Risk Factors for Hospital Malpractice Exposure: Implications for Managers and Insurers

The possibility of identifying certain variables that might serve as predictors of above- or below-average medical malpractice claims experience was explored. Results showed that it is possible to identify significant risk factors

Backdrops: Conversation with Chris Pinney

The conversation between the two researches revolves around the central question of backdrop, its meaning, position inside the studio practices. It delves into the performative aspect of backdrop photography putting it in proximity with theatre and cinema, question its nature as a prop in the process of staging an image. The question seem to be how can photography as a general practice can be understood and its theoretical notions enriched through research into rich backdrop practices (in case of Pinney and Fevero mostly in India and surrounding region) and how can we explain those practice via the established theoretical cannons. The conversation negotiates through main notions of authors such as Michael Fried, John Tagg, illuminates on usually neglected nuances of Barthes Camera Lucida to finally elaborate the profilmic nature of backdrop photography and its representative role of the society in which it functions. What kind of politics of space does it represent; is it transformative or representative? What is the meaning of the notion of the prophetic nature of photography

Sylvia, a Memoir

Susanna Pinney recalls her meetings with Sylvia Townsend Warner,first as a child in the 1950s, and then at greater length in the 1970s, when she was Warner’s typist for the Kingdoms of Elfin stories as well as her friend and a regular visitor. The memoir also touches on the author’s role as one of Warner’s literary executors (along with William Maxwell)

Nonstationary excitations in Bose-Einstein condensates under the action of periodically varying scattering length with time dependent frequencies

We investigate nonstationary excitations in 3D-Bose-Einstein condensates in a spherically symmetric trap potential under the modulation of scattering length with slowly varying frequencies (adiabatic modulation). By numerically solving the Gross-Pitaevskii equation we observe a step-wise increase in the amplitude of oscillation due to successive phase locking between driving frequency and nonlinear frequency. Such a nonstationary excitation has been shown to exist by an analytic approach using variational procedure and perturbation theory in the action-angle variables. By using a canonical perturbation theory, we have identified the successive resonance excitations whenever the driven frequency matches the nonlinear frequency or its subharmonics.Comment: 17 pages, 6 figures (to be published in Physica D

Generalizing the autonomous Kepler Ermakov system in a Riemannian space

We generalize the two dimensional autonomous Hamiltonian Kepler Ermakov dynamical system to three dimensions using the sl(2,R) invariance of Noether symmetries and determine all three dimensional autonomous Hamiltonian Kepler Ermakov dynamical systems which are Liouville integrable via Noether symmetries. Subsequently we generalize the autonomous Kepler Ermakov system in a Riemannian space which admits a gradient homothetic vector by the requirements (a) that it admits a first integral (the Riemannian Ermakov invariant) and (b) it has sl(2,R) invariance. We consider both the non-Hamiltonian and the Hamiltonian systems. In each case we compute the Riemannian Ermakov invariant and the equations defining the dynamical system. We apply the results in General Relativity and determine the autonomous Hamiltonian Riemannian Kepler Ermakov system in the spatially flat Friedman Robertson Walker spacetime. We consider a locally rotational symmetric (LRS) spacetime of class A and discuss two cosmological models. The first cosmological model consists of a scalar field with exponential potential and a perfect fluid with a stiff equation of state. The second cosmological model is the f(R) modified gravity model of {\Lambda}_{bc}CDM. It is shown that in both applications the gravitational field equations reduce to those of the generalized autonomous Riemannian Kepler Ermakov dynamical system which is Liouville integrable via Noether integrals.Comment: Reference [25] update, 21 page

Characterizing Outflow Graft Narrowing over Time

Purpose: Cases of pump dysfunction due to outflow graft (OG) anastomosis obstruction related to serous fluid accumulation have been reported but the rate of occlusion and actual frequency of asymptomatic OG diminution is not known. Methods: This was a multicenter retrospective analysis of patients on HeartMate II (HMII) or HeartMate 3 (HM3) support surviving at least 180 days with at least one chest computed tomography (CT) scan at 6 months, 1, 2, and/or 3 years postoperative. Patients with OG obstruction due to torsion were excluded. The outflow graft (OG) diameter was measured at its narrowest region; region was categorized as external outflow graft (EOG), mid-graft, or within 2 cm of the aortic anastomosis. Mixed models with repeated measure linear regression was used to assess OG diameter change over time, with 14 mm as reference. Using the narrowest measure, OG diameter was modelled for freedom from death, admission for HF and low flow alarms with hazard ratio [95% CI presented]. Results: Of 71 patients included herein, 25% and 75% were on HMII and HM3 support for a median [25th, 75th] 1230 [703,1592] days. The median CT count was 2 [1,2] per patient. At follow-up, small (1-3 mm, table), but statistically significant reductions in OG diameter were noted (Figure). The median OG narrowing was 7% [0%, 20%]. Time from device implant was the most significant contributing factor (p\u3c0.001) while wrapping of the outflow was nonsignificantly correlated with OG narrowing (p=0.071). Device model was not correlative (p=0.16). OG diameter was not correlated with survival (HR 1.04 [0.81-1.3]), stroke (HR 0.94 [0.78-1.1]) or admissions for heart failure (HR 1.06 [0.88-1.3]), or VAD alarms (HR 0.93 [0.79-1.1]). Conclusion: Minor narrowing of the OG was noted over time, irrespective of LVAD model. The observed degrees of non-twist related-OG narrowing herein did not lead to increase mortality or events. OG wrapping may be associated with OG narrowing over time. Larger sample analyses aim to define degrees of narrowing that elicit device dysfunction

Characterizing Outflow Graft Narrowing over Time

Purpose: Cases of pump dysfunction due to outflow graft (OG) anastomosis obstruction related to serous fluid accumulation have been reported but the rate of occlusion and actual frequency of asymptomatic OG diminution is not known. Methods: This was a multicenter retrospective analysis of patients on HeartMate II (HMII) or HeartMate 3 (HM3) support surviving at least 180 days with at least one chest computed tomography (CT) scan at 6 months, 1, 2, and/or 3 years postoperative. Patients with OG obstruction due to torsion were excluded. The outflow graft (OG) diameter was measured at its narrowest region; region was categorized as external outflow graft (EOG), mid-graft, or within 2 cm of the aortic anastomosis. Mixed models with repeated measure linear regression was used to assess OG diameter change over time, with 14 mm as reference. Using the narrowest measure, OG diameter was modelled for freedom from death, admission for HF and low flow alarms with hazard ratio [95% CI presented]. Results: Of 71 patients included herein, 25% and 75% were on HMII and HM3 support for a median [25th, 75th] 1230 [703,1592] days. The median CT count was 2 [1,2] per patient. At follow-up, small (1-3 mm, table), but statistically significant reductions in OG diameter were noted (Figure). The median OG narrowing was 7% [0%, 20%]. Time from device implant was the most significant contributing factor (p\u3c0.001) while wrapping of the outflow was nonsignificantly correlated with OG narrowing (p=0.071). Device model was not correlative (p=0.16). OG diameter was not correlated with survival (HR 1.04 [0.81-1.3]), stroke (HR 0.94 [0.78-1.1]) or admissions for heart failure (HR 1.06 [0.88-1.3]), or VAD alarms (HR 0.93 [0.79-1.1]). Conclusion: Minor narrowing of the OG was noted over time, irrespective of LVAD model. The observed degrees of non-twist related-OG narrowing herein did not lead to increase mortality or events. OG wrapping may be associated with OG narrowing over time. Larger sample analyses aim to define degrees of narrowing that elicit device dysfunction

Symmetry, singularities and integrability in complex dynamics III: approximate symmetries and invariants

The different natures of approximate symmetries and their corresponding first integrals/invariants are delineated in the contexts of both Lie symmetries of ordinary differential equations and Noether symmetries of the Action Integral. Particular note is taken of the effect of taking higher orders of the perturbation parameter. Approximate symmetries of approximate first integrals/invariants and the problems of calculating them using the Lie method are considered

Reconstruction of Network Evolutionary History from Extant Network Topology and Duplication History

Genome-wide protein-protein interaction (PPI) data are readily available thanks to recent breakthroughs in biotechnology. However, PPI networks of extant organisms are only snapshots of the network evolution. How to infer the whole evolution history becomes a challenging problem in computational biology. In this paper, we present a likelihood-based approach to inferring network evolution history from the topology of PPI networks and the duplication relationship among the paralogs. Simulations show that our approach outperforms the existing ones in terms of the accuracy of reconstruction. Moreover, the growth parameters of several real PPI networks estimated by our method are more consistent with the ones predicted in literature.Comment: 15 pages, 5 figures, submitted to ISBRA 201