Patient experiences of an ankle fracture and the most important factors in their recovery : a qualitative interview study

Objective The objective of this qualitative research study is to explore patient experiences of ankle fracture and the factors most important to them in recovery. Design Semistructured interviews exploring patient experiences of ankle fracture recovery at 16–23 weeks following injury. Interviews followed a topic guide and were recorded with an encrypted audio recorder and then transcribed verbatim. Thematic content analysis was used to identify themes in the data. Setting Individuals were recruited from a sample of participants of a UK-based clinical trial of immobilisation methods for ankle fracture (ISRCTN15537280 at the pre-results stage at time of writing). Interviews were conducted at the participants’ own homes or on a university campus setting. Participants A purposive sample was used to account for key variables of age, gender and fracture management. Participants recruited from the clinical trial sample were adults aged 18 years or over with a closed ankle fracture. Results Ten participants were interviewed, five of whom were female and six of whom needed an operation to fix their ankle fracture. The age range of participants was 21–75 years with a mean of 51.6 years. Eight themes emerged from the data during analysis; mobility, loss of independence, healthcare, psychological effects, social and family life, ankle symptoms, sleep disturbance and fatigue, and activities of daily living. Factors of importance to participants included regaining their independence, sleep quality and quantity, ability to drive, ability to walk without walking aids or weight-bearing restrictions, and radiological union. Conclusions The results of this research demonstrates the extensive impact of ankle fracture on individuals’ lives, including social and family life, sleep, their sense of independence and psychological well-being. The results of this study will enable an increased understanding of the factors of relevance to individuals with ankle fracture, allowing collection of appropriate outcomes in clinical studies for this condition. Ultimately these results will help formulate appropriate patient-centred rehabilitation plans for these patients

Lasing oscillation condition and group delay control in gain-assisted plasmon-induced transparency

A gain-assisted plasmonic waveguide with two detuned resonators is investigated in the plasmon-induced transparency window. Phase map is employed to study power transmittance and group delay for varying gain coefficients and frequency detunings of the two resonators. The gain coefficient for lasing oscillation condition is analytically shown to vary quadratically with the frequency detuning. In the amplification regime below the lasing threshold, the spectrum implies not only large group delay, but also high transmittance and narrow linewidth. This is in contrast to those in the loss-compensation regime and the passive case in which there always exists a trade-off between the linewidth and the peak transmittance.Comment: 15 pages, 4 figure

Loschmidt Echo and Berry phase of the quantum system coupled to the XY spin chain: Proximity to quantum phase transition

We study the Loschmidt echo (LE) of a coupled system consisting of a central spin and its surrounding environment described by a general XY spin-chain model. The quantum dynamics of the LE is shown to be remarkably influenced by the quantum criticality of the spin chain. In particular, the decaying behavior of the LE is found to be controlled by the anisotropy parameter of the spin chain. Furthermore, we show that due to the coupling to the spin chain, the ground-state Berry phase for the central spin becomes nonanalytical and its derivative with respect to the magnetic parameter $\lambda$ in spin chain diverges along the critical line $\lambda=1$, which suggests an alternative measurement of the quantum criticality of the spin chain.Comment: 15 pages, 5 figure

A Correlation of Spectral Lag Evolution with Prompt Optical Emission in GRBs?

We report on observations of correlated behavior between the prompt gamma-ray and optical emission from GRB 080319B, which (i) strongly suggest that they occurred within the same astrophysical source region and (ii) indicate that their respective radiation mechanisms were most likely dynamically coupled. Our preliminary results, based upon a new cross-correlation function (CCF) methodology for determining the time-resolved spectral lag, are summarized as follows. First, the evolution in the arrival offset of prompt gamma-ray photon counts between Swift-BAT 15-25 keV and 50-100 keV energy bands (intrinsic gamma-ray spectral lag) appears to be anti-correlated with the arrival offset between prompt 15-350 keV gamma-rays and the optical emission observed by TORTORA (extrinsic optical/gamma-ray spectral lag), thus effectively partitioning the burst into two main episodes at ~T+28+/-2 sec. Second, prompt optical emission is nested within intervals of (a) trivial intrinsic gamma-ray spectral lag (~T+12+-2 and ~T+50+/-2 sec) with (b) discontinuities in the hard to soft evolution of the photon index for a power law fit to 15-150 keV Swift-BAT data (~T+8+/-2 and ~T+48+/-1 sec), both of which coincide with the rise (~T+10+/-1 sec) and decline (~T+50+/-1 sec) of prompt optical emission. This potential discovery, robust across heuristic permutations of BAT energy channels and varying temporal bin resolution, provides the first observational evidence for an implicit connection between spectral lag and the dynamics of shocks in the context of canonical fireball phenomenology.Comment: 5 pages. Adapted from a contribution to the Proceedings of the 2008 Nanjing GRB Conference. Edited by Y. F. Huang, Z. G. Dai and B. Zhan

Ceiling-fan-integrated air conditioning: Airflow and temperature characteristics of a sidewall-supply jet interacting with a ceiling fan

Ceiling-Fan-Integrated Air Conditioning (CFIAC) is a proposed system that can greatly increase buildings’ cooling efficiency. In it, terminal supply ducts and diffusers are replaced by vents/nozzles, jetting supply air toward ceiling fans that serve to mix and distribute it within the room. Because of the fans’ air movement, the system provides comfort at higher room temperatures than in conventional commercial/ institutional/retail HVAC. We have experimentally evaluated CFIAC in a test room. This paper covers the distributions of air-speed, temperature, and calculated comfort level throughout the room. Two subsequent papers report tests of human subject comfort and ventilation effectiveness in the same experimental conditions. The room’s supply air emerged from a high-sidewall vent directed toward a ceiling fan on the jet centerline; we also tested this same jet on a fan located off to the side of the jet. Primary variables are: ceiling fan flow volumes in downward and upward directions, supply air volume, and room-vs-supply temperature difference. Velocity, turbulence, and temperature distributions are presented for vertical and horizontal transects of the room. The occupied zone is then evaluated for velocity and temperature non-uniformity, and for comfort as predicted by the ASHRAE Standard 55 elevated air speed method. We show that temperatures are well-mixed and uniform across the room for all of the fan-on configurations, for fans both within or out of the supply jet centerline. The ceiling fan flow dominates the CFIAC airflow, and even though non-uniform is capable of providing comfortable conditions throughout the occupied area of the room