18,267 research outputs found

    The assessment of pain in older people

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    Pain is under-recognised and under-treated in older people. It is a subjective, personal experience, only known to the person who suffers. The assessment of pain is particularly challenging in the presence of severe cognitive impairment, communication difficulties or language and cultural barriers. These guidelines set out the key components of assessing pain in older people, together with a variety of practical scales that may be used with different groups, including those with varying levels of cognitive or communication impairment. The purpose is to provide professionals with a set of practical skills to assess pain as the first step towards its effective management. The guidance has implications for all healthcare and social care staff and can be applied in all settings, including the older personā€™s own home, in care homes, and in hospital

    Localization-protected order in spin chains with non-Abelian discrete symmetries

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    We study the non-equilibrium phase structure of the three-state random quantum Potts model in one dimension. This spin chain is characterized by a non-Abelian D3D_3 symmetry recently argued to be incompatible with the existence of a symmetry-preserving many-body localized (MBL) phase. Using exact diagonalization and a finite-size scaling analysis, we find that the model supports two distinct broken-symmetry MBL phases at strong disorder that either break the Z3{\mathbb{Z}_3} clock symmetry or a Z2{\mathbb{Z}_2} chiral symmetry. In a dual formulation, our results indicate the existence of a stable finite-temperature topological phase with MBL-protected parafermionic end zero modes. While we find a thermal symmetry-preserving regime for weak disorder, scaling analysis at strong disorder points to an infinite-randomness critical point between two distinct broken-symmetry MBL phases.Comment: 5 pages, 3 figures main text; 6 pages, 3 figures supplemental material; Version 2 includes a corrected the form of the chiral order parameter, and corresponding data, as well as larger system size numerics, with no change to the phase structur

    Exploring The Neural Correlates of Reading Comprehension and Social Cognition Deficits in College Students with ADHD

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    Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, impulsivity, and hyperactivity. Symptoms of this disorder have been shown to adversely impact academic and social functioning of those with ADHD. College students with ADHD, compared to their non-ADHD peers, are at increased risk for academic and social difficulties. Given the reading-intensive and socially-driven environment of the college campus, empirical literature examining the reading comprehension and social cognition of college students are wanting. The current investigation utilized the Nelson-Denny Reading Test (NDRT) and Faux Pas Recognition test (FPRT) to assess reading comprehension and social cognition, respectively, in college students with (n = 3) and without ADHD (n = 9). The Short Story Task (SST) was administered during functional magnetic resonance imaging (fMRI) to examine neural correlates of narrative comprehension and theory of mind (ToM) while reading short fictional stories of varying prose complexity. The ADHD and control groups did not differ in IQ, GPA, or scores of NDRT, FPRT, or SST, suggesting that they had comparable academic performance, narrative comprehension, and social cognition. The fMRI analysis of SST showed that the ADHD group demonstrated increased activation in the left anterior cingulate (ACC) and parahippocampal gyrus (PHG) while reading the complex story compared to the simple story. This differential activation was not observed in the CTRL group, suggesting that the ADHD group required more neural resources to process the emotional components of the complex story to achieve the comparable performance on the SST. The ADHD group additionally exhibited lower activation in the narrative comprehension and ToM networks (medial prefrontal cortex, Brocaā€™s area, angular gyri). Collectively, these results indicate that while ADHD and CTRL groups did not differ behaviorally, they exhibit differential neural activation patterns in tasks related to narrative comprehension and social cognition. Further investigations may inform the development of educational and psychosocial interventions to improve academic and social functioning in young adults with ADHD

    Particle-hole symmetry, many-body localization, and topological edge modes

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    We study the excited states of interacting fermions in one dimension with particle-hole symmetric disorder (equivalently, random-bond XXZ chains) using a combination of renormalization group methods and exact diagonalization. Absent interactions, the entire many-body spectrum exhibits infinite-randomness quantum critical behavior with highly degenerate excited states. We show that though interactions are an irrelevant perturbation in the ground state, they drastically affect the structure of excited states: even arbitrarily weak interactions split the degeneracies in favor of thermalization (weak disorder) or spontaneously broken particle-hole symmetry, driving the system into a many-body localized spin glass phase (strong disorder). In both cases, the quantum critical properties of the non-interacting model are destroyed, either by thermal decoherence or spontaneous symmetry breaking. This system then has the interesting and counterintuitive property that edges of the many-body spectrum are less localized than the center of the spectrum. We argue that our results rule out the existence of certain excited state symmetry-protected topological orders.Comment: 9 pages. 7 figure

    Ab Initio study of neutron drops with chiral Hamiltonians

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    We report ab initio calculations for neutron drops in a 10 MeV external harmonic-oscillator trap using chiral nucleon-nucleon plus three-nucleon interactions. We present total binding energies, internal energies, radii and odd-even energy differences for neutron numbers N = 2 - 18 using the no-core shell model with and without importance truncation. Furthermore, we present total binding energies for N = 8, 16, 20, 28, 40, 50 obtained in a coupled-cluster approach. Comparisons with Green's Function Monte Carlo results, where available, using Argonne v8' with three-nucleon interactions reveal important dependences on the chosen Hamiltonian.Comment: 7 pages, 5 figure
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