1,602 research outputs found
Survey of the needs of patients with spinal cord injury: impact and priority for improvement in hand function in tetraplegics\ud
Objective: To investigate the impact of upper extremity deficit in subjects with tetraplegia.\ud
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Setting: The United Kingdom and The Netherlands.\ud
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Study design: Survey among the members of the Dutch and UK Spinal Cord Injury (SCI) Associations.\ud
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Main outcome parameter: Indication of expected improvement in quality of life (QOL) on a 5-point scale in relation to improvement in hand function and seven other SCI-related impairments.\ud
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Results: In all, 565 subjects with tetraplegia returned the questionnaire (overall response of 42%). Results in the Dutch and the UK group were comparable. A total of 77% of the tetraplegics expected an important or very important improvement in QOL if their hand function improved. This is comparable to their expectations with regard to improvement in bladder and bowel function. All other items were scored lower.\ud
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Conclusion: This is the first study in which the impact of upper extremity impairment has been assessed in a large sample of tetraplegic subjects and compared to other SCI-related impairments that have a major impact on the life of subjects with SCI. The present study indicates a high impact as well as a high priority for improvement in hand function in tetraplegics.\ud
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Franck-Condon Effect in Central Spin System
We study the quantum transitions of a central spin surrounded by a
collective-spin environment. It is found that the influence of the
environmental spins on the absorption spectrum of the central spin can be
explained with the analog of the Franck-Condon (FC) effect in conventional
electron-phonon interaction system. Here, the collective spins of the
environment behave as the vibrational mode, which makes the electron to be
transitioned mainly with the so-called "vertical transitions" in the
conventional FC effect. The "vertical transition" for the central spin in the
spin environment manifests as, the certain collective spin states of the
environment is favored, which corresponds to the minimal change in the average
of the total spin angular momentum.Comment: 8 pages, 8 figure
Experimental loophole-free violation of a Bell inequality using entangled electron spins separated by 1.3 km
For more than 80 years, the counterintuitive predictions of quantum theory
have stimulated debate about the nature of reality. In his seminal work, John
Bell proved that no theory of nature that obeys locality and realism can
reproduce all the predictions of quantum theory. Bell showed that in any local
realist theory the correlations between distant measurements satisfy an
inequality and, moreover, that this inequality can be violated according to
quantum theory. This provided a recipe for experimental tests of the
fundamental principles underlying the laws of nature. In the past decades,
numerous ingenious Bell inequality tests have been reported. However, because
of experimental limitations, all experiments to date required additional
assumptions to obtain a contradiction with local realism, resulting in
loopholes. Here we report on a Bell experiment that is free of any such
additional assumption and thus directly tests the principles underlying Bell's
inequality. We employ an event-ready scheme that enables the generation of
high-fidelity entanglement between distant electron spins. Efficient spin
readout avoids the fair sampling assumption (detection loophole), while the use
of fast random basis selection and readout combined with a spatial separation
of 1.3 km ensure the required locality conditions. We perform 245 trials
testing the CHSH-Bell inequality and find . A
null hypothesis test yields a probability of that a local-realist
model for space-like separated sites produces data with a violation at least as
large as observed, even when allowing for memory in the devices. This result
rules out large classes of local realist theories, and paves the way for
implementing device-independent quantum-secure communication and randomness
certification.Comment: Raw data will be made available after publicatio
Relativistic Calculation of the Meson Spectrum: a Fully Covariant Treatment Versus Standard Treatments
A large number of treatments of the meson spectrum have been tried that
consider mesons as quark - anti quark bound states. Recently, we used
relativistic quantum "constraint" mechanics to introduce a fully covariant
treatment defined by two coupled Dirac equations. For field-theoretic
interactions, this procedure functions as a "quantum mechanical transform of
Bethe-Salpeter equation". Here, we test its spectral fits against those
provided by an assortment of models: Wisconsin model, Iowa State model,
Brayshaw model, and the popular semi-relativistic treatment of Godfrey and
Isgur. We find that the fit provided by the two-body Dirac model for the entire
meson spectrum competes with the best fits to partial spectra provided by the
others and does so with the smallest number of interaction functions without
additional cutoff parameters necessary to make other approaches numerically
tractable. We discuss the distinguishing features of our model that may account
for the relative overall success of its fits. Note especially that in our
approach for QCD, the resulting pion mass and associated Goldstone behavior
depend sensitively on the preservation of relativistic couplings that are
crucial for its success when solved nonperturbatively for the analogous
two-body bound-states of QED.Comment: 75 pages, 6 figures, revised content
The breadth of primary care: a systematic literature review of its core dimensions
Background: Even though there is general agreement that primary care is the linchpin of effective health care delivery, to date no efforts have been made to systematically review the scientific evidence supporting this supposition. The aim of this study was to examine the breadth of primary care by identifying its core dimensions and to assess the evidence for their interrelations and their relevance to outcomes at (primary) health system level.
Methods: A systematic review of the primary care literature was carried out, restricted to English language journals reporting original research or systematic reviews. Studies published between 2003 and July 2008 were searched in MEDLINE, Embase, Cochrane Library, CINAHL, King's Fund Database, IDEAS Database, and EconLit.
Results: Eighty-five studies were identified. This review was able to provide insight in the complexity of primary care as a multidimensional system, by identifying ten core dimensions that constitute a primary care system. The structure of a primary care system consists of three dimensions: 1. governance; 2. economic conditions; and 3. workforce development. The primary care process is determined by four dimensions: 4. access; 5. continuity of care; 6. coordination of care; and 7. comprehensiveness of care. The outcome of a primary care system includes three dimensions: 8. quality of care; 9. efficiency care; and 10. equity in health. There is a considerable evidence base showing that primary care contributes through its dimensions to overall health system performance and health.
Conclusions: A primary care system can be defined and approached as a multidimensional system contributing to overall health system performance and health
IceCube - the next generation neutrino telescope at the South Pole
IceCube is a large neutrino telescope of the next generation to be
constructed in the Antarctic Ice Sheet near the South Pole. We present the
conceptual design and the sensitivity of the IceCube detector to predicted
fluxes of neutrinos, both atmospheric and extra-terrestrial. A complete
simulation of the detector design has been used to study the detector's
capability to search for neutrinos from sources such as active galaxies, and
gamma-ray bursts.Comment: 8 pages, to be published with the proceedings of the XXth
International Conference on Neutrino Physics and Astrophysics, Munich 200
Muon Track Reconstruction and Data Selection Techniques in AMANDA
The Antarctic Muon And Neutrino Detector Array (AMANDA) is a high-energy
neutrino telescope operating at the geographic South Pole. It is a lattice of
photo-multiplier tubes buried deep in the polar ice between 1500m and 2000m.
The primary goal of this detector is to discover astrophysical sources of high
energy neutrinos. A high-energy muon neutrino coming through the earth from the
Northern Hemisphere can be identified by the secondary muon moving upward
through the detector. The muon tracks are reconstructed with a maximum
likelihood method. It models the arrival times and amplitudes of Cherenkov
photons registered by the photo-multipliers. This paper describes the different
methods of reconstruction, which have been successfully implemented within
AMANDA. Strategies for optimizing the reconstruction performance and rejecting
background are presented. For a typical analysis procedure the direction of
tracks are reconstructed with about 2 degree accuracy.Comment: 40 pages, 16 Postscript figures, uses elsart.st
Results from the Antarctic Muon and Neutrino Detector Array (AMANDA)
We show new results from both the older and newer incarnations of AMANDA
(AMANDA-B10 and AMANDA-II, respectively). These results demonstrate that AMANDA
is a functioning, multipurpose detector with significant physics and
astrophysics reach. They include a new higher-statistics measurement of the
atmospheric muon neutrino flux and preliminary results from searches for a
variety of sources of ultrahigh energy neutrinos: generic point sources,
gamma-ray bursters and diffuse sources producing muons in the detector, and
diffuse sources producing electromagnetic or hadronic showers in or near the
detector.Comment: Invited talk at the XXth International Conference on Neutrino Physics
and Astrophysics (Neutrino 2002), Munich, Germany, May 25-30, 200
Sensitivity of the IceCube Detector to Astrophysical Sources of High Energy Muon Neutrinos
We present the results of a Monte-Carlo study of the sensitivity of the
planned IceCube detector to predicted fluxes of muon neutrinos at TeV to PeV
energies. A complete simulation of the detector and data analysis is used to
study the detector's capability to search for muon neutrinos from sources such
as active galaxies and gamma-ray bursts. We study the effective area and the
angular resolution of the detector as a function of muon energy and angle of
incidence. We present detailed calculations of the sensitivity of the detector
to both diffuse and pointlike neutrino emissions, including an assessment of
the sensitivity to neutrinos detected in coincidence with gamma-ray burst
observations. After three years of datataking, IceCube will have been able to
detect a point source flux of E^2*dN/dE = 7*10^-9 cm^-2s^-1GeV at a 5-sigma
significance, or, in the absence of a signal, place a 90% c.l. limit at a level
E^2*dN/dE = 2*10^-9 cm^-2s^-1GeV. A diffuse E-2 flux would be detectable at a
minimum strength of E^2*dN/dE = 1*10^-8 cm^-2s^-1sr^-1GeV. A gamma-ray burst
model following the formulation of Waxman and Bahcall would result in a 5-sigma
effect after the observation of 200 bursts in coincidence with satellite
observations of the gamma-rays.Comment: 33 pages, 13 figures, 6 table
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