The Structure of the QCD Potential in 2+1 Dimensions

We calculate the screening and anti-screening contributions to the inter-quark potential in 2+1 dimensions, which is relevant to the high temperature limit of QCD. We demonstrate that the relative strength of screening to anti-screening agrees with the 3+1 dimensional theory to better than one percent accuracy.Comment: 9 pages, LaTeX, no figures, version to appear in Journa

Colour Charges and the Anti-Screening Contribution to the Interquark Potential

Asymptotic freedom arises from the dominance of anti-screening over screening in non-abelian gauge theories. In this paper we will present a simple and physically appealing derivation of the anti-screening contribution to the interquark potential. Our method allows us to identify the dominant gluonic distribution around static quarks. Extensions are discussed.Comment: 7 pages, LaTe

Anti-Screening by Quarks and the Structure of the Inter-Quark Potential

The inter-quark potential is dominated by anti-screening effects which underly asymptotic freedom. We calculate the order g^6 anti-screening contribution from light fermions and demonstrate that these effects introduce a non-local divergence. These divergences are shown to make it impossible to define a coupling renormalisation scheme that renormalises this minimal, anti-screening potential. Hence the beta function cannot be divided into screening and anti-screening parts beyond lowest order. However, we then demonstrate that renormalisation can be carried out in terms of the anti-screening potential.Comment: 11 pages, some clarifications and typographical corrections, to appear in Physics Letters

DuraSeal Exact is a safe adjunctive treatment for durotomy in spine: Postapproval study

Study designA nonrandomized, two-armed prospective study.ObjectiveWater-tight dural closure is paramount to the prevention of cerebrospinal fluid (CSF) leakage and associated complications. Synthetic polyethylene glycol (PEG) hydrogel has been used as an adjunct to sutured dural repair; however, its expansion postoperatively is a concern for neurological complications. A low-swell formulation of PEG sealant was introduced as DuraSeal Exact Spine Sealant System (DESS). A Post-Approval Study was performed primarily to evaluate the safety and efficacy of DESS for spinal dural repair compared to current alternatives, in a large patient population, reflecting a real-world practice.MethodsA total of 36 sites in the United States enrolled 429 patients treated with DESS as an adjunct to dural repair in the spinal sealant group and 406 patients treated with all other modalities in the control arm, from October 2011 to June 2016. The primary endpoint was the incidence of CSF leak within 90 days of operation. The secondary endpoints evaluated were deep surgical site infection and neurological serious adverse events.ResultsThe CSF leakage in the DESS group (6.6%) was not significantly different from the control group (6.5%) (p = .83), and there was no significant difference in the time to first leak. The two groups had no significant differences in deep surgical site infection (1.6% versus control 2.1%, p = .61) or proportion of subjects with neurological serious adverse events (2.9% versus control 1.6%, p = .516).ConclusionsDuraSeal Exact Spinal Sealant is safe when compared to current alternatives for spinal dural repair

The complex care of a torture survivor in the United States: The case of “Joshua”

Introduction: Torture is an assault on the physical and mental health of an individual, impacting the lives of survivors and their families.The survivor’s interpersonal relationships, social life, and vocational functioning may be affected, and spiritual and other existential questions may intrude. Cultural and historical context will shape the meaning of torture experiences and the aftermath. To effectively treat torture survivors, providers must understand and address these factors. The Complex Care Model (CCM) aims to transform daily care for those with chronic illnesses and improve health outcomes through effective team care. Methods: We conduct a literature review of the CCM and present an adapted Complex Care Approach (CCA) that draws on the Harvard Program in RefugeeTrauma’s five-domain model covering the Trauma Story, Bio-medical, Psychological, Social, and Spiritual domains.We apply the CCA to the case of “Joshua,” a former tortured child soldier, and discuss the diagnosis and treatment across the five domains of care. Findings: The CCA is described as an effective approach for working with torture survivors. We articulate how a CCA can be adapted to the unique historical and cultural contexts experienced by torture survivors and how its five domains serve to integrate the approach to diagnosis and treatment. The benefits of communication and coordination of care among treatment providers is emphasized. Discussion / Conclusions: Torture survivors’ needs are well suited to the application of a CCA delivered by a team of providers who effectively communicate and integrate care holistically across all domains of the survivor’s life

Deep coral and associated species taxonomy and ecology: (DeepCAST) II Expedition Report, Roatan, Honduras, May 21-28, 2011

NOAA has a mandate to explore and understand deep-sea coral ecology under Magnuson-Stevens Sustainable Fisheries Conservation Act Reauthorization of 2009. Deep-sea corals are increasingly considered a proxy for marine biodiversity in the deep-sea because corals create complex structure, and this structure forms important habitat for associated species of shrimp, crabs, sea stars, brittle stars, and fishes. Yet, our understanding of the nature of the relationships between deep-corals and their associated species is incomplete. One of the primary challenges of conducting any type of deep-sea coral (DSC) research is access to the deep-sea. The deep-sea is a remote environment that often requires long surface transits and sophisticated research vehicles like submersibles and remotely operated vehicles (ROVs). The research vehicles often require substantial crew, and the vehicles are typically launched from large research vessels costing many thousands of dollars a day. To overcome the problem of access to the deep-sea, the Deep Coral and Associated Species Taxonomy and Ecology (DeepCAST) Expeditions are pioneering the use of shore-based submersibles equipped to do scientific research. Shore-based subs alleviate the need for expensive ships because they launch and return under their own power. One disadvantage to the approach is that shore-based subs are restricted to nearby sites. The disadvantage is outweighed, however, by the benefit of repeated observations, and the opportunity to reduce the costs of exploration while expanding knowledge of deep-sea coral ecology

Rapid development of interprofessional in situ simulation-based training in response to the COVID-19 outbreak in a tertiary-level hospital in Ireland:Initial response and lessons for future disaster preparation.

INTRODUCTION: The first case of COVID-19 in Ireland was diagnosed on 29 February 2020. Within the same week, our Department of Anaesthesia and Critical Care at University Hospital Galway began to tackle the educational challenge by developing an  in situ interprofessional simulation programme to prepare staff for the impending outbreak. PRINCIPLES AND APPROACHES USED FOR SIMULATION-BASED TRAINING: We describe principles applied to identify core educational and system engineering objectives to prepare healthcare workers (HCWs) for infection control, personal and psychological safety, technical and crisis resource management skills. We discuss application of educational theories, rationale for simulation modes and debriefing techniques. DEVELOPMENT OF THE SIMULATION PROGRAMME: 3 anaesthesia (general, obstetric, paediatric) and 1 critical care silo were created. 13 simulated scenarios were developed for teaching as well as for testing workflows specific to the outbreak. To support HCWs and ensure safety, management guidelines, cognitive aids and checklists were developed using simulation. The cumulative number of HCWs trained in simulation was 750 over a 4-week period. CHALLENGES AND FUTURE DIRECTIONS: Due to the protracted nature of the pandemic, simulation educators should address questions related to sustainability, infection control while delivering simulation, establishment of hybrid programmes and support for psychological preparedness