Quenched Hadron Spectrum and Decay Constants on the lattice

In this talk we present the results obtained from a study of ${\cal O}(2000)$ (quenched) lattice configurations from the APE collaboration, at $6.0\le\beta\le 6.4$, using both the Wilson and the SW-Clover fermion action. We determine the light hadronic spectrum and the meson decay constants. For the light-light systems we find an agreement with the experimental data of $\sim 5$ for mesonic masses and $\sim 10$ for baryonic masses and pseudoscalar decay constants; a larger deviation is present for the vector decay constants. For the heavy-light decay constants we find $f_{D_s}=237 \pm 16 MeV, f_{D} = 221 \pm 17 MeV (f_{D_s}/f_D=1.07(4)), f_{B_s} = 205 \pm 35 MeV, f_{B} = 180 \pm 32 MeV (f_{B_s}/f_B=1.14(8))$, in good agreement with previous estimates.Comment: 8 pages, latex, Talk given at XXV ITEP Winter School of Physics, Moscow - Russia, 18-27 Feb 199

Decision and Discovery in Defining “Disease”

This version (May 17, 2005) was published in its final form as: Schwartz PH. Decision and discovery in defining 'disease'. In: Kincaid H, McKitrick J, editors. Establishing medical reality: essays in the metaphysics and epistemology of biomedical science. Dordrecht: Springer; 2007. p. 47-63. http://dx.doi.org/10.1007/1-4020-5216-2_5The debate over how to analyze the concept of disease has often centered on the question of whether to include a reference to values, in particular the ‘disvalue’of diseases, or whether to avoid such notions. ‘Normativists,’such as King ([1954], 1981) and Culver and Gert (1982) emphasize the undesirability of diseases, while ‘Naturalists,’ most prominently Christopher Boorse (1977, 1987, 1997), instead require just the presence of biological dysfunction. The debate between normativism and naturalism often deteriorates into stalemate, with each side able to point out significant problems with the other. It starts to look as if neither approach can work. In this paper, I argue that the standoff stems from deeply questionable assumptions that have been used to formulate the opposing positions and guide the debate. In the end, I propose an alternative set of guidelines that offer a more constructive way to devise and compare theories

Granular Rheology in Zero Gravity

We present an experimental investigation on the rheological behavior of model granular media made of nearly elastic spherical particles. The experiments are performed in a cylindrical Couette geometry and the experimental device is placed inside an airplane undergoing parabolic flights to cancel the effect of gravity. The corresponding curves, shear stress versus shear rate, are presented and a comparison with existing theories is proposed. The quadratic dependence on the shear rate is clearly shown and the behavior as a function of the solid volume fraction of particles exhibits a power law function. It is shown that theoretical predictions overestimate the experiments. We observe, at intermediate volume fractions, the formation of rings of particles regularly spaced along the height of the cell. The differences observed between experimental results and theoretical predictions are discussed and related to the structures formed in the granular medium submitted to the external shear.Comment: 10 pages, 6 figures to be published in Journal of Physics : Condensed Matte

Independent evaluation of a simple clinical prediction rule to identify right ventricular dysfunction in patients with shortness of breath

BACKGROUND: Many patients have unexplained persistent dyspnea after negative computed tomographic pulmonary angiography (CTPA). We hypothesized that many of these patients have isolated right ventricular (RV) dysfunction from treatable causes. We previously derived a clinical decision rule (CDR) for predicting RV dysfunction consisting of persistent dyspnea and normal CTPA, finding that 53% of CDR-positive patients had isolated RV dysfunction. Our goal is to validate this previously derived CDR by measuring the prevalence of RV dysfunction and outcomes in dyspneic emergency department patients. METHODS: A secondary analysis of a prospective observational multicenter study that enrolled patients presenting with suspected PE was performed. We included patients with persistent dyspnea, a nonsignificant CTPA, and formal echo performed. Right ventricular dysfunction was defined as RV hypokinesis and/or dilation with or without moderate to severe tricuspid regurgitation. RESULTS: A total of 7940 patients were enrolled. Two thousand six hundred sixteen patients were analyzed after excluding patients without persistent dyspnea and those with a significant finding on CTPA. One hundred ninety eight patients had echocardiography performed as standard care. Of those, 19% (95% confidence interval [CI], 14%-25%) and 33% (95% CI, 25%-42%) exhibited RV dysfunction and isolated RV dysfunction, respectively. Patients with isolated RV dysfunction or overload were more likely than those without RV dysfunction to have a return visit to the emergency department within 45 days for the same complaint (39% vs 18%; 95% CI of the difference, 4%-38%). CONCLUSION: This simple clinical prediction rule predicted a 33% prevalence of isolated RV dysfunction or overload. Patients with isolated RV dysfunction had higher recidivism rates and a trend toward worse outcomes

Certified Exact Transcendental Real Number Computation in Coq

Reasoning about real number expressions in a proof assistant is challenging. Several problems in theorem proving can be solved by using exact real number computation. I have implemented a library for reasoning and computing with complete metric spaces in the Coq proof assistant and used this library to build a constructive real number implementation including elementary real number functions and proofs of correctness. Using this library, I have created a tactic that automatically proves strict inequalities over closed elementary real number expressions by computation.Comment: This paper is to be part of the proceedings of the 21st International Conference on Theorem Proving in Higher Order Logics (TPHOLs 2008

Clinical features from the history and physical examination that predict the presence or absence of pulmonary embolism in symptomatic emergency department patients: results of a prospective, multi-center study

Study Objective—Prediction rules for pulmonary embolism (PE) employ variables explicitly shown to estimate the probability of PE. However, clinicians often use variables that have not been similarly validated, yet are implicitly believed to modify probability of PE. The objective of this study was to measure the predictive value of 13 implicit variables. Methods—Patients were enrolled in a prospective cohort study from 12 centers in the United States; all had an objective test for PE (D-dimer, CT angiography, or V/Q scan). Clinical features including 12 predefined previously validated (explicit) variables and 13 variables not part of existing prediction rules (implicit) were prospectively recorded at presentation. The primary outcome was VTE (venous thromboembolism: PE or deep venous thrombosis), diagnosed by imaging up to 45 days after enrollment. Variables with adjusted odds ratios from logistic regression with 95% confidence intervals not crossing unity were considered significant. Results—7,940 patients (7.2% VTE+) were enrolled. Mean age was 49±17 years and 67% were female. Eight of 13 implicit variables were significantly associated with VTE; those with an adjusted OR >1.5 included non-cancer related thrombophilia (1.99), pleuritic chest pain (1.53), and family history of VTE (1.51). Implicit variables that predicted no VTE outcome included: substernal chest pain, female gender, and smoking. Nine of 12 explicit variables predicted a positive outcome of VTE, including unilateral leg swelling, recent surgery, estrogen, hypoxemia and active malignancy. Conclusions—In symptomatic outpatients being considered for possible PE, non-cancer related thrombophilia, pleuritic chest pain, and family history of VTE increase probability of PE or DVT. Other variables that are part of existing pretest probability systems were validated as important predictors in this diverse sample of US Emergency department patients

Point perturbations of circle billiards

The spectral statistics of the circular billiard with a point-scatterer is investigated. In the semiclassical limit, the spectrum is demonstrated to be composed of two uncorrelated level sequences. The first corresponds to states for which the scatterer is located in the classically forbidden region and its energy levels are not affected by the scatterer in the semiclassical limit while the second sequence contains the levels which are affected by the point-scatterer. The nearest neighbor spacing distribution which results from the superposition of these sequences is calculated analytically within some approximation and good agreement with the distribution that was computed numerically is found.Comment: 9 pages, 2 figure

Heavy- to light-meson transition form factors

Semileptonic heavy -> heavy and heavy -> light meson transitions are studied as a phenomenological application of a heavy-quark limit of Dyson-Schwinger equations. Employing two parameters: E, the difference between the mass of the heavy meson and the effective-mass of the heavy quark; and Lambda, the width of the heavy-meson Bethe-Salpeter amplitude, we calculate f_+(t) for all decays on their entire kinematically accessible t-domain. Our study favours f_B in the range 0.135-0.17 GeV and with E=0.44 GeV and 1/Lambda = 0.14 fm we obtain f_+^{B pi}(0) = 0.46. As a result of neglecting 1/m_c-corrections, we estimate that our calculated values of \rho^2 = 0.87 and f_+^{DK}(0)=0.62 are too low by approximately 15%. However, the bulk of these corrections should cancel in our calculated values of Br(D -> \pi l nu)/Br(D -> K l nu)=0.13 and f_+^{D pi}(0)/f_+^{DK}(0) = 1.16.Comment: 26 pages, 3 figures, REVTE

Acceptability and ease of use of mailed HPV self-collection among infrequently screened women in North Carolina

Objectives: Self-collection of cervico-vaginal samples for human papillomavirus (HPV) testing has the potential to make cervical cancer screening more accessible to underscreened women. We evaluated the acceptability and ease of use of home-based HPV self-collection within a diverse population of low-income, infrequently screened women. Methods: Participants were low-income women from North Carolina who had not received Pap testing in 4 or more years. Eligible women received a self-collection kit containing instructions and a brush for home-based sample collection. A total of 227 women returned a self-collected sample by mail and completed a questionnaire to assess their experiences with HPV self-collection. We described acceptability measures and used logistic regression to identify predictors of overall positive thoughts about the self-collection experience. Results: Nearly all women were willing to perform HPV self-collection again (98%) and were comfortable receiving the self-collection kit in the mail (99%). Overall, 81% of participants reported positive thoughts about home-based self-collection. Women with at least some college education and those who were divorced, separated or widowed were more likely to report overall positive thoughts. Aspects of self-collection that participants most commonly reported liking included convenience (53%), ease of use (32%) and privacy (23%). The most frequently reported difficulties included uncertainty that the self-collection was done correctly (16%) and difficulty inserting the self-collection brush (16%). Conclusions: Home-based self-collection for HPV was a highly acceptable screening method among low-income, underscreened women and holds the promise to increase access to cervical cancer screening in this high-risk population

Performance of two Askaryan Radio Array stations and first results in the search for ultra-high energy neutrinos

Ultra-high energy neutrinos are interesting messenger particles since, if detected, they can transmit exclusive information about ultra-high energy processes in the Universe. These particles, with energies above $10^{16}\mathrm{eV}$, interact very rarely. Therefore, detectors that instrument several gigatons of matter are needed to discover them. The ARA detector is currently being constructed at South Pole. It is designed to use the Askaryan effect, the emission of radio waves from neutrino-induced cascades in the South Pole ice, to detect neutrino interactions at very high energies. With antennas distributed among 37 widely-separated stations in the ice, such interactions can be observed in a volume of several hundred cubic kilometers. Currently 3 deep ARA stations are deployed in the ice of which two have been taking data since the beginning of the year 2013. In this publication, the ARA detector "as-built" and calibrations are described. Furthermore, the data reduction methods used to distinguish the rare radio signals from overwhelming backgrounds of thermal and anthropogenic origin are presented. Using data from only two stations over a short exposure time of 10 months, a neutrino flux limit of $3 \cdot 10^{-6} \mathrm{GeV} / (\mathrm{cm^2 \ s \ sr})$ is calculated for a particle energy of 10^{18}eV, which offers promise for the full ARA detector.Comment: 21 pages, 34 figures, 1 table, includes supplementary materia