On the connection between Quantum Mechanics and the geometry of two-dimensional strings

On the basis of an area-preserving symmetry in the phase space of a one-dimensional matrix model - believed to describe two-dimensional string theory in a black-hole background which also allows for space-time foam - we give a geometric interpretation of the fact that two-dimensional stringy black holes are consistent with conventional quantum mechanics due to the infinite gauged `W-hair' property that characterises them.Comment: 19 page

Semi-classical stability of AdS NUT instantons

The semi-classical stability of several AdS NUT instantons is studied. Throughout, the notion of stability is that of stability at the one-loop level of Euclidean Quantum Gravity. Instabilities manifest themselves as negative eigenmodes of a modified Lichnerowicz Laplacian acting on the transverse traceless perturbations. An instability is found for one branch of the AdS-Taub-Bolt family of metrics and it is argued that the other branch is stable. It is also argued that the AdS-Taub-NUT family of metrics are stable. A component of the continuous spectrum of the modified Lichnerowicz operator on all three families of metrics is found.Comment: 18 pages, 3 figures; references adde

Perceptions of healthcare professionals and managers regarding the effectiveness of GP-led walk-in centres in the UK.

OBJECTIVES: This study aimed to identify the perceptions of healthcare professionals regarding the effectiveness and the impact of a new general practitioner-led (GP-led) walk-in centre in the UK. SETTING: This qualitative study was conducted in a large city in the North of England. In the past few years, there has been particular concern about an increase in the use of emergency department (ED) services provided by the National Health Service and part of the rationale for introducing the new GP-led walk-in centres has been to stem this increase. The five institutes included in the study were EDs, a minor injuries unit, a primary care trust, a GP-led walk-in centre and GP surgeries. PARTICIPANTS: Semistructured interviews were conducted with healthcare providers at an adult ED, an ED at a children's hospital, a minor injuries unit, a GP-led walk-in centre, GPs from surrounding surgeries and GPs. RESULTS: 11 healthcare professionals and managers were interviewed. Seven key themes were identified within the data: the clinical model of the GP-led walk-in centre; public awareness of the services; appropriate use of the centre; the impact of the centre on other services; demand for healthcare services; choice and confusion and mixed views (positive and negative) of the walk-in services. There were discrepancies between the managers and healthcare professionals regarding the usefulness of the GP-led walk-in centre in the current urgent care system. CONCLUSIONS: Participants did not notice declines in the demand for EDs after the GP-led walk-in centre. Most of the healthcare professionals believed that the GP-led walk-in centre duplicated existing healthcare services. There is a need to have a better communication system between the GP-led walk-in centres and other healthcare providers to have an integrated system of urgent care delivery

World-Sheet Duality, Space-Time Foam, and the Quantum Fate of a Stringy Black Hole

We interpret Minkowski black holes as world-sheet {\it spikes } which are related by world-sheet { \it duality} to {\it vortices } that correspond to Euclidean black holes. These world-sheet defects induce defects in the gauge fields of the corresponding coset Wess-Zumino descriptions of spherically-symmetric black holes. The low-temperature target space-time foam is a Minkowski black hole (spike) plasma with confined Euclidean black holes (vortices). The high-temperature phase is a {\it dense} vortex plasma described by a topological gauge field theory on the world-sheet, which possesses enhanced symmetry as in the target space-time singularity at the core of a black hole. Quantum decay via higher-genus effects induces a back-reaction which causes a Minkowski black hole to lose mass until it is indistinguishable from intrinsic fluctuations in the space-time foam.Comment: 16 pages, CERN-TH.6534/92, (correction of a minor typographical error on page 12

Searching for massive galaxies at z>=3.5 in GOODS-North

We constrain the space density and properties of massive galaxy candidates at redshifts of z>=3.5 in the GOODS-N field. By selecting sources in the Spitzer+IRAC bands, a highly stellar mass-complete sample is assembled,including massive galaxies which are very faint in the optical/near-IR bands that would be missed by samples selected at shorter wavelengths. The z>=3.5 sample was selected down to 23 mag at 4.5 micron using photometric redshifts that have been obtained by fitting the galaxies SEDs at optical, near-IR and IRAC bands. We also require that the brightest band in which candidates are detected is the IRAC 8 micron band in order to ensure that the near-IR 1.6 micron (rest-frame) peak is falling in or beyond this band. We found 53 z>=3.5 candidates, with masses in the range of M~10^10-10^11M_sun. At least ~81% of these galaxies are missed by traditional Lyman Break selection methods based on UV light. Spitzer+MIPS emission is detected for 60% of the sample of z>=3.5 galaxy candidates. Although in some cases this might suggest a residual contamination from lower redshift star-forming galaxies or AGN, 37% of these objects are also detected in the sub-mm/mm bands in recent SCUBA,AzTEC and MAMBO surveys, and have properties fully consistent with vigorous starburst galaxies at z>=3.5. The comoving number density of galaxies with stellar masses >= 5x10^10M_sun(a reasonable stellar mass completeness limit for our sample) is 2.6x10^-5Mpc^-3 (using the volume within 3.5<z<5), and the corresponding stellar mass density is ~2.9x10^6M_sunMpc^-3, or~3% of the local density above the same stellar mass limit.For the sub-sample of MIPS-undetected galaxies,we find a number density of ~0.97x10^-5Mpc^-3 and a stellar mass density of ~1.15x10^6M_sun Mpc^-3.[abridged]Comment: Accepted by A&A; 35 pages, 15 figures, references update

Optically faint X-ray sources in the CDFN: Spitzer constraints

We investigate the properties of the most optically faint sources in the GOODS-N area (R > 26.5 AB). Such extremely optically faint populations present an uncharted territory despite the fact that they represent an appreciable fraction of the X-ray sources in the GOODS-N field. They are believed to contain either red AGN at moderate redshifts or possibly QSO at very high redshift. We compile our sample by first finding the 3.6um IRAC counterparts of the X-ray sources and searching for the optical counterparts of the IRAC sources. 35 sources do not have counterparts in the R-band Subaru optical images. Of these, 18 have HST-ACS counterparts while the remaining have no optical counterparts. The vast majority of our 35 sources are classified as Extremely Red Objects (EROs) on the basis of their V-K lower limits. Their photometric redshifts show that these populate moderate redshifts (median z~2.8), being markedly different from the already spectroscopically identified population which peaks at z~0.7. The Spitzer-IRAC mid-IR colours of the sources which have no HST counterparts tend to lie within the mid-IR colour diagram AGN "wedge", suggesting either QSO, ULIRG (Mrk231), or early-type galaxy templates at z>3. A large fraction of our sources (17/35), regardless of whether they have HST counterparts, can be classified as mid-IR bright/optically faint sources (Dust Obscured Galaxies) a class which is believed to include many heavily absorbed AGN. The co-added X-ray spectrum of the optically faint sources is very flat having a spectral index of Gamma~0.87, significantly flatter than the spectrum of the X-ray background. The optically faint R>26.5 X-ray sources constitute more than 50% of the total X-ray population at redshifts z>2 bearing important implications for the luminosity function and its evolution; considering X-ray sources with 2<z<4 we find good agreement with a modified PLE model.Comment: Accepted for publication in A&

Beyond communication:The role of standardized protocols in a changing health care environment

Background: Communication errors have grave consequences in health care settings. The situationYbackgroundY assessmentYrecommendation (SBAR) protocol has been theorized to improve communication by creating a common language between nurses and physicians in acute care situations. This practice is gaining acceptance across the health care field. However, as yet, there has been little investigation of the ways in which SBAR may have an impact on how health care professionals operate beyond the creation of a common language. Purpose: The purposes of the study were to explore the implementation of the SBAR protocol and investigate the potential impact of SBAR on the day-to-day experiences of nurses. Methods: We performed a qualitative case study of 2 hospitals that were implementing the SBAR protocol. We collected data from 80 semistructured interviews with nurses, nurse manager, and physicians; observation of nursing and other hospital activities; and documents that pertained to the implementation of the SBAR protocol. Data were analyzed using a thematic approach. Findings: Our analysis revealed 4 dimensions of impact that SBAR has beyond its use as a communication tool: schema formation, development of legitimacy, development of social capital, and reinforcement of dominant logics

Symmetries of Holographic Minimal Models

It was recently proposed that a large N limit of a family of minimal model CFTs is dual to a certain higher spin gravity theory in AdS_3, where the 't Hooft coupling constant of the CFT is related to a deformation parameter of the higher spin algebra. We identify the asymptotic symmetry algebra of the higher spin theory for generic 't Hooft parameter, and show that it coincides with a family of W-algebras previously discovered in the context of the KP hierarchy. We furthermore demonstrate that this family of W-algebras controls the representation theory of the minimal model CFTs in the 't Hooft limit. This provides a non-trivial consistency check of the proposal and explains part of the underlying mechanism.Comment: 25 pages; references added and minor corrections (published version

Discrete Information from CHL Black Holes

AdS_2/CFT_1 correspondence predicts that the logarithm of a Z_N twisted index over states carrying a fixed set of charges grows as 1/N times the entropy of the black hole carrying the same set of charges. In this paper we verify this explicitly by calculating the microscopic Z_N twisted index for a class of states in the CHL models. This demonstrates that black holes carry more information about the microstates than just the total degeneracy.Comment: LaTeX file, 24 pages; v2: references adde