Rehabilitation following rotator cuff repair: A nested qualitative study exploring the perceptions and experiences of participants in a randomised controlled trial

Objective: To investigate acceptability, barriers to adherence with the interventions, and which outcome measures best reflect the participants’ rehabilitation goals in a pilot and feasibility randomised controlled trial evaluating early patient-directed rehabilitation and standard rehabilitation, including sling immobilisation for four weeks, following surgical repair of the rotator cuff of the shoulder. Design: Nested qualitative study. Setting: Five English National Health Service Hospitals. Subjects: Nineteen patient participants who had undergone surgical repair of the rotator cuff and 10 healthcare practitioners involved in the trial. Method: Individual semi-structured interviews. Data were analysed thematically. Results: Four themes: (1) Preconceptions of early mobilisation; many participants were motivated to enter the trial for the opportunity of removing their sling and getting moving early. (2) Sling use and movement restrictions; for some, sling use for four weeks was unacceptable and contributed to their pain, rather than relieving it. (3) Tensions associated with early mobilisation; clinical tensions regarding early mobilisation and the perceived risk to the surgical repair were apparent. (4) Processes of running the trial; participants found the trial processes to be largely appropriate and acceptable, but withholding the results of the post-operative research ultrasound scan was contentious. Conclusion: Trial processes were largely acceptable, except for withholding results of the ultrasound scan. For some participants, use of the shoulder sling for a prolonged period after surgery was a reported barrier to standard rehabilitation whereas the concept of early mobilisation contributed tension for some healthcare practitioners due to concern about the effect on the surgical repair

Test of Nuclear Wave Functions for Pseudospin Symmetry

Using the fact that pseudospin is an approximate symmetry of the Dirac Hamiltonian with realistic scalar and vector mean fields, we derive the wave functions of the pseudospin partners of eigenstates of a realistic Dirac Hamiltonian and compare these wave functions with the wave functions of the Dirac eigenstates.Comment: 11 pages, 4 figures, minor changes in text and figures to conform with PRL requirement

The Kolmogorov-Smirnov test and its use for the identification of fireball fragmentation

We propose an application of the Kolmogorov-Smirnov test for rapidity distributions of individual events in ultrarelativistic heavy ion collisions. The test is particularly suitable to recognise non-statistical differences between the events. Thus when applied to a narrow centrality class it could indicate differences between events which would not be expected if all events evolve according to the same scenario. In particular, as an example we assume here a possible fragmentation of the fireball into smaller pieces at the quark/hadron phase transition. Quantitative studies are performed with a Monte Carlo model capable of simulating such a distribution of hadrons. We conclude that the Kolmogorov-Smirnov test is a very powerful tool for the identification of the fragmentation process.Comment: 9 pages, 10 figure

Model of black hole evolution

From the postulate that a black hole can be replaced by a boundary on the apparent horizon with suitable boundary conditions, an unconventional scenario for the evolution emerges. Only an insignificant fraction of energy of order $(mG)^{-1}$ is radiated out. The outgoing wave carries a very small part of the quantum mechanical information of the collapsed body, the bulk of the information remaining in the final stable black hole geometry.Comment: 9 pages, harvmac, 3 figures, minor addition

Model of black hole evolution

From the postulate that a black hole can be replaced by a boundary on the apparent horizon with suitable boundary conditions, an unconventional scenario for the evolution emerges. Only an insignificant fraction of energy of order $(mG)^{-1}$ is radiated out. The outgoing wave carries a very small part of the quantum mechanical information of the collapsed body, the bulk of the information remaining in the final stable black hole geometry.Comment: 9 pages, harvmac, 3 figures, minor addition

Black Hole Evaporation without Information Loss

An approach to black hole quantization is proposed wherein it is assumed that quantum coherence is preserved. A consequence of this is that the Penrose diagram describing gravitational collapse will show the same topological structure as flat Minkowski space. After giving our motivations for such a quantization procedure we formulate the background field approximation, in which particles are divided into "hard" particles and "soft" particles. The background space-time metric depends both on the in-states and on the out-states. We present some model calculations and extensive discussions. In particular, we show, in the context of a toy model, that the $S$-matrix describing soft particles in the hard particle background of a collapsing star is unitary, nevertheless, the spectrum of particles is shown to be approximately thermal. We also conclude that there is an important topological constraint on functional integrals.Comment: 35 pages (including Figures); TEX, 3 figures in postscrip

Signal of Quark Deconfinement in the Timing Structure of Pulsar Spin-Down

The conversion of nuclear matter to quark matter in the core of a rotating neutron star alters its moment of inertia. Hence the epoch over which conversion takes place will be signaled in the spin-down "signal_prl.tex" 581 lines, 22203 characters characteristics of pulsars. We find that an observable called the braking index should be easily measurable during the transition epoch and can have a value far removed (by orders of magnitude) from the canonical value of three expected for magnetic dipole radiation, and may have either sign. The duration of the transition epoch is governed by the slow loss of angular momentum to radiation and is further prolonged by the reduction in the moment of inertia caused by the phase change which can even introduce an era of spin-up. We estimate that about one in a hundred pulsars may be passing through this phase. The phenomenon is analogous to ``bachbending'' observed in the moment of inertia of rotating nuclei observed in the 1970's, which also signaled a change in internal structure with changing spin.Comment: 5 pages, 4 figures, Revtex. (May 12, 1997, submitted to PRL

Nuclear magnetic resonance probes for the Kondo scenario for the 0.7 feature in semiconductor quantum point contact devices

We propose a probe based on nuclear relaxation and Knight shift measurements for the Kondo scenario for the "0.7 feature" in semiconductor quantum point contact (QPC) devices. We show that the presence of a bound electron in the QPC would lead to a much higher rate of nuclear relaxation compared to nuclear relaxation through exchange of spin with conduction electrons. Furthermore, we show that the temperature dependence of this nuclear relaxation is very non-monotonic as opposed to the linear-T relaxation from coupling with conduction electrons. We present a qualitative analysis for the additional relaxation due to nuclear spin diffusion (NSD) and study the extent to which NSD affects the range of validity of our method. The conclusion is that nuclear relaxation, in combination with Knight shift measurements, can be used to verify whether the 0.7 feature is indeed due to the presence of a bound electron in the QPC.Comment: Published version. Appears in a Special Section on the 0.7 Feature and Interactions in One-Dimensional Systems. 16 page