385 research outputs found

    EEOC v. Ruby Tuesday, Inc.

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    On the Papaloizou-Pringle instability in tidal disruption events

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    We demonstrate that the compact, thick disc formed in a tidal disruption event may be unstable to non-axisymmetric perturbations in the form of the Papaloizou-Pringle instability. We show this can lead to rapid redistribution of angular momentum that can be parameterised in terms of an effective Shakura-Sunyaev α\alpha parameter. For remnants that have initially weak magnetic fields, this may be responsible for driving mass accretion prior to the onset of the magneto-rotational instability. For tidal disruptions around a 10610^6 M⊙_{\odot} black hole, the measured accretion rate is super-Eddington but is not sustainable over many orbits. We thus identify a method by which the torus formed in tidal disruption event may be significantly accreted before the magneto-rotational instability is established.Comment: 9 pages, 10 figures, accepted for publication in MNRAS. Movies of simulations available at https://youtu.be/kBLAjY8n9vI and https://youtu.be/F8F0tmLbX3

    Generalized Warped Disk Equations

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    The manner in which warps in accretion disks evolve depends on the magnitude of the viscosity. ... See full text for complete abstract

    Phosphonate additives do not always inhibit crystallization

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    This paper investigates crystal growth modifiers based on 1,3,5-substituted benzene derivatives. The results show that as expected, the phosphonated derivative inhibits calcite precipitation to a much greater degree than the analogous sulfonate. However, on barium sulfate, both molecules show some crystallization promotion behaviour, with the phosphonate being the more potent promoter overall. Thus, the functional group alone does not determine the impact the organic molecule will have on crystallization. This opens the way for additives that have dual purposes (inhibiting the crystallization of one phase while not impacting or promoting the crystallization of other phases)

    Looking Back on 50 Years of Literature to Understand the Potential Impact of Influenza on Extrapulmonary Medical Outcomes

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    We conducted a scoping review of the epidemiological literature from the past 50 years to document the contribution of influenza virus infection to extrapulmonary clinical outcomes. We identified 99 publications reporting 243 associations using many study designs, exposure and outcome definitions, and methods. Laboratory confirmation of influenza was used in only 28 (12%) estimates, mostly in case-control and self-controlled case series study designs. We identified 50 individual clinical conditions associated with influenza. The most numerous estimates were of cardiocirculatory diseases, neurological/neuromuscular diseases, and fetal/newborn disorders, with myocardial infarction the most common individual outcome. Due to heterogeneity, we could not generate summary estimates of effect size, but of 130 relative effect estimates, 105 (81%) indicated an elevated risk of extrapulmonary outcome with influenza exposure. The literature is indicative of systemic complications of influenza virus infection, the requirement for more effective influenza control, and a need for robust confirmatory studies

    Rehabilitating antisocial personalities: treatment through self-governance strategies

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    Offenders with antisocial personality disorder (ASPD) are widely assumed to reject psychotherapeutic intervention. Some commentators, therefore, argue that those with the disorder are better managed in the criminal justice system, where, following the introduction of indeterminate sentences, engagement with psychological treatment is coercively linked to the achievement of parole. By comparison, National Institute of Clinical Excellence guidelines on the management and treatment of ASPD recommend that those who are treatment seeking should be considered for admission to specialist psychiatric hospitals. The rationale is that prison-based interventions are underresourced, and the treatment of ASPD is underprioritised. The justification is that offenders with ASPD can be rehabilitated, if they are motivated. One problem, however, is that little is known about why offenders with ASPD seek treatment or what effect subsequent treatment has on their self-understanding. The aim of this paper is to address these unresolved issues. It draws on the findings of Economic and Social Research Council (ESRC) funded qualitative study examining the experiences of sentenced male offenders admitted to a specialist personality disorder ward within the medium secure estate and the medical practitioners who treat them. The data are analysed with reference to Michel Foucault’s work on governmentality and strategy in power relations. Two arguments are advanced: first, offenders with ASPD are motivated by legal coercive pressures to implement a variety of Foucauldian-type strategies to give the false impression of treatment progress. Second, and related, treatment does not result in changes in self-understanding in the resistive client with ASPD. This presupposes that, in respect of this group at least, Foucault was mistaken in his claim that resistive behaviours merely mask the effectiveness of treatment norms over time. Nevertheless, the paper concludes that specialist treatment in the hospital setting can effect changes in the resistive offender’s self-understanding, but not if the completion of treatment results, as is commonplace, in his prison readmission

    Predictors of influenza severity among hospitalized adults with laboratory confirmed influenza: Analysis of nine influenza seasons from the Valencia region, Spain

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    Purpose Influenza hospitalizations contribute substantially to healthcare disruption. We explored the impact of ageing, comorbidities and other risk factors to better understand associations with severe clinical outcomes in adults hospitalized with influenza. Methods We analysed multi-season data from adults ≥18 years, hospitalized with laboratory-confirmed influenza in Valencia, Spain. Severity was defined as intensive care unit (ICU) admission, assisted ventilation and/or death. Generalized estimating equations were used to estimate associations between risk factors and severity. Rate of hospital discharge was analysed with a cumulative incidence function. Results Only 26% of influenza patients had their primary discharge diagnosis coded as influenza. Comorbidities were associated with severity among adults aged 50–79 years, with the highest odds ratio (OR) in patients with ≥3 comorbidities aged 50–64 years (OR = 6.7; 95% CI: 1.0–44.6). Morbid obesity and functional dependencies were also identified risk factors (ORs varying from 3 to 5 depending on age). The presence of increasing numbers of comorbidities was associated with prolonged hospital stay. Conclusions Influenza clinical outcomes are aggravated by the presence of comorbidities and ageing. Increased awareness of influenza among hospitalized patients could prompt clinical and public health interventions to reduce associated burden
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