Kinematic self-similar locally rotationally symmetric models

A brief summary of results on kinematic self-similarities in general relativity is given. Attention is focussed on locally rotationally symmetric models admitting kinematic self-similar vectors. Coordinate expressions for the metric and the kinematic self-similar vector are provided. Einstein's field equations for perfect fluid models are investigated and all the homothetic perfect fluid solutions admitting a maximal four-parameter group of isometries are given.Comment: 12 pages, LaTeX, final version, to appear in Class. Quantum Gra

Primordial Black Holes: sirens of the early Universe

Primordial Black Holes (PBHs) are, typically light, black holes which can form in the early Universe. There are a number of formation mechanisms, including the collapse of large density perturbations, cosmic string loops and bubble collisions. The number of PBHs formed is tightly constrained by the consequences of their evaporation and their lensing and dynamical effects. Therefore PBHs are a powerful probe of the physics of the early Universe, in particular models of inflation. They are also a potential cold dark matter candidate.Comment: 21 pages. To be published in "Quantum Aspects of Black Holes", ed. X. Calmet (Springer, 2014

Access to interpreting services in England: secondary analysis of national data

Background: Overcoming language barriers to health care is a global challenge. There is great linguistic diversity in the major cities in the UK with more than 300 languages, excluding dialects, spoken by children in London alone. However, there is dearth of data on the number of non-English speakers for planning effective interpreting services. The aim was to estimate the number of people requiring language support amongst the minority ethnic communities in England. Methods: Secondary analysis of national representative sample of subjects recruited to the Health Surveys for England 1999 and 2004. Results: 298,432 individuals from the four main minority ethnic communities (Indian, Pakistani, Bangladeshi and Chinese) who may be unable to communicate effectively with a health professional. This represents 2,520,885 general practice consultations per year where interpreting services might be required. Conclusion: Effective interpreting services are required to improve access and health outcomes of non-English speakers and thereby facilitate a reduction in health inequalities

Invariant construction of solutions to Einstein's field equations - LRS perfect fluids II

The properties of LRS class II perfect fluid space-times are analyzed using the description of geometries in terms of the Riemann tensor and a finite number of its covariant derivatives. In this manner it is straightforward to obtain the plane and hyperbolic analogues to the spherical symmetric case. For spherically symmetric static models the set of equations is reduced to the Tolman-Oppenheimer-Volkoff equation only. Some new non-stationary and inhomogeneous solutions with shear, expansion, and acceleration of the fluid are presented. Among these are a class of temporally self-similar solutions with equation of state given by $p=(\gamma-1)\mu, 1<\gamma<2$, and a class of solutions characterized by $\sigma=-\Theta/6$. We give an example of geometry where the Riemann tensor and the Ricci rotation coefficients are not sufficient to give a complete description of the geometry. Using an extension of the method, we find the full metric in terms of curvature quantities.Comment: 24 pages, 1 figur

Homothetic perfect fluid space-times

A brief summary of results on homotheties in General Relativity is given, including general information about space-times admitting an r-parameter group of homothetic transformations for r>2, as well as some specific results on perfect fluids. Attention is then focussed on inhomogeneous models, in particular on those with a homothetic group $H_4$ (acting multiply transitively) and $H_3$. A classification of all possible Lie algebra structures along with (local) coordinate expressions for the metric and homothetic vectors is then provided (irrespectively of the matter content), and some new perfect fluid solutions are given and briefly discussed.Comment: 27 pages, Latex file, Submitted to Class. Quantum Gra

The Andante Regime of Scalar Field Dynamics

The andante regime of scalar field dynamics in the chaotic inflationary Universe is defined as the epoch when the field is rolling moderately slowly down its interaction potential, but at such a rate that first-order corrections to the slow-roll approximation become important. These conditions should apply towards the end of inflation as the field approaches the global minimum of the potential. Solutions to the Einstein-scalar field equations for the class of power law potentials $V(\phi) \propto \phi^{2n}$ are found in this regime in terms of the inverse error function.Comment: 11 pages of plain Latex, FNAL-Pub-94/226-

The challenges of communicating research evidence in practice: perspectives from UK health visitors and practice nurses

&lt;p&gt;Background: Health practitioners play a pivotal role in providing patients with up-to-date evidence and health information. Evidence-based practice and patient-centred care are transforming the delivery of healthcare in the UK. Health practitioners are increasingly balancing the need to provide evidence-based information against that of facilitating patient choice, which may not always concur with the evidence base. There is limited research exploring how health practitioners working in the UK, and particularly those more autonomous practitioners such as health visitors and practice nurses working in community practice settings, negotiate this challenge. This research provides a descriptive account of how health visitors and practice nurses negotiate the challenges of communicating health information and research evidence in practice.&lt;/p&gt; &lt;p&gt;Methods: A total of eighteen in-depth telephone interviews were conducted in the UK between September 2008 and May 2009. The participants comprised nine health visitors and nine practice nurses, recruited via adverts on a nursing website, posters at a practitioner conference and through recommendation. Thematic analysis, with a focus on constant comparative method, was used to analyse the data.&lt;/p&gt; &lt;p&gt;Results: The data were grouped into three main themes: communicating evidence to the critically-minded patient; confidence in communicating evidence; and maintaining the integrity of the patient-practitioner relationship. These findings highlight some of the daily challenges that health visitors and practice nurses face with regard to the complex and dynamic nature of evidence and the changing attitudes and expectations of patients. The findings also highlight the tensions that exist between differing philosophies of evidence-based practice and patient-centred care, which can make communicating about evidence a daunting task.&lt;/p&gt; &lt;p&gt;Conclusions: If health practitioners are to be effective at communicating research evidence, we suggest that more research and resources need to be focused on contextual factors, such as how research evidence is negotiated, appraised and communicated within the dynamic patient-practitioner relationship.&lt;/p&gt

HIV research in Australia: linking basic research findings with clinical and public health outcomes

Despite a population of only 20 million and sustained low prevalence of HIV infection in Australia, Australian researchers have provided many substantial original findings to the fields of HIV pathogenesis, treatment and prevention. More recently, Australian clinicians and scientists have turned their attention to assisting other countries in developing effective responses, particularly within the Asia-Pacific region. It is therefore fitting that the 4th International AIDS Society (IAS) Conference on HIV Pathogenesis, Treatment and Prevention will be held in Sydney in July 2007. The meeting is expected to attract over 5000 participants and will have a dynamic and innovative programme within the three major themes of HIV basic science, clinical research and biomedical prevention

Reconstructing the Inflaton Potential---in Principle and in Practice

Generalizing the original work by Hodges and Blumenthal, we outline a formalism which allows one, in principle, to reconstruct the potential of the inflaton field from knowledge of the tensor gravitational wave spectrum or the scalar density fluctuation spectrum, with special emphasis on the importance of the tensor spectrum. We provide some illustrative examples of such reconstruction. We then discuss in some detail the question of whether one can use real observations to carry out this procedure. We conclude that in practice, a full reconstruction of the functional form of the potential will not be possible within the foreseeable future. However, with a knowledge of the dark matter components, it should soon be possible to combine intermediate-scale data with measurements of large-scale cosmic microwave background anisotropies to yield useful information regarding the potential.Comment: 39 pages plus 2 figures (upon request:[email protected]), LaTeX, FNAL--PUB--93/029-A; SUSSEX-AST 93/3-