both find and accurately quantifying leaks, and are visible and tangible data for public and ecosystem safety. To be most reliable and accurate, however, the measurements must be interpreted in the context of natural variations in gas concentration and flux. Such baseline data vary both spatially and temporally due to natural processes, and a clear understanding of their values and distributions is critical for interpreting near-surface gas monitoring techniques. The best example is CO2 itself, as the production of this gas via soil respiration can create a wide range of concentrations and fluxes that must be separated from, and not confused with, CO2 that may leak towards the surface from a storage reservoir. The present article summarizes baseline studies performed by the authors at various sites having different climates and geological settings from both Europe and North America, with focus given to the range of values that can result from near surface processes and how different techniques or data processing approaches can be used to help distinguish a leakage signal from an anomalous, shallow biogenic signal

    A new parametric equation of state and quark stars

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    It is still a matter of debate to understand the equation of state of cold supra-nuclear matter in compact stars because of unknown on-perturbative strong interaction between quarks. Nevertheless, it is speculated from an astrophysical view point that quark clusters could form in cold quark matter due to strong coupling at realistic baryon densities. Although it is hard to calculate this conjectured matter from first principles, one can expect the inter-cluster interaction to share some general features to nucleon-nucleon interaction. We adopt a two-Gaussian component soft-core potential with these general features and show that quark clusters can form stable simple cubic crystal structure if we assume Gaussian form wave function. With this parameterizing, Tolman-Oppenheimer-Volkoff equation is solved with reasonable constrained parameter space to give mass-radius relation of crystalline solid quark star. With baryon densities truncated at 2 times nuclear density at surface and range of interaction fixed at 2fm we can reproduce similar mass-radius relation to that obtained with bag model equations of state. The maximum mass ranges from about 0.5 to 3 solar mass. Observed maximum pulsar mass (about 2 solar mass) is then used to constrain parameters of this simple interaction potential.Comment: 5 pages, 2 figure

    Born Effective Charges of Barium Titanate: band by band decomposition and sensitivity to structural features

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    The Born effective charge tensors of Barium Titanate have been calculated for each of its 4 phases. Large effective charges of Ti and O, also predicted by shell model calculations and made plausible by a simplified model, reflect the partial covalent character of the chemical bond. A band by band decomposition confirms that orbital hybridization is not restricted to Ti and O atoms but also involves Ba which appears more covalent than generally assumed. Our calculations reveal a strong dependence of the effective charges on the atomic positions contrasting with a relative insensitivity on isotropic volume changes.Comment: 13 page

    Embodied cognitive ecosophy: the relationship of mind, body, meaning and ecology

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    The concept of embodied cognition has had a major impact in a number of disciplines. The extent of its consequences on general knowledge and epistemology are still being explored. Embodied cognition in human geography has its own traditions and discourses but these have become somewhat isolated in the discipline itself. This paper argues that findings in other disciplines are of value in reconceptualising embodied cognition in human geography and this is explored by reconsidering the concept of ecosophy. Criticisms of ecosophy as a theory are considered and recent work in embodied cognition is applied to consider how such criticisms might be addressed. An updated conceptualisation is proposed, the embodied cognitive ecosophy, and three characteristics arising from this criticism and synthesis are presented with a view to inform future discussions of ecosophy and emotional geography

    Involvement of patients or their representatives in quality management functions in EU hospitals:implementation and impact on patient-centred care strategies

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    OBJECTIVE: The objective of this study was to describe the involvement of patients or their representatives in quality management (QM) functions and to assess associations between levels of involvement and the implementation of patient-centred care strategies. DESIGN: A cross-sectional, multilevel STUDY DESIGN: that surveyed quality managers and department heads and data from an organizational audit. SETTING: Randomly selected hospitals (n = 74) from seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey). PARTICIPANTS: Hospital quality managers (n = 74) and heads of clinical departments (n = 262) in charge of four patient pathways (acute myocardial infarction, stroke, hip fracture and deliveries) participated in the data collection between May 2011 and February 2012. MAIN OUTCOME MEASURES: Four items reflecting essential patient-centred care strategies based on an on-site hospital visit: (1) formal survey seeking views of patients and carers, (2) written policies on patients' rights, (3) patient information literature including guidelines and (4) fact sheets for post-discharge care. The main predictors were patient involvement in QM at the (i) hospital level and (ii) pathway level. RESULTS: Current levels of involving patients and their representatives in QM functions in European hospitals are low at hospital level (mean score 1.6 on a scale of 0 to 5, SD 0.7), but even lower at departmental level (mean 0.6, SD 0.7). We did not detect associations between levels of involving patients and their representatives in QM functions and the implementation of patient-centred care strategies; however, the smallest hospitals were more likely to have implemented patient-centred care strategies. CONCLUSIONS: There is insufficient evidence that involving patients and their representatives in QM leads to establishing or implementing strategies and procedures that facilitate patient-centred care; however, lack of evidence should not be interpreted as evidence of no effect

    Surface gas measurements and related studies for the characterization and monitoring of geological CO2 storage sites; experiences at Weyburn and in Salah.

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    Preliminary baseline soil gas data collected in the summer and autumn of 2001 above the Phase 1A injection area of the EnCana Enhanced Oil Recovery project at the Weyburn oilfield in south Saskatchewan was presented at GHGT-6 in Kyoto. Data can now be presented for all three years of the study with conclusions, the predominant one being that the major controls on soil gas levels are seasonal and meteorological with no indications of leakage from depth. In the autumns of 2002 and 2003 further in situ monitoring of CO2, CO2 flux, O2, CH4, radon (222Rn) and thoron (220Rn) was carried out. Soil gas samples were also collected for laboratory analysis of helium, permanent gases, sulphur species and light hydrocarbons. All sampling was repeated over the same 360 point sampling grid and more detailed profiles for both follow-up years. Marked changes in CO2 levels (especially flux) for each of the three-year datasets indicate changes in surface conditions, rather than CO2 from a deeper source. The radon and thoron data was found to be similar for the three years but appears to vary in response to drift composition, and seasonal effects, rather than migration from a deep source. In 2003 further work was agreed in addition to the main grid and profile data. A control area was sampled for the same suite of gases, 10km to the northwest of the oil field. It included similar topography, land use and drift composition to the main sampling grid. There were 35 sample locations on a 7 x 5 point grid with 100m spacing and two additional sites. Early conclusions indicate that the soil gas results in the control area are very similar to those from the main grid, vindicating control site selection and further supporting a lack of deeply sourced CO2 over the injection area. Along with the control site, five zones of possible CO2 leakage were also surveyed and sampled. Two cross a river lineament that may be associated with deep faulting, two were abandoned oil well sites and one site overlays a deep salt dissolution feature. (Unfortunately CO2 flux and gamma measurements were not carried out at these sites.) A northeast/southwest trending lineament, just north of the main grid, was sampled along two profiles perpendicular to the feature, with an increased density of sampling over the feature. The feature generally followed an incised river valley and anomalous CO2 was only detected on the valley floor, where it would be expected as there was lush vegetation in this zone. There were no coincident anomalies for other gases. Soils around two abandoned wells were also sampled. A 16-site grid was surveyed around each well. One well had been completely abandoned and the other was suspended due to failed casing. Such boreholes represent possible points of weakness that may be routes for CO2 migration. The well with failed casing had weakly anomalous CO2 locally to the south, again unmatched for other gases. The fully abandoned well had background CO2 values. Two perpendicular profiles of 10 sites at 25m spacing were sampled for soil gas over the mapped centre of the dissolution feature. Background values were obtained. In 2003 two vertical profiles were performed both indicating an increase in CO2 to a depth maximum of 1.80m; this increase is matched by a corresponding decrease only in O2, indicating biological respiration. Radon concentration indicated no anomalies. Portable gamma spectrometric data was collected in 2003 over the west-centre area of the grid, the profiles and over the control grid. The composition of soils from both areas was found to be very similar.PublishedBerkeley, California4.5. Degassamento naturaleope

    Validation and data characteristics of methane and nitrous oxide profiles observed by MIPAS and processed with Version 4.61 algorithm

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    The ENVISAT validation programme for the atmospheric instruments MIPAS, SCIAMACHY and GOMOS is based on a number of balloon-borne, aircraft, satellite and ground-based correlative measurements. In particular the activities of validation scientists were coordinated by ESA within the ENVISAT Stratospheric Aircraft and Balloon Campaign or ESABC. As part of a series of similar papers on other species [this issue] and in parallel to the contribution of the individual validation teams, the present paper provides a synthesis of comparisons performed between MIPAS CH4 and N2O profiles produced by the current ESA operational software (Instrument Processing Facility version 4.61 or IPF v4.61, full resolution MIPAS data covering the period 9 July 2002 to 26 March 2004) and correlative measurements obtained from balloon and aircraft experiments as well as from satellite sensors or from ground-based instruments. In the middle stratosphere, no significant bias is observed between MIPAS and correlative measurements, and MIPAS is providing a very consistent and global picture of the distribution of CH4 and N2O in this region. In average, the MIPAS CH4 values show a small positive bias in the lower stratosphere of about 5%. A similar situation is observed for N2O with a positive bias of 4%. In the lower stratosphere/upper troposphere (UT/LS) the individual used MIPAS data version 4.61 still exhibits some unphysical oscillations in individual CH4 and N2O profiles caused by the processing algorithm (with almost no regularization). Taking these problems into account, the MIPAS CH4 and N2O profiles are behaving as expected from the internal error estimation of IPF v4.61 and the estimated errors of the correlative measurements
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